Senior Healthcare Compliance Manager

Job Summary :

Our client is seeking a Senior Regulatory Compliance Manager to oversee corporate regulatory compliance, internal policy adherence, quality assurance / quality improvement initiatives, and accreditation activities. This position reports directly to the Head of Commercial Operations and plays a key role in maintaining organizational excellence and compliance across all divisions.

Here's What Your Day-to-Day Looks Like :

• Ensure compliance with all applicable federal and state regulations, including ERISA, HIPAA, MHPAEA, and ACA
• Serve as liaison with healthcare attorneys on legislative and regulatory matters; recommend and implement policy changes as needed
• Manage corporate licensing requirements and oversee related audits and board meetings
• Develop client-specific NQTL analyses and maintain corporate reporting
• Oversee corporate complaints and appeals processes, including Federal External Reviews and Appeal Committee meetings
• Conduct staff orientation and compliance training; provide ongoing guidance on quality assurance and regulatory requirements
• Maintain all state licensing, certification, and registration filings, including name and trademark registrations
• Assist in the development and updating of clients' benefit plan documents (SPDs, SBCs) to ensure compliance with federal regulations
• Oversee corporate accreditation processes and quality assurance programs
• Conduct divisional quality audits, including patient chart audits, and utilize findings to improve care management and service delivery
• Oversee patient satisfaction survey responses and assist in maintaining high satisfaction ratings
• Serve as corporate liaison for subpoenas, lawsuits, or complaints filed against the organization

Schedule & Pay :

Here's What Makes YOU a Great Fit :

Job Location : Birmingham, Alabama

Benefits :