Senior Compliance Manager
1 month ago
POSITION SUMMARY/RESPONSIBILITIES
The Senior Compliance Manager, Medicare, Marketplace, and Commercial is responsible for administration, integration, and oversight of compliance in the health plan’s operational areas, including delegated operational activities and regulatory reporting. This position reports to the Director, Compliance & Risk Management. The position must be knowledgeable regarding current Texas Department of Insurance (TDI) regulations and the Centers for Medicare and Medicaid Service Regulations (CMS). As a component of the oversight and coordination for dual eligible Medicare membership, the Senior Compliance Manager is familiar with Texas Medicaid regulations, the Texas Department of Health and Human Services Commission (HHSC) contract and regulations, and Office of Inspector General (OIG) Compliance Plan. This position is the Compliance lead for the Medicare, Marketplace and Commercial lines of business. This position coordinates and facilitates the execution of the organization’s regulatory deliverables for the Medicare, Marketplace, and Commercial lines of business. The Senior Compliance Manager assists with the interpretation of and/or execution of changes in regulations and guidelines, including HIPAA. This position builds key relationships with regulatory agencies, to include TDI, CMS and HHSC, and works internally to facilitate improved interaction, transparency and accountability with the designated department leaders and staff responsible for Medicare, Marketplace and Commercial lines of business.
EDUCATION/EXPERIENCE
A bachelor's degree in business administration, public administration, health care administration or a related field is required OR a minimum of five years in the managed care industry may be substituted for college education. Must have proficiency in Microsoft Office applications.
-
Senior Compliance Manager
1 month ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES The Senior Compliance Manager, Medicare, Marketplace, and Commercial is responsible for administration, integration, and oversight of compliance in the health plan’s operational areas, including delegated operational activities and regulatory reporting. This position reports to the Director, Compliance & Risk...
-
Senior Compliance Manager
1 week ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES The Senior Compliance Manager, Medicare, Marketplace, and Commercial is responsible for administration, integration, and oversight of compliance in the health plan’s operational areas, including delegated operational activities and regulatory reporting. This position reports to the Director, Compliance & Risk...
-
Senior Compliance Manager
1 week ago
San Antonio, TX, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES The Senior Compliance Manager, Medicare, Marketplace, and Commercial is responsible for administration, integration, and oversight of compliance in the health plan's operational areas, including delegated operational activities and regulatory reporting. This position reports to the Director, Compliance & Risk Management. The...
-
Senior Compliance Manager
6 days ago
San Antonio, TX, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES The Senior Compliance Manager, Medicare, Marketplace, and Commercial is responsible for administration, integration, and oversight of compliance in the health plan’s operational areas, including delegated operational activities and regulatory reporting. This position reports to the Director, Compliance & Risk...
-
Senior Manager of Ethics
2 months ago
San Jose, United States Ursus, Inc. Full timeJOB TITLE: Senior Manager, Ethics and Compliance (Anti-Corruption Focus)LOCATION: San Jose, CA - HYBRIDPAY RANGE: $70-$80/hrDURATION: 6+ monthsCOMPANY:Our client a Fortune 500 Software Organization is seeking a Senior Manager, Ethics and Compliance (Anti-Corruption Focus) to bring onto the team.Our CompanyChanging the world through digital experiences is...
-
Senior Manager, Ethics and Compliance
1 month ago
San Jose, California, United States Cypress HCM Full timeJob Title: Senior Manager, Ethics and ComplianceCypress HCM is seeking a highly skilled Senior Manager, Ethics and Compliance to join our team. As a key member of our compliance team, you will be responsible for overseeing anti-bribery and anti-corruption initiatives and ensuring adherence to ethical standards, legal requirements, and anti-corruption...
-
Senior Project Manager
3 weeks ago
San Antonio, United States Revel Staffing Full timeSenior Project ManagerCommercial ConstructionOverview:We are seeking an experienced Senior Project Manager to lead highstakes commercial construction projects with a focus on quality safety and client satisfaction. Reporting to the Executive Vice President the Senior Project Manager will oversee project teams build strong relationships with stakeholders and...
