Compliance Manager, Management

Exemption Status:
United States of America (Exempt) Exemption Status: $81,581 - $110,136 - $138,690 "Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate."

Verdegard is looking for extraordinary people to join our team! Why join Verdegard? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

As a Licensing Compliance Manager, you will play a pivotal role in ensuring the company's adherence to all relevant regulations and licensing requirements. Your primary responsibilities will include maintaining the compliance calendar, filing timely reports to government agencies, addressing inquiries, collaborating with the management team to uphold filing requirements, and contributing to the development of internal controls and policies. Essential Duties and Responsibilities include the following.

Other duties may be assigned.

• Maintain Compliance Calendar:
  Develop and manage a comprehensive compliance calendar to track monthly, quarterly, and annual filing deadlines. Ensure timely completion of all compliance-related tasks to meet regulatory obligations.
• Government Reporting:
  File accurate and timely reports to relevant government agencies in accordance with local, state, and federal regulations. Stay informed about changes in regulatory requirements and adjust reporting processes accordingly.
• Inquiry Handling:
  Assist in addressing inquiries from governmental agencies promptly and accurately. Collaborate with internal stakeholders to gather necessary information and ensure a coordinated response.
• Collaboration with Management:
  Work closely with the management team to keep the entire company informed and up to date on all local, state, and federal filing requirements. Provide guidance on compliance matters and contribute to decision-making processes.
• Internal Controls, appropriate audit oversight, and Policies:
  Assist in developing and implementing internal controls and policies to ensure comprehensive corporate compliance. Conduct regular assessments to identify areas of improvement and recommend enhancements to existing processes.
• Appeal Process Engagement:
  Ensure an efficient and effective appeal process to address adverse claims requests. Monitor the appeals workflow, track outcomes, and provide insights for continuous improvement.

Manages assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.

BS/BA degree or equivalent plus 5+ years of experience; 1 year of SME in respective area(s); and 3+ years of supervisory experience; 4 years of Med Impact experience plus an appropriate external leadership training program and internal mentorship…