Senior Compliance Manager

Medical Guardian

. Design, implement, and maintain a comprehensive compliance program meeting state and federal requirements, including Medicaid, Medicare, and HIPAA regulations .

Posted 10/28/2026full-timePhiladelphia • Pennsylvania • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in healthcare compliance, particularly with Medicaid, Medicare, and HIPAA regulations, while effectively managing compliance programs across multiple states. Proficient in auditing, risk management, and developing policies that ensure adherence to regulatory standards.

Highest-signal resume keywords

Healthcare ComplianceMedicaid RegulationsMedicare RegulationsHIPAA ComplianceRisk Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AuditingPolicy DevelopmentCompliance MonitoringRisk AssessmentCorrective Action PlansProject ManagementRegulatory InterpretationBackground ScreeningTraining DevelopmentHealthcare IT Compliance

Soft Skills

Excellent CommunicationAnalytical SkillsProblem-Solving MindsetHigh Ethical StandardsAbility to Work Independently

Tools & Technologies

Microsoft Office SuiteCompliance Software ToolsPersonal Emergency Response Systems (PERS)

Industry Keywords

Compliance ProgramState and Federal RequirementsProtected Health Information (PHI)Compliance DocumentationExecutive Leadership Reporting

About the role

Key responsibilities & impact

Design, implement, and maintain a comprehensive compliance program meeting state and federal requirements, including Medicaid, Medicare, and HIPAA regulations
Develop and continuously update policies and procedures to reflect regulatory changes
Create a compliance framework integrating training, documentation, monitoring, and enforcement mechanisms
Oversee compliance activities across multiple states and address differences in federal, state, and local requirements
Monitor state-specific laws, regulations, and agency guidance and coordinate timely implementation
Develop and execute internal audit plans
Identify compliance risks, conduct assessments, and recommend corrective actions
Lead management and oversight of Corrective Action Plans (CAPs)
Ensure company-wide adherence to HIPAA privacy and security standards for Protected Health Information (PHI)
Investigate potential violations and enforce corrective actions
Collaborate with IT and operations teams on PERS-related healthcare systems and technology compliance
Provide ongoing employee training on compliance policies, ethical standards, and regulatory updates
Educate internal stakeholders and executive leadership on Medicaid, Medicare, and HIPAA requirements
Lead compliance projects for product launches, IT implementations, organizational processes, and contracts
Partner with legal, operations, and IT teams on compliance initiatives
Develop and maintain background-screening and fingerprinting policies, procedures, controls, and documentation
Maintain compliance documentation, including policies, audit results, risk assessments, and corrective action plans
Prepare regular compliance reports for executive leadership

Requirements

What you’ll need

Bachelor’s degree in healthcare administration, Business, Law, or a related field
Minimum of 7 years of experience in healthcare compliance, with a focus on Medicaid, Medicare, and HIPAA regulations
Demonstrated experience in auditing, monitoring, and risk management within a healthcare environment
Demonstrated experience managing compliance requirements across multiple states, including interpreting state-specific regulations and translating them into operational policies and procedures
Strong understanding of state and federal Medicaid/Medicare programs, HIPAA regulations, and healthcare compliance enforcement
Experience with personal emergency response systems (PERS) and healthcare IT compliance
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and compliance software tools
Exceptional project management skills, with the ability to manage multiple initiatives simultaneously
Excellent verbal and written communication skills, with the ability to educate and influence stakeholders at all organizational levels
Strong analytical skills with the ability to assess complex regulations and identify actionable solutions
Working knowledge of employee background-screening requirements, including criminal background checks, fingerprinting, consent and disclosure requirements, and appropriate handling of screening results
High ethical standards, confidentiality, and a strong commitment to compliance integrity
Proactive problem-solving mindset and ability to work independently under tight deadlines
Thrives in a dynamic, fast-paced environment with a focus on delivering results

Benefits

Comp & perks

Health Care Plan (Medical, Dental & Vision)
Paid Time Off (Vacation, Sick Time Off & Holidays)
Company Paid Short Term Disability and Life Insurance
Retirement Plan (401k) with Company Match