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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in contract compliance and healthcare program administration, with a strong focus on regulatory compliance and quality management. Proficient in developing and implementing compliance policies and procedures while effectively collaborating with internal stakeholders.
Highest-signal resume keywords
Contract Compliance ManagementHealthcare Regulatory CompliancePolicy Development and ImplementationAnalytical and Problem-Solving SkillsStaff Leadership and Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract InterpretationRegulatory ComplianceQuality ManagementOperational Procedures DevelopmentDocumentation Management
Soft Skills
Analytical SkillsOrganizational SkillsCustomer Service SkillsCommunication SkillsCollaboration Skills
Tools & Technologies
Microsoft WordMicrosoft ExcelAdobe AcrobatDatabase SystemsCustomer Relationship Management Systems
Certifications & Qualifications
NCMA Certification
Industry Keywords
Healthcare AdministrationMedicaid ProgramsOMB PoliciesFederal Acquisition RegulationsCompliance Risks
About the role
Key responsibilities & impact- Oversee contracting and compliance of the Tailored Care Pathways program on behalf of Telligen
- Provide subject matter expertise and business advisory support for the programs
- Serve as the primary resource and point of contact for company contracting activities
- Ensure TCMP programs and services are provided, documented, and reported according to HFS policies and Williams and Colbert Consent Decree requirements
- Develop, implement, and maintain compliance policies, procedures, processes, and practices
- Review contract requirements, policies, and program guidance and translate them into operational procedures and compliance activities
- Monitor program activities and documentation for compliance and identify follow-up or corrective action needs
- Coordinate with program leadership and operational teams to resolve compliance concerns
- Maintain documentation demonstrating contractual, regulatory, and program compliance
- Support preparation, review, and submission of required reports, documentation, and contract deliverables
- Monitor changes to HFS policies, contractual requirements, and program guidance and update internal policies and procedures
- Assist with internal and external audits, monitoring activities, and compliance reviews
- Identify compliance risks and process improvement opportunities and recommend corrective or preventive actions
- Track compliance issues and corrective actions through resolution
- Provide guidance and education to staff regarding contract requirements, policies, procedures, and compliance expectations
- Collaborate with internal stakeholders to promote consistent implementation of TCMP requirements
Requirements
What you’ll need- Bachelor’s degree in business administration, healthcare administration, public administration, compliance, or a related field, or equivalent experience
- 7+ years of experience in contract compliance, healthcare program administration, regulatory compliance, quality management, or related discipline
- Experience with healthcare regulatory compliance and Medicaid programs
- Minimum 1 year of experience leading or managing staff in a compliance or contracting discipline
- Ability to interpret contracts, policies, regulations, and program guidance and translate requirements into operational procedures and compliance activities
- Strong analytical, organizational, documentation, problem-solving, customer service, and communication skills
- Ability to manage competing deadlines and collaborate across functions
- Proficiency with Word, Excel, Adobe Acrobat, and database or customer relationship management systems
- Ability to manage multiple requirements, deadlines, and compliance activities simultaneously
- Ability to work collaboratively with program, operational, quality, and leadership teams
- Ability to manage overnight travel of 5%-10%
- NCMA certification preferred
- Knowledge of applicable OMB policies and Federal Acquisition Regulations preferred
Benefits
Comp & perks- Benefits package described in Telligen's Benefits Summary
- 100% employee-owned company with employees sharing in success
- Equal Opportunity Employer
- Reasonable accommodations during the employment process
- No work authorization sponsorship provided