Compliance Program Manager (Government-Managed Healthcare Regulations Experience Required)

Liberty Dental Plan Careers•Tustin, CA

11d•$105,000 - $115,000•Remote

About The Position

Liberty Dental Plan is seeking an experienced Compliance Program Manager to oversee regulatory and contractual compliance across Commercial, Exchange, Medicaid, and Medicare lines of business. This role requires a deep understanding of government-managed healthcare regulations and the ability to collaborate cross-functionally to ensure adherence to compliance standards. The ideal candidate will have strong analytical skills, excellent communication abilities, and the discretion to handle sensitive matters.

Requirements

Bachelor’s degree required (or equivalent experience with relevant certifications)
Minimum of 7 years of progressive experience in regulatory compliance roles
At least 5 years of hands-on HIPAA privacy compliance experience, including implementing and managing HIPAA privacy programs
Experience in government-managed or regulated healthcare preferred
Strong critical thinking and problem-solving skills
Experience compiling, analyzing, and organizing regulatory data
Advanced proficiency in Microsoft Office (Excel, Word, PowerPoint, SharePoint)
Intermediate to advanced Excel skills (pivot tables, charts, macros, external data connections preferred)
Effective communication skills across all levels of the organization
Strong analytical and decision-making skills
Ability to interpret complex regulatory requirements and apply them operationally
High level of attention to detail and organizational discipline
Professional judgment and discretion when handling confidential information

Responsibilities

Serve as a subject matter expert on regulatory and contractual requirements affecting Liberty Dental Plan’s business lines
Monitor, track, and maintain a repository of regulatory requirements, summarizing key updates for leadership
Collaborate with internal departments to implement new contract and regulatory requirements
Research and advise on ad hoc compliance-related inquiries
Respond to client and regulatory audits, including managing corrective action plans
Review agreements, policies, and member-facing materials to ensure compliance with applicable requirements
Manage findings from exclusion and preclusion screenings, ensuring timely investigation and appropriate action for employees, contractors, or vendors identified on federal and state exclusion lists (e.g., OIG LEIE, GSA SAM)
Oversee Liberty Dental Plan’s annual risk assessment, compliance workplan, and testing program
Analyze compliance findings, identify trends, and provide performance improvement recommendations
Develop and maintain compliance reporting tools, including dashboards and tracking summaries
Lead compliance-related initiatives and special projects, supporting process improvements
Ensure compliance training materials are updated and coordinate enterprise-wide training
Support the HIPAA compliance program, including incident management
Coordinate Compliance Committee meetings and prepare reports for the Board of Directors
Identify opportunities to strengthen Liberty Dental Plan’s culture of compliance

Benefits

Competitive pay structure and savings options
Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines
Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
100% employer-paid dental coverage for employees and eligible dependents
Vision insurance with low-cost premiums for employee-only coverage and dependents
Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage
Flexible Spending Accounts for healthcare and dependent care expenses
Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance
Long-term disability coverage
Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts
Employee Assistance Program (EAP) to support mental health and well-being
Generous vacation and sick leave policies, with the ability to roll over unused time
10 paid company holidays
Tuition reimbursement for eligible educational expenses
Remote or hybrid work options available for various positions