Bachelor's degree in Healthcare Administration, Business, Public Administration, or related field.
Minimum of 7 years of healthcare compliance experience
Experience working within a health insurance plan or managed care organization.
Experience with compliance investigations, regulatory audits, privacy requirements, and vendor oversight.
Previous leadership or supervisory experience.
Strong knowledge of Medicaid, Medicare, HIPAA, ACA, behavioral health parity, and healthcare compliance regulations.
Demonstrated ability to manage enterprise compliance programs, investigations, and regulatory reporting.
Proficiency with Microsoft Office and compliance tracking/reporting systems.