Senior Partner, PBM Compliance

Responsibilities

• Provide strategic compliance guidance to Select Health leaders.
• Develop training and educate stakeholders on compliance and ethics.
• Lead investigations and projects within assigned portfolio.
• Establish communication channels with internal and external stakeholders.
• Promote a culture of compliance and reporting.
• Evaluate risks and develop corrective action plans.
• Monitor changes in the regulatory environment and assess implications.
• Support legal counsel and coordinate with HR and other departments.

• Bachelor’s Degree in healthcare administration or similar field preferred.
• Demonstrated professional‑level experience in a regulatory, compliance, or risk management role in the healthcare sector.
• Expert‑level knowledge of federal and state laws related to health care billing, coding, reimbursement, contracting, and risk adjustment.
• Ability to interpret and apply complex healthcare regulations and assess gaps.
• Strong communication, presentation, and interpersonal skills.
• Demonstrated discretion to maintain confidential information.
• Experience implementing an effective compliance program.