Compliance Program Manager (Government-Managed Healthcare Regulations)

Compliance Program Manager (Government-Managed Healthcare Regulations) Hot Job Fully Remote • All States (Remote) - OK Apply Overview Position Type Full Time Apply Description We are adding a new Compliance Program Manager (Government-Managed Healthcare Regulations) to the Liberty Dental Plan Team! Open to candidates in NY, NJ or CT with strong NY Medicaid experience. About the Role Liberty Dental Plan is seeking an experienced Compliance Program Manager to oversee regulatory and contractual compliance across Commercial, Exchange, Medicaid, and Medicare lines of business. This role requires a deep understanding of government-managed healthcare regulations and the ability to collaborate cross-functionally to ensure adherence to compliance standards. The ideal candidate will have strong analytical skills, excellent communication abilities, and the discretion to handle sensitive matters. What You’ll Do Regulatory Oversight & Advisory Serve as a subject matter expert on regulatory and contractual requirements affecting Liberty Dental Plan’s business lines Monitor, track, and maintain a repository of regulatory requirements, summarizing key updates for leadership Collaborate with internal departments to implement new contract and regulatory requirements Research and advise on ad hoc compliance-related inquiries Audits, Reviews & Accountability Respond to client and regulatory audits, including managing corrective action plans Review agreements, policies, and member-facing materials to ensure compliance with applicable requirements Manage findings from exclusion and preclusion screenings, ensuring timely investigation and appropriate action for employees, contractors, or vendors identified on federal and state exclusion lists (e.g., OIG LEIE, GSA SAM) Risk Management & Reporting Oversee Liberty Dental Plan’s annual risk assessment, compliance workplan, and testing program Analyze compliance findings, identify trends, and provide performance improvement recommendations Develop and maintain compliance reporting tools, including dashboards and tracking summaries Program Leadership & Operations Lead compliance-related initiatives and special projects, supporting process improvements Ensure compliance training materials are updated and coordinate enterprise-wide training Support the HIPAA compliance program, including incident management Coordinate Compliance Committee meetings and prepare reports for the Board of Directors Identify opportunities to strengthen Liberty Dental Plan’s culture of compliance What Sets This Role Apart ✅ Enterprise-wide compliance ownership across multiple lines of business ✅ Direct impact on regulatory adherence and risk mitigation ✅ Visibility to leadership and Board-level reporting ✅ Opportunity to drive compliance program improvements Qualifications Education & Experience Bachelor’s degree required (or equivalent experience with relevant certifications) Minimum of 7 years of progressive experience in regulatory compliance roles At least 5 years of hands-on HIPAA privacy compliance experience, including implementing and managing HIPAA privacy programs Experience in government-managed or regulated healthcare preferred Skills & Expertise Strong critical thinking and problem-solving skills Experience compiling, analyzing, and organizing regulatory data Advanced proficiency in Microsoft Office (Excel, Word, PowerPoint, SharePoint) Intermediate to advanced Excel skills (pivot tables, charts, macros, external data connections preferred) Effective communication skills across all levels of the organization Core Capabilities Strong analytical and decision-making skills Ability to interpret complex regulatory requirements and apply them operationally High level of attention to detail and organizational discipline Professional judgment and discretion when handling confidential information Why Join Liberty Dental Plan At Liberty Dental Plan, you will play a key role in supporting a strong compliance framework that ensures regulatory integrity and operational excellence across the organization. Apply Today If you are a compliance professional with a passion for regulatory excellence, we encourage you to apply. Qualifications Location Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States. What Liberty Offers Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity. We offer a first-class benefits package that includes: Comprehensive medical coverage through Anthem, with affordable premiums and multiple plan options - including an HDHP with HSA eligibility . 100% employer-paid dental insurance and low-cost vision coverage for employees and dependents. 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial advice. Short-term disability and a variety of voluntary benefits , including accident, critical illness, and hospital indemnity insurance. Generous paid time off , including vacation and sick leave with rollover options, plus 10 paid company holidays and a wellness day. Additional benefits including company-paid life insurance, tuition reimbursement, an employee perks program, and flexible work options for eligible positions. Compensation In the spirit of pay transparency, the base salary range for this position is $105,000 - $115,000 , not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions. Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth. Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements. Sponsorship and Relocation Specifications Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled. No relocation assistance or sponsorship available at this time.