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Senior Compliance Manager
Teladoc Health. Support execution of Teladoc Health’s day-to-day Compliance Program in partnership with senior leadership .
About the role
Key responsibilities & impact- Support execution of Teladoc Health’s day-to-day Compliance Program in partnership with senior leadership
- Collaborate with Legal and cross-functional teams on compliance program execution
- Serve as a subject matter expert for designated compliance areas
- Develop, update, implement, and oversee compliance policies and procedures
- Ensure adherence to internal controls and organizational compliance standards
- Monitor regulatory changes, applicable laws, regulations, standards, and compliance best practices
- Provide guidance on regulatory matters concerning accessibility
- Assist with RCM compliance-based training covering coding, billing, claims, denials, and revenue integrity
- Manage internal compliance audit controls focused on RCM, billing, and coding
- Identify enhanced monitoring and investigative opportunities
- Track compliance activities, trends, results, and improvement opportunities
- Conduct internal audits and implement corrective actions
- Contribute to the annual audit and compliance work plan and report results
- Own the RCM, billing, and claims compliance framework and annual plan
- Provide dashboards and executive reporting on RCM compliance posture, issues, trends, corrective actions, and key risk indicators
- Investigate compliance concerns and allegations related to RCM, billing, and coding
- Gather and analyze information to determine root causes
- Partner with Legal, HR, and other departments during investigations
- Assist with investigations involving regulatory inquiries such as CMS and OIG
- Escalate issues appropriately, implement corrective actions, resolve compliance issues, and track outcomes
- Lead the annual RCM compliance risk assessment across business lines, modalities, specialties, and payer segments
- Design and maintain preventive and detective revenue-cycle controls
- Conduct risk assessments and gap analyses
- Monitor federal and state regulatory changes and communicate impacts to leadership
- Develop and support processes addressing evolving regulatory requirements
- Maintain compliance-related documentation and resources
- Partner with Legal and business functions on investigations and compliance initiatives
- Support regulatory responses and compliance-related activities
- Analyze compliance data to identify risks and trends
- Improve monitoring, investigative, and compliance processes
- Support the Chief Compliance Officer in executing the Enterprise Compliance Program
- Perform additional compliance-related duties as needed
Requirements
What you’ll need- Bachelor’s degree in a relevant field preferred
- 8-10 years of experience in compliance, risk management, audit, or a related function
- Experience in regulated environments preferred, such as healthcare, financial services, insurance, or similar industries
- Certified Compliance & Ethics Professional (CCEP), Certified Healthcare Compliance (CHC), or equivalent preferred
- Other relevant certifications in risk, audit, or quality preferred, such as CPHQ, CIA, or CISA
- Strong knowledge of compliance frameworks, regulatory requirements, and internal control principles
- Experience with audits, investigations, and risk assessments
- Ability to interpret regulations and translate them into actionable business practices
- Excellent communication and interpersonal skills, with ability to influence stakeholders
- Ability to manage multiple priorities in a fast-paced environment
- High attention to detail, organization, and accountability
- Proficiency with standard business and reporting tools, such as Microsoft Office or equivalent
- Currently authorized to work in the United States without current or future visa sponsorship
- Must successfully complete identity and credential verification, interviews, and fraud or misrepresentation screening
Benefits
Comp & perks- Performance bonus
- Flexible Vacation Policy
- 80 hours of Paid Sick, Safe, and Caregiver Leave annually
- Benefits program centered around employees and their families
- Meaningful career growth opportunities
- Inclusive workplace culture
- Candidate resources and recruiter support