Senior Federal and Integrated Product Compliance Specialist
Skills
Analytical SkillsBusinessCorrective ActionsInternal AuditsOperationsPolicies & ProceduresRegulatory Requirements
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- Bachelor's degree in public health public policy or public administration
- Required 4 years of experience in compliance product or operations
- Experience with Medicare and integrated products
- Strong interdepartmental and cross-functional strategy development skills
- Proven project management experience with multiple concurrent projects
- Experience managing professional staff to meet deadlines
- Microsoft Office suite experience including Outlook Excel SharePoint and Teams preferred
- CHC or CCEP certification preferred
Nice to have
- Integrity
- Trust
- Customer focus
- Analytical thinking
- Critical thinking
- Functional skills
Day to day
- Lead compliance oversight for Medicare and integrated products, including Medicaid Advantage Plus, with a strong focus on regulatory adherence and operational accuracy
- Drive Compliance Program Effectiveness readiness, coordinate external CMS and Department of Health audits and surveys, and serve as a primary liaison across product-related reviews
- Conduct internal audits and monitoring, identify emerging risks, guide corrective actions, and maintain policies, training, and compliance materials in alignment with current requirements