Compliance Program Manager – Government-Managed Healthcare Regulations

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Liberty Dental Plan

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Liberty Dental Plan is a U. S. -based dental insurance provider offering Medicaid (including Medi-Cal), Medicare Advantage, commercial, individual & family, and group dental plans across multiple states. The company operates member-facing services (find-a-dentist, member portal, mobile app, claims and eligibility tools) and provider-facing services (provider portal, network enrollment, claims submission, clinical guidelines, and value-based programs). Liberty Dental Plan focuses on dental benefits administration, provider network management, compliance and credentialing, and serving members, providers, and brokers.

📋 Description

• Serve as a subject matter expert on regulatory and contractual requirements affecting Liberty Dental Plan’s business lines • Monitor, track, and maintain a repository of regulatory requirements, summarizing key updates for leadership • Collaborate with internal departments to implement new contract and regulatory requirements • Research and advise on ad hoc compliance-related inquiries • Respond to client and regulatory audits, including managing corrective action plans • Review agreements, policies, and member-facing materials to ensure compliance with applicable requirements • Oversee Liberty Dental Plan’s annual risk assessment, compliance workplan, and testing program • Analyze compliance findings, identify trends, and provide performance improvement recommendations • Develop and maintain compliance reporting tools, including dashboards and tracking summaries • Lead compliance-related initiatives and special projects, supporting process improvements • Ensure compliance training materials are updated and coordinate enterprise-wide training • Support the HIPAA compliance program, including incident management • Coordinate Compliance Committee meetings and prepare reports for the Board of Directors • Identify opportunities to strengthen Liberty Dental Plan’s culture of compliance

🎯 Requirements

• Bachelor’s degree required (or equivalent experience with relevant certifications) • Minimum of 7 years of progressive experience in regulatory compliance roles • At least 5 years of hands-on HIPAA privacy compliance experience, including implementing and managing HIPAA privacy programs • Experience in government-managed or regulated healthcare preferred • Strong critical thinking and problem-solving skills • Experience compiling, analyzing, and organizing regulatory data • Advanced proficiency in Microsoft Office (Excel, Word, PowerPoint, SharePoint) • Intermediate to advanced Excel skills (pivot tables, charts, macros, external data connections preferred) • Effective communication skills across all levels of the organization.

🏖️ Benefits

• Comprehensive medical coverage through Anthem, with affordable premiums and multiple plan options - including an HDHP with HSA eligibility. • 100% employer-paid dental insurance and low-cost vision coverage for employees and dependents. • 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial advice. • Short-term disability and a variety of voluntary benefits, including accident, critical illness, and hospital indemnity insurance. • Generous paid time off, including vacation and sick leave with rollover options, plus 10 paid company holidays and a wellness day. • Additional benefits including company-paid life insurance, tuition reimbursement, an employee perks program, and flexible work options for eligible positions.