Risk & Compliance Manager - Guaynabo PR
About The Position
The Risk & Compliance Manager for Alivia Health’s Quality and Compliance Department supports the development, implementation, and ongoing management of the enterprise’s compliance and risk management programs. The role identifies, assesses, monitors, and helps mitigate regulatory, compliance, operational, and business risks across the organization. The Manager partners with business and functional leaders to maintain an effective risk management framework, strengthen compliance controls, and promote accountability, integrity, and patient safety, while providing leadership visibility into emerging risks and compliance priorities.
Requirements
- Bachelor’s degree in Business Administration, Law, Risk Management, Pharmacy, Finance, Healthcare Administration, or a related area from a four-year accredited college or university.
- Five or more years of experience leading a compliance and risk unit or internal audit area, preferably in healthcare, pharma, or another highly regulated industry where timely identification and establishment of current and emerging risks is required to establish a robust compliance and risk management framework.
- At least two years of experience leading resources or project teams.
- At least one of the following compliance certifications: Certified Professional Compliance Officer (CPCO), Certified in Healthcare Privacy Compliance (CHPC), Compliance Certification Board (CCB), SCCE & HCCA Certified in Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP), Certified Internal Auditor (CIA), or Certified Risk Management Assurance (CRMA).
- Experience managing requests from internal clients across various business units.
- Excellent oral and written communication skills in English and Spanish, negotiation skills, and interpersonal abilities.
Responsibilities
- Lead the Compliance & Risk Unit and supervise the Compliance & Regulatory Advisor, Privacy Specialist, Q & C Learning Specialist, and Compliance Controls & Risk Specialist.
- Oversee leadership of the Regulatory Committee.
- Monitor regulatory developments and coordinate with Legal, Quality, Pharmacy Operations, HR, Privacy/Security, Finance, and other functions to assess organizational impact.
- Manage regulatory examinations, audits, and compliance reviews, serving as the primary liaison with internal and external auditors, regulators, and other stakeholders.
- Oversee contract review and management.
- Develop and maintain the organization’s enterprise risk management framework in partnership with the Chief Quality and Compliance Officer and executive leadership.
- Develop and maintain compliance and risk dashboards; oversee policy governance, compliance controls, and risk mitigation tracking.
- Support the Chief Quality & Compliance Officer in maintaining an effective enterprise compliance program consistent with applicable federal and Puerto Rico healthcare requirements and recognized compliance program standards.
- Support implementation and monitoring of the organization’s Code of Conduct, compliance policies, standards, and procedures.
- Execute the Privacy/HIPAA audit workplan and manage regulatory and payer inquiries and contract and marketing compliance.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
