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Claims Compliance Leader, Health TPA & Regulatory Oversight

Job in Alpharetta, Fulton County, Georgia, 30239, USA
Listing for: FirstEnroll
Full Time position
Listed on 2026-10-06
Job specializations:
  • Management
    Risk Manager/Analyst, Regulatory Compliance Specialist
Salary/Wage Range or Industry Benchmark: 120000 - 160000 USD Yearly USD 120000.00 160000.00 YEAR
Job Description & How to Apply Below

Heathos is seeking a Claims Compliance Manager to oversee regulatory and operational compliance in a health Claims TPA environment. You will partner with Claims Operations, Vendor Management, and Leadership to ensure compliant repricing, adjudication, and reporting, with a focus on risk identification and controls.

The role emphasizes building documented controls, supporting regulatory inquiries, and developing audit tools to monitor claims processes across the organization.

For the Claims Compliance Leader, Health TPA & Regulatory Oversight position at First Enroll, we are reviewing applications now.

As a Claims Compliance Leader, Health TPA & Regulatory Oversight, you will play an important part at First Enroll in Alpharetta, GA, United States.

We invite applications for the Claims Compliance Leader, Health TPA & Regulatory Oversight position located in Alpharetta, GA, United States.

The following position is for a Claims Compliance Leader, Health TPA & Regulatory Oversight with First Enroll.

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