Manager of Contracts and Compliance

Telligen • West Des Moines, IA

1d • Hybrid

About The Position

As the Manager of Contracts and Compliance, you will oversee contracting and compliance of Telligen’s Tailored Care Pathways program, providing subject matter expertise and business advisory support. You will be the primary resource and point of contact for the company’s contracting activities.

The Illinois Tailored Care Management Program helps individuals with complex health and social needs transition from nursing facilities and Specialized Mental Health Rehabilitation Facilities (SMHRFs) to community-based living. Through person-centered care management and coordinated support services, the program empowers members to live more independently and thrive in their communities.

This is a hybrid position based in Oak Brook, Illinois, or West Des Moines, Iowa. Candidates must be able to commit to a hybrid schedule.

Requirements

• Bachelor’s degree in business administration, healthcare administration, public administration, compliance, or a related field, or equivalent experience.
• At least 7 years of experience in contract compliance, healthcare program administration, regulatory compliance, quality management, or a related discipline.
• Experience with healthcare regulatory compliance and Medicaid programs.
• At least 1 year of experience leading or managing staff in a compliance or contracting discipline.
• Ability to interpret contracts, policies, regulations, and program guidance and translate requirements into operational procedures and compliance activities.
• Strong analytical, organizational, documentation, problem-solving, customer service, and communication skills.
• Ability to manage competing deadlines and collaborate across functions.
• Proficiency with Word, Excel, Adobe Acrobat, and database or customer relationship management systems.
• Ability to manage multiple requirements, deadlines, and compliance activities simultaneously.
• Ability to collaborate with program, operational, quality, and leadership teams.
• Ability to manage overnight travel of 5%–10%.
• Ability to work a hybrid schedule from the Oak Brook, Illinois, or West Des Moines, Iowa location.

Nice To Haves

• Knowledge of applicable OMB policies and Federal Acquisition Regulations.
• NCMA certification.

Responsibilities

• Ensure TCMP programs and services are provided, documented, and reported in accordance with current and future HFS policies and requirements applicable to the Williams and Colbert Consent Decrees.
• Develop, implement, and maintain policies, procedures, processes, and practices to ensure compliance with contractual and program requirements.
• Review contract requirements, policies, and program guidance and translate them into operational procedures and compliance activities.
• Monitor program activities and documentation for compliance, identifying matters requiring follow-up or corrective action.
• Coordinate with program leadership and operational teams to address compliance concerns and resolve identified issues in a timely manner.
• Maintain documentation demonstrating compliance with contractual, regulatory, and program requirements.
• Support preparation, review, and submission of required reports, documentation, and other contract deliverables.
• Monitor changes to HFS policies, contractual requirements, and program guidance, and coordinate updates to internal policies and procedures.
• Assist with internal and external audits, monitoring activities, and compliance reviews, including gathering documentation and responding to information requests.
• Identify compliance risks and process-improvement opportunities and recommend corrective or preventive actions.
• Track compliance issues and corrective actions through resolution and maintain supporting documentation.
• Provide staff guidance and education on contract requirements, policies, procedures, and compliance expectations.
• Collaborate with internal stakeholders to promote consistent implementation of TCMP requirements across program operations.
• Perform other duties related to contract and program compliance as assigned.

Benefits

• Benefits and other compensation are described in Telligen’s Benefits Summary.
• Telligen is a 100% employee-owned company; employee-owners share in the company’s success.

What This Job Offers

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