Sr. Manager, Compliance (Remote)

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Senior Manager, Compliance will build and manage strategic partnerships with internal business units toward a common goal of enterprise-wide compliance excellence. The Senior Manager, Compliance will report to the Chief Compliance Officer and will have a diverse range of responsibilities associated with interpretation of state and federal regulations related to health care and Medicare Advantage Plans, improving collaboration and other aspects of embodying a culture of compliance. This is a challenging role will be responsible for creating, implementing and managing strategic compliance initiatives.

General Duties/Responsibilities (May include but are not limited to):

• Drive/support AHP’s operational compliance programs and initiatives to identify and mitigate risk-assessed compliance priorities. Build capacity and capability to work across multiple areas of compliance.
• Design and perform comprehensive and independent audits and reviews of critical elements of AHP’s compliance work plan; propose and drive implementation of practical solutions to enhance the program, as applicable
• Develop and execute plans to raise business awareness at the appropriate level of compliance issues. Facilitate ongoing communication with business teams.
• Ensure timely and adequate resolution of Corrective Action Plans
• Use influencing skills to help gain buy-in from business owners on new processes and procedures
• Drive continuous improvement and standardization across all projects
• Build and maintain strong business relationships, working to partner cross-functionally to understand and address needs and roadblocks and facilitate change as appropriate.
• Collaborate with AHP’s Delegation Oversight monitoring and auditing resources to create appropriate monitoring and auditing plans, remediation and to support investigations.
• Ensure the CMS FTEAM Universe is properly updated and accurate

Key Competencies:

• Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions, including a high level of precision in work.
• Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts compliance and Alignment Healthcare's overall success first.
• Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.
• Interpersonal Effectiveness: Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.

Supervisory Responsibilities:

N/A

Minimum Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Experience:

7 years’ experience in a risk, regulatory, audit, with strong preference for experience in the Healthcare industry.

Education/Licensure:

Must have a BS/BA degree

Other:

Strong communications and presentation skills, with superb ability to drive change

Extensive knowledge and experience in operationalizing compliance programs; ability to independently design and build meaningful dashboards and metrics to drive process rigor

Experience building and executing risk assessments and implementing corrective action and remediation plans, including partnering with the business to execute on remediations.

Strong project management and prioritization skills demonstrated ability to effectively manage multiple tasks and priorities and drive change across a complex organization and multiple stakeholders.

Strong follow-up and attention to detail

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact [email protected].

Pay Range: $77,905.00 - $116,858.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].