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Manager, HCC Risk Management – Joints, Digital/Communication Expertise
Job in
Fall River, Bristol County, Massachusetts, 02720, USA
Listed on 2026-07-20
Listing for:
Jobtailor
Full Time
position Listed on 2026-07-20
Job specializations:
-
Business
Regulatory Compliance Specialist
Job Description & How to Apply Below
Responsibilities
- Assess effective execution of the U.S. HCC and GCC compliance program for Joints, Digital & Commercial Excellence, aligned with company policies, industry codes, and applicable healthcare laws and regulations.
- Execute monitoring activities in alignment with global and regional compliance strategies and expectations.
- Prepare consolidated monitoring summaries and contribute to periodic reporting for regional Compliance leadership.
- Manage Third party intermediary due diligence and red flag management, collaborating with respective compliance officers, Legal, Procurement, and Finance on complex or escalated cases.
- Identify patterns, themes, and emerging risks across monitoring and other outputs.
- Provide compliance KPIs, metrics and insights that drive strategic decision making and continuous evolution of the Compliance program.
- Bachelor's degree in business, healthcare, Finance, life sciences, law, or related field.
- 4–7 years experience in compliance, audit, risk management, or monitoring, with proven ability to analyze and interpret transactional data.
- Working knowledge of U.S. healthcare laws and regulations (e.g., Anti ‑ Kickback Statute, False Claims Act, Foreign Corrupt Practices Act (FCPA), etc.).
- Strong analytical skills with the ability to interpret risk factors and make well-reasoned decisions.
- Ability to simplify complex data into executive-ready insights.
- Strong analytical mindset with high attention to detail and ability to identify trends or anomalies.
- Experience in medical devices, pharmaceuticals, or life sciences industries preferred.
- Exposure to Orthopedics, Joints, Digital & Commercial Excellence.
- Effective written and verbal communication skills, with the ability to influence stakeholders.
- English required.
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