Compliance Program Manager

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $105k - $115k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📋 Program Manager

👻 Ghost score 0%

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Liberty Dental Plan

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

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 compliance resource and subject matter expert for commercial, Exchange, Medicaid, and Medicare lines of business • Monitor, research, interpret, and maintain regulatory and contractual requirements • Coordinate implementation of new regulatory and contractual requirements across business functions • Respond to compliance-related inquiries and provide regulatory guidance • Support client, regulatory, and internal audits, including corrective action initiatives • Review agreements, policies, member-facing materials, business associate agreements, and other documents for compliance implications • Coordinate enterprise compliance activities, including risk assessments, work plans, compliance testing, and program reporting • Analyze findings, identify trends and root causes, develop recommendations, and communicate risk insights to stakeholders • Develop and maintain compliance dashboards, reporting tools, and status updates • Support administration and continuous improvement of the Compliance and Privacy Program • Coordinate compliance training and annual compliance education • Support quarterly Compliance Committee activities and Board-level reporting • Promote a strong culture of compliance • Administer and oversee the HIPAA Privacy Program • Investigate and manage privacy incidents involving Protected Health Information • Conduct privacy impact assessments and evaluate vendors, systems, technologies, and business processes for privacy risks • Identify privacy and compliance risks and recommend safeguards and mitigation strategies • Review vendor agreements, business associate agreements, and contractual language • Partner with business leaders to implement privacy controls and maintain regulatory compliance • Support member rights processes and privacy-related process improvement initiatives • Assist with incident response, risk mitigation, and privacy program enhancements • Perform additional projects and responsibilities as assigned

🎯 Requirements

• Bachelor's degree and relevant industry certifications required, or equivalent experience • Minimum of 7 years of progressive experience in regulatory compliance and oversight • Direct experience in government managed or regulated healthcare • Strong understanding of regulatory requirements and ability to analyze, interpret, and apply regulations in a business environment • Experience compiling, coordinating, analyzing, and organizing regulatory requirement data • Excellent critical thinking, analytical, and problem-solving skills • Strong proficiency in Microsoft Office applications, including Excel, Word, PowerPoint, and SharePoint • Ability to manage multiple projects and priorities in a fast-paced environment • Excellent written and verbal communication skills • Strong attention to detail and commitment to producing high-quality work • HIPAA Privacy Rule expertise and hands-on privacy program experience preferred • Experience managing privacy incidents, breach investigations, and mitigation activities preferred • Experience conducting privacy impact assessments and evaluating vendor-related risk preferred • Experience reviewing Business Associate Agreements, vendor contracts, and healthcare-related agreements preferred • Experience working with Protected Health Information and healthcare privacy regulations preferred • Intermediate to advanced Microsoft Excel skills preferred, including pivot tables, charts, conditional formatting, macros, and external data connections • Experience developing executive summaries, compliance reports, dashboards, and Board-level presentations preferred • Strong sense of ownership and ability to work independently preferred • Experience collaborating across Security, Claims, Customer Service, Client Services, Procurement, Vendor Oversight, and Operations preferred • Must work in the United States; Liberty Dental Plan cannot hire or allow employees to work outside the United States • No sponsorship available at this time

🏖️ Benefits

• Competitive pay structure and savings options • 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines • Affordable medical insurance with low-cost premiums for employee-only coverage • Employer-subsidized medical coverage for eligible dependents • 100% employer-paid dental coverage for employees and eligible dependents • Vision insurance • Company-paid basic life and AD&D insurance equal to one times base salary, with options to purchase supplemental coverage • Flexible Spending Accounts for healthcare and dependent care expenses • Voluntary accident, critical illness, and hospital indemnity insurance • Long-term disability coverage • Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts • Employee Assistance Program supporting mental health and well-being • Generous vacation and sick leave policies, with unused time rollover • 10 paid company holidays • Tuition reimbursement for eligible educational expenses • Remote or hybrid work options available for various positions