Compliance Manager; RN

Habitat Health empowers older adults to experience more gooddays in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as meals, transportation, andin - home assistance. We deliver coordinated clinical and social care in our centers and directly in participants' homes, creating a fully integrated experience that brings peace of mind and a true sense of belonging.

As we expand our scalable, affordable PACE model to meet the growing and complex needs of aging populations, our mission - driven care teams continue to help participants live well on their own terms.

Habitat Health is supported by leading healthcare organizations and investors including New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures. We are entering a period of significant growth and are looking for exceptional teammates to help us scale a better model of care for older adults. To learn more, visit

Location: Remote(with ability to travel up to 30% during peak times)

Role Scope:

The Habitat Health Compliance Manager has oversight for ensuring the successful outcome of the organization’s for Centers for Medicaid & Medicare Services (CMS) and State Administering Agency (SAA) audits, and for partnering with leadership to foster a culture of compliance. The Manager, Audit ("Manager") reports directly to the VP of Compliance (Compliance Officer) and serves a key role in ensuring effective audit preparation and CMS and SAA audit results.

Specifically, the Manager will be responsible for:

• Audit readiness activities for CMS and SAA audits, including internal monitoring of audit universe data (ex. medical records), training, review of applicable company policies/procedures, and corresponding processes;
• Live audit management, including serving point with the CMS and SAA audit teams, submission quality assurance, and corrective action plan development, approval, and monitoring;
• Expertise on PACE audit data, trends, best practices, and risk mitigation and responses to audit-related questions and business development components;
• Regular and consistent internal audit-related reporting and metrics for the Chief Medical Officer, the Executive Compliance Committee, and compliance subcommittee of the Board of Managers;
• Makes recommendations for updates to the Compliance Department’s annual auditing and monitoring workplan and recommendations to the business on needed areas of focus based on audit findings and PACE regulatory trends;
• Build and fosters collaborations with the Habitat Population Health and Practice Operations teams regarding audit-related impacts to the Quality Improvement Program and center operations
• Performs other Compliance Department duties, as needed.
• As a member of the Compliance Department, the Audit Manager is also expected to represent the compliance program within the Habitat Health team, including:
  • Developing and maintaining productive relationships with all levels of staff; and championing the compliance program.
• Some travel will be required, including but not limited to, travel in anticipation and support of regulatory audits.

Required Qualifications:

• Minimum of three (3) years of experience in healthcare audit or related field.
• Active and unrestricted Registered Nurse (RN) License.
• Experience in PACE compliance highly preferred.
• Aligns with our purpose and our values, and is excited about living those out in daily practice.
• Ability to lead with influence.
• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
• Ability to work in a fast-paced environment and in an efficient…