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Compliance Program Manager
Liberty Dental Plan. Serve as a compliance resource and subject matter expert for commercial, Exchange, Medicaid, and Medicare lines of business .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in regulatory compliance, particularly within government-managed healthcare, with a strong focus on HIPAA Privacy Rule and risk management. Proficient in developing compliance reports, dashboards, and conducting privacy impact assessments while fostering a culture of compliance across business functions.
Highest-signal resume keywords
Regulatory Compliance ExpertiseHIPAA Privacy Rule KnowledgeData Analysis and InterpretationMicrosoft Excel ProficiencyProject Management Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Regulatory Requirement AnalysisCompliance ReportingPrivacy Impact AssessmentsRisk AssessmentContract ReviewData CompilationIncident ManagementCorrective Action InitiativesCompliance TestingHealthcare Privacy Regulations
Soft Skills
Critical ThinkingAnalytical SkillsProblem-SolvingAttention to DetailCommunication Skills
Tools & Technologies
Microsoft OfficeExcelWordPowerPointSharePoint
Certifications & Qualifications
Relevant Industry CertificationsBachelor's Degree
Industry Keywords
Healthcare ComplianceMedicaidMedicareCommercial Lines of BusinessProtected Health InformationBusiness Associate AgreementsRegulatory GuidanceCompliance ProgramPrivacy ProgramVendor Risk Evaluation
About the role
Key responsibilities & impact- Serve as a compliance resource and subject matter expert for commercial, Exchange, Medicaid, and Medicare lines of business
- Monitor, research, interpret, and maintain regulatory and contractual requirements
- Coordinate implementation of new regulatory and contractual requirements across business functions
- Respond to compliance-related inquiries and provide regulatory guidance
- Support client, regulatory, and internal audits, including corrective action initiatives
- Review agreements, policies, member-facing materials, business associate agreements, and other documents for compliance implications
- Coordinate enterprise compliance activities, including risk assessments, work plans, compliance testing, and program reporting
- Analyze findings, identify trends and root causes, develop recommendations, and communicate risk insights to stakeholders
- Develop and maintain compliance dashboards, reporting tools, and status updates
- Support administration and continuous improvement of the Compliance and Privacy Program
- Coordinate compliance training and annual compliance education
- Support quarterly Compliance Committee activities and Board-level reporting
- Promote a strong culture of compliance
- Administer and oversee the HIPAA Privacy Program
- Investigate and manage privacy incidents involving Protected Health Information
- Conduct privacy impact assessments and evaluate vendors, systems, technologies, and business processes for privacy risks
- Identify privacy and compliance risks and recommend safeguards and mitigation strategies
- Review vendor agreements, business associate agreements, and contractual language
- Partner with business leaders to implement privacy controls and maintain regulatory compliance
- Support member rights processes and privacy-related process improvement initiatives
- Assist with incident response, risk mitigation, and privacy program enhancements
- Perform additional projects and responsibilities as assigned
Requirements
What you’ll need- Bachelor's degree and relevant industry certifications required, or equivalent experience
- Minimum of 7 years of progressive experience in regulatory compliance and oversight
- Direct experience in government managed or regulated healthcare
- Strong understanding of regulatory requirements and ability to analyze, interpret, and apply regulations in a business environment
- Experience compiling, coordinating, analyzing, and organizing regulatory requirement data
- Excellent critical thinking, analytical, and problem-solving skills
- Strong proficiency in Microsoft Office applications, including Excel, Word, PowerPoint, and SharePoint
- Ability to manage multiple projects and priorities in a fast-paced environment
- Excellent written and verbal communication skills
- Strong attention to detail and commitment to producing high-quality work
- HIPAA Privacy Rule expertise and hands-on privacy program experience preferred
- Experience managing privacy incidents, breach investigations, and mitigation activities preferred
- Experience conducting privacy impact assessments and evaluating vendor-related risk preferred
- Experience reviewing Business Associate Agreements, vendor contracts, and healthcare-related agreements preferred
- Experience working with Protected Health Information and healthcare privacy regulations preferred
- Intermediate to advanced Microsoft Excel skills preferred, including pivot tables, charts, conditional formatting, macros, and external data connections
- Experience developing executive summaries, compliance reports, dashboards, and Board-level presentations preferred
- Strong sense of ownership and ability to work independently preferred
- Experience collaborating across Security, Claims, Customer Service, Client Services, Procurement, Vendor Oversight, and Operations preferred
- Must work in the United States; Liberty Dental Plan cannot hire or allow employees to work outside the United States
- No sponsorship available at this time
Benefits
Comp & perks- Competitive pay structure and savings options
- 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines
- Affordable medical insurance with low-cost premiums for employee-only coverage
- Employer-subsidized medical coverage for eligible dependents
- 100% employer-paid dental coverage for employees and eligible dependents
- Vision insurance
- Company-paid basic life and AD&D insurance equal to one times base salary, with options to purchase supplemental coverage
- Flexible Spending Accounts for healthcare and dependent care expenses
- Voluntary accident, critical illness, and hospital indemnity insurance
- Long-term disability coverage
- Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts
- Employee Assistance Program supporting mental health and well-being
- Generous vacation and sick leave policies, with unused time rollover
- 10 paid company holidays
- Tuition reimbursement for eligible educational expenses
- Remote or hybrid work options available for various positions