Job Description

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.

Accountabilities

• 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.

Why Apply Through Jobgether?

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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