Clinical Compliance Manager

Monogram Health • Brentwood, TN

6h • Hybrid

About The Position

Monogram Health is looking for a Clinical Compliance Manager to support and enhance our Compliance Program through oversight, risk assessment, and cross-functional collaboration. This role provides critical compliance guidance and leads certain monitoring and audit activities. Reporting to the Senior Director of Compliance, this position is key to driving a strong culture of compliance and ethical practice across the organization. Hybrid position preferred in either the Tempe AZ or Brentwood TN office location.

Requirements

• Bachelor’s degree in healthcare, nursing, legal studies, or a related field, or equivalent combination of education and relevant experience.
• Minimum of five (5) years of experience in Medicare Managed Care, with preferred expertise in Special Needs Plan Model of Care (SNP MOC) requirements, including D-SNP and C-SNP with at least three (3) years of leadership or supervisory experience, with demonstrated ability to influence and guide cross-functional teams.
• Active, unrestricted Registered Nurse (RN) license required.
• Extensive knowledge of Medicare and Medicaid compliance programs, including applicable regulatory frameworks and audit expectations.
• Influencing and stakeholder management skills, with the ability to build trust and drive alignment across cross-functional teams.
• Written and verbal communication skills, including the ability to translate complex regulatory requirements into clear, actionable guidance for diverse audiences.
• Critical thinking and risk-based decision-making skills, with the ability to assess compliance risks and recommend practical, business-aligned solutions.
• Integrity and ethical judgment, with a commitment to fostering a culture of accountability, transparency, and compliance.

Nice To Haves

• Certified in Healthcare Compliance (CHC) preferred (or willingness to obtain certification within a defined timeframe).

Responsibilities

• Lead, administer, and continuously improve key components of the Compliance Program to support organizational objectives.
• Conduct compliance oversight activities, including monitoring and auditing, to assess adherence to regulatory requirements (e.g., CMS) and contractual obligations.
• Drive and support compliance risk assessments, as well as work plan development and implementation, aligning enterprise priorities with regulatory expectations.
• Serve as a primary liaison internally for assigned compliance activities, including audits, inquiries, etc. as tied to the annual risk assessment and compliance workplan.
• Provide subject matter expertise and strategic guidance to cross-functional teams on compliance matters, including interpretation and implementation of regulatory and contractual requirements.
• Collaborate with operational leaders to develop, review, and update policies and procedures in connection with completed compliance audit and monitoring activities.
• Develop and deliver reports and presentations on compliance activities, including audit and monitoring results to leadership and stakeholders.
• Lead or contribute to compliance-related projects, initiatives, and research to support program effectiveness and regulatory readiness.
• Conduct internal investigations related to concerns reported via the Compliance & Ethics Helpline or directly to the Compliance team; ensure proper documentation, tracking, and reporting.

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Senior