Compliance Program Lead

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $96k - $126k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

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Public Partnerships | PPL

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Public Partnerships | PPL is a provider of financial management and administrative services that enable self-directed Medicaid long-term care. The company helps eligible Medicaid participants hire and manage caregivers (including family or friends), handles payroll, payments, tax and compliance paperwork, and offers online tools and support to participants, caregivers, and program administrators. PPL partners with state Medicaid agencies and managed care organizations to administer self-directed care programs across multiple states, aiming to simplify program administration and keep people in their homes.

📋 Description

• Lead and manage major components of the Corporate Compliance and Privacy Program • Develop, implement, and continuously improve compliance infrastructure, policies, procedures, standards, controls, workflows, and monitoring activities • Coordinate Compliance Committee governance, including agendas, materials, minutes, presentations, action-item tracking, and documentation • Execute annual compliance work plans and strategic compliance initiatives • Lead cross-functional compliance projects and initiatives without direct authority • Interpret regulatory and compliance requirements and advise business leaders on obligations, risks, and mitigation strategies • Establish, monitor, and report KPIs, metrics, and compliance program effectiveness measures • Administer compliance hotline and incident management systems • Coordinate intake, assessment, tracking, routing, documentation, and resolution of compliance, ethics, and privacy concerns • Evaluate, triage, and prioritize significant compliance and privacy incidents • Lead or coordinate complex compliance investigations, stakeholder engagement, documentation, and corrective action planning • Monitor incident trends and emerging risks through data analysis and reporting • Identify root causes and recommend corrective and preventive actions • Develop and enhance incident management workflows, reporting tools, and process improvements • Develop compliance training materials, educational resources, newsletters, communications, and awareness campaigns • Coordinate annual compliance training assignments, completion monitoring, and reporting • Coordinate sanctions screening, monitoring processes, compliance attestations, conflict-of-interest disclosures, certifications, and annual compliance requirements • Develop executive-level reports, dashboards, scorecards, and metrics • Analyze compliance data and present findings, trends, recommendations, and program performance to leadership, committees, and governance bodies • Evaluate program effectiveness and recommend enhancements • Serve as a functional subject matter expert in designated compliance program functions • Provide functional guidance, coaching, and mentoring to analysts, coordinators, and business partners • Implement workflow improvements that increase efficiency, effectiveness, and accountability

🎯 Requirements

• Excellent organizational, planning, project management, and coordination skills • Strong written, verbal, and presentation communication skills • Ability to lead cross-functional initiatives and influence stakeholders without direct authority • Ability to independently assess compliance risks, exercise sound judgment, and make recommendations • Experience supporting governance committees, leadership reporting, and compliance oversight • Strong understanding of compliance investigations, incident management, corrective actions, and regulatory requirements • Experience developing KPIs, dashboards, metrics, and compliance program effectiveness measures • Strong analytical, problem-solving, and critical thinking skills • Ability to interpret compliance requirements and communicate complex concepts • Ability to improve, standardize, and scale operational processes • Exceptional attention to detail and organizational discipline • Familiarity with healthcare privacy incidents, compliance investigations, and regulatory environments preferred • Bachelor's degree in a relevant field preferred • Substantial relevant professional experience may be considered in lieu of a formal degree • Five or more years of experience in healthcare compliance, privacy, ethics, audit, quality, risk management, healthcare operations, or a related field • Experience supporting or leading compliance programs, investigations, governance, risk management, or compliance education programs • Experience independently managing compliance processes and serving as a subject matter expert • Experience developing compliance metrics, dashboards, leadership reporting, and program effectiveness assessments • Experience coordinating compliance committees, governance functions, and executive reporting • Experience with incident management systems, sanctions screening, compliance education, case management platforms, or compliance monitoring preferred • Relevant compliance certifications preferred, including CHC, CCEP, CHCM, or CHPC

🏖️ Benefits

• Remote work • Occasional business travel • Base salary within the posted range of $96,000–$126,000