Senior Manager, Compliance Program

Senior Manager, Compliance Program

The Senior Manager, Compliance Program will manage the day-to-day operations of the compliance function of Point32Health's Government Programs Compliance Program. This includes identifying and having a detailed knowledge of compliance requirements; identifying compliance risks; and direct administration of activities, projects, and personnel necessary to ensure compliance with Medicare, Commercial and Medicaid laws and regulations and governing contracts with the Centers for Medicare and Medicaid Services (CMS) and, as applicable, State Agencies. The Senior Manager, Compliance Program will report to the Government Programs Compliance Officer. This position supporting the Chief Compliance and Ethics Officer and the Government Programs Compliance Officer and working collaboratively as a member of the compliance leadership team.

Key Responsibilities / Duties what you will be doing (top five) :

• Provide leadership for execution on a strategy for sustaining compliance with applicable federal and state laws and regulations in the Government Programs Compliance Program that is effective and efficient, including leading people and processes and building a culture of integrity.
• In consultation with the Government Programs Compliance Officer, responsible for managing, documenting, and maintaining a coordinated regulatory compliance infrastructure that meets the expectations of State Medicaid and / or Federal Medicare regulators and corporate governance programs.
• Ensure a high-standing relationship with CMS / EOHHS regulators in support of Point32Health's government products and meet the expectations and requirements of internal and external customers. Serve as primary liaison between CMS / EOHHS and Point32Health to respond to CMS / EOHHS concerns and to advance Point32Health's business and regulatory priorities.
• Coordinate external and internal monitoring reviews.
• Develop and implement program policies, procedures and practices designed to promote compliance with the requirements of State and Federal health care programs and that implement components of the compliance program.

Qualifications what you need to perform the job

Certification and Licensure

Education

Experience

Skill Requirements

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel) :

Salary Range $136,219.20 -$204,328.80

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes :

We welcome all

All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

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