Remote Compliance Officer
About the position This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Remote Compliance Officer. In this role, you will be a key player in overseeing all compliance functions, ensuring effective communication and development of policies within the health plan. Your expertise will make a significant impact as you manage relationships with state regulators and navigate complex audit processes. This position provides an opportunity to directly influence the compliance landscape while working flexible hours in a remote setting. Responsibilities • Oversee the accurate and timely submission of all CMS Medicare SNP requirements. • Serve as senior leadership and single point of contact in all State compliance meetings and interactions. • Manage direct correspondence and daily interaction with all state regulators. • Serve as senior leadership in all Department of Insurance and HHSC audit processes. • Manage all facets of the audit and communications. • Lead the Enterprise Risk Management process in collaboration with corporate ERM and Executive Management. • Conduct internal compliance audits, create corrective action plans, and collaborate with department managers. • Oversee compliance management for all health plan material subcontractors. • Perform other duties as assigned. • Comply with all policies and standards. Requirements • Bachelor’s degree in a related field or equivalent experience; Master's degree preferred. • 7+ years of compliance program management and contract experience with State Medicaid programs. • 5-7 years of experience with health care regulatory agencies in developing compliance and fraud programs. • 5+ years’ experience overseeing the implementation of contract requirements. Benefits • Competitive pay range of $148,000.00 - $274,200.00 per year. • Comprehensive benefits package including health insurance and 401K. • Stock purchase plans and tuition reimbursement. • Paid time off plus holidays. • Flexible work options: remote, hybrid, field, or office work schedules. Apply tot his job