Compliance Manager (Remote)

Connect America

39d•Remote

About The Position

Reporting to the Director of Compliance & Credentialing, the Compliance Manager is a hands-on leader responsible for day-to-day oversight of the Audit & Compliance vertical. This role manages a team of compliance professionals and serves as a subject matter expert across a wide range of regulatory and contractual compliance domains, including CMS, HIPAA, TCPA, marketing, and healthcare industry standards. The Compliance Manager ensures effective internal controls, timely responses to audits and inquiries, and supports continuous readiness for evolving requirements across multiple business lines.

Requirements

4–6+ years of compliance experience in healthcare, health tech, or related regulated industry required.
2+ years of experience managing or mentoring a compliance or audit-focused team.
Familiarity with CMS, HIPAA, TCPA, Medicare Advantage, Medicaid MLTSS, HCBS, and subcontractor compliance standards.
Proficiency in Microsoft Office Suite, SharePoint, Salesforce, and compliance tracking tools.
Exceptional verbal and written communication skills.
Demonstrated ability to manage multiple priorities in a fast-paced, deadline-driven environment.
Strong analytical skills, attention to detail, and proactive problem-solving mindset.
Ability to balance team management with individual contributor responsibilities.

Nice To Haves

Bachelor’s degree preferred or equivalent work experience.
Advanced degree or certification in Compliance (e.g., CHC, CHPC) strongly preferred.

Responsibilities

Oversee internal and external audit coordination, including documentation requests, evidence gathering, and official responses.
Maintain a centralized compliance calendar to track audit timelines, policy review schedules, and reporting deadlines.
Develop and implement internal compliance monitoring programs to validate ongoing adherence to regulatory and contractual requirements.
Review and interpret applicable federal, state, and local regulations impacting our service offerings (e.g., CMS, HIPAA, TCPA, FDA, FCC, and Medicaid/Medicare managed care programs).
Lead the creation, maintenance, and dissemination of internal compliance policies and procedures.
Support offshore subcontractor disclosure and monitoring requirements under CMS and payer guidance.
Supervise and coach a team of compliance specialists (entry-level through senior), including task delegation, performance feedback, and structured development.
Foster a culture of accountability, ethical conduct, and continuous learning.
Provide real-time coaching and ensure clear ownership of compliance deliverables.
Assess team capacity and realign assignments as needed to meet critical deadlines or adjust for ad hoc reviews.
Serve as the escalation point for complex compliance questions, audit findings, and regulatory interpretations.
Draft and review responses to audit and oversight body inquiries, including corrective action plans (CAPs), in collaboration with legal counsel as appropriate.
Maintain familiarity with CMS supplemental benefit guidance, state-specific managed care requirements, and healthcare marketing regulations.
Develop and deliver internal training to support operational and contractual compliance, including onboarding and ongoing education.
Partner with Legal, Sales, Product, Marketing, and Operations to identify compliance considerations related to new products, marketing initiatives, or contract commitments.
Collaborate with HR and Credentialing to support employee background checks, exclusion checks, and workforce verification (e.g., E-Verify).
Represent the Compliance team in external partner meetings and audit discussions when needed.
Identify and lead initiatives to improve compliance workflows, automate audit tracking, and streamline documentation practices.
Ensure accurate maintenance of compliance-related documentation across internal systems such as Salesforce, SharePoint, or other internal platforms.
Track and report key compliance metrics to leadership and support risk assessments or readiness reviews.