-
Senior Director, Risk Management
3 weeks ago
Round Rock, TX, United States Dell Careers Full timeIn this fast-changing world, our customers need our latest technology – and they need it now. And that’s where our expert Logistics team within Materials and Procurement comes in. We’re tasked with getting products quickly, efficiently and cost-effectively to Dell Technologies customers. We work in partnership with fulfillment and logistics providers...
-
Regulatory Compliance Lead
6 days ago
San Antonio, Texas, United States University Health Full timeAbout the Role:The University Health Senior Compliance Manager is responsible for overseeing compliance in our operational areas, including Medicare, Marketplace, and Commercial lines of business. This role reports to the Director, Compliance & Risk Management.Responsibilities:Administer, integrate, and oversee compliance across our health plan's operational...
-
Senior Quality Manager, Vendor Compliance
1 month ago
San Diego, California, United States Arrowhead Pharmaceuticals Full timeArrowhead Pharmaceuticals is a clinical stage biopharmaceutical company that develops innovative medicines to treat intractable diseases. We are seeking a Senior Quality Manager, Vendor Compliance to join our Quality and Compliance department.The purpose of this position is to manage and oversee all aspects of Vendor Quality management activities, including...
-
Senior Operations and Compliance Manager
4 weeks ago
San Diego, United States Veterans Village of San Diego Full timeJob DescriptionJob DescriptionThe Senior Operations and Compliance Manager is responsible for managing agency operations and ensuring program and fiscal compliance to support all VVSD programs and services.Compensation: To be determined. Essential Duties and Responsibilities:· Ensures overall organizational integrity through compliance with all...
-
San Diego, California, United States Amazon Full timeThe Compliance Solutions Delivery team is seeking a Senior Risk Manager to protect Amazon customers from products that are illegal, illegally marketed, unsafe, or otherwise prohibited by Amazon policies.This role will involve working closely with corporate counsel, legal, business teams, and operational excellence teams to deliver high-impact end-to-end...
-
Senior Operations and Compliance Manager
3 weeks ago
san diego, United States Veterans Village of San Diego Full timeWelcome to Veterans Village of San Diego (VVSD), where passion meets purpose and dedication fuels change. If you're driven by a desire to make a difference in the lives of those who have served our country, then you've come to the right place.At VVSD, we believe in our motto: Leave No One Behind. It's not just a saying; it's a commitment that permeates...
-
Senior Operations and Compliance Manager
3 weeks ago
San Diego, United States Veterans Village of San Diego Full timeWelcome to Veterans Village of San Diego (VVSD), where passion meets purpose and dedication fuels change. If you're driven by a desire to make a difference in the lives of those who have served our country, then you've come to the right place.At VVSD, we believe in our motto: Leave No One Behind. It's not just a saying; it's a commitment that permeates...
-
Senior Operations and Compliance Manager
3 weeks ago
san diego, United States Veterans Village of San Diego Full timeWelcome to Veterans Village of San Diego (VVSD), where passion meets purpose and dedication fuels change. If you're driven by a desire to make a difference in the lives of those who have served our country, then you've come to the right place.At VVSD, we believe in our motto: Leave No One Behind. It's not just a saying; it's a commitment that permeates...
-
Risk and Compliance
1 month ago
san antonio, United States Genpact Full timeGenpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people – we...
-
Risk and Compliance
1 month ago
San Antonio, United States Genpact Full timeGenpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people – we...
-
Risk and Compliance
1 month ago
San Antonio, United States Genpact Full timeGenpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people – we...
-
Senior Tax Manager
2 months ago
San Antonio, United States Randy Walker & Co. Full timeCompany DescriptionRandy Walker & Co (RWC) is a team-based, client-service, full-service public accounting firm located in San Antonio, TX. We deliver personal attention to a clientele of non-profit organizations, closely held businesses, and high net worth individuals. Our services go beyond financial statement and tax services, and we are among the largest...
-
Senior Construction Project Manager
4 weeks ago
San Antonio, Texas, United States IEA Infrastructure and Energy Alternatives Full timeJob DescriptionOverview of the PositionWe are seeking a highly skilled Senior Construction Project Manager to join our team at IEA Infrastructure and Energy Alternatives. This is a unique opportunity to work on high-profile construction projects and contribute to the company's growth and success.Key ResponsibilitiesProject Management: The Senior...