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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 ComplianceHealthcare Regulatory ComplianceProgram AdministrationAnalytical SkillsNCMA Certification
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 ProceduresCompliance DocumentationProblem-SolvingCustomer ServicePolicy DevelopmentProcess ImprovementAudit Support
Soft Skills
Organizational SkillsCommunication SkillsCollaborationTime ManagementLeadership
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 all company contracting activities
- Ensure TCMP programs and services are provided, documented, and reported according to HFS policies and requirements applicable to the Williams and Colbert Consent Decrees
- 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 reports, documentation, and contract deliverables
- Monitor changes to HFS policies, contractual requirements, and program guidance and coordinate internal updates
- 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 on contract requirements, policies, procedures, and compliance expectations
- Collaborate with internal stakeholders to promote consistent TCMP implementation
- Perform other assigned contract and program compliance duties
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
- Required experience with healthcare regulatory compliance and Medicaid programs
- Minimum 1 year 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%
- Knowledge of applicable OMB policies and Federal Acquisition Regulations preferred
- NCMA certification preferred
- Telligen will not provide sponsorship for this position; applicants requiring sponsorship for work authorization now or in the future cannot be considered
Benefits
Comp & perks- 100% employee-owned company with employees sharing in company success
- Benefits and other compensation available through Telligen's Benefits Summary
- Equal opportunity employer
- Reasonable accommodations during the employment process
