Provide strategic leadership for a comprehensive compliance and ethics program, ensuring adherence to healthcare regulations including HIPAA, Stark Law, and Anti-Kickback Statute.
Develop and implement policies promoting ethical conduct; lead risk assessments, audits, and investigations to strengthen compliance controls.
Advise executive leadership and the Board on compliance trends and regulatory developments; direct compliance education programs.
PT Solutions is a rehabilitation provider expanding access to quality care through physical therapy, occupational therapy, speech-language pathology, and athletic training. They offer industry-leading professional development and are a tight-knit community united in their mission.
Monitor and interpret CMS guidance for Medicare, Medicaid, and other healthcare programs.
Partner with internal teams to ensure compliance with regulations and contract obligations.
Maintain regulatory tracking documentation and support development of training materials.
HealthEdge provides healthcare software and services to payers and providers. It is a growing company with a focus on compliance and innovation, fostering a collaborative and remote-friendly culture.
Prepare, develop, and issue policy contracts in compliance with state regulations and company guidelines.
Maintain forms library, assist with policy automation, and ensure timely and accurate fulfillment.
Collaborate with Underwriting, Claims, Legal, and Actuarial teams to deliver high-quality insurance products.
Crum & Forster (C&F) provides specialty and standard commercial lines insurance products through admitted and surplus lines companies, with a history dating to 1822. With over 2000 employees across the US, the company has earned a Great Place to Work award for its employee-first focus and commitment to diversity, equity, and inclusion.
Provide support on regulatory compliance requirements and conduct gap assessments of business unit procedures against global policies.
Collaborate with Legal, Information Security, and business teams to manage compliance risks and support regulatory exams.
Maintain an understanding of business processes, products, and services while participating in exams as a subject matter expert.
Experian is a global data and technology company operating across financial services, healthcare, automotive, and more. With 25,200 employees across 32 countries, they have an award-winning, inclusive, and purpose-driven culture.
Conducts internal and external audits to evaluate financial, operational, and compliance controls.
Analyzes data to detect deficient controls, fraud, or non-compliance and drafts recommendations for improvement.
Communicates audit findings to corporate executive management through detailed reports.
Palmetto GBA is a healthcare service administrator providing technology solutions for healthcare administration. It is one of the nation's largest providers of medical claims processing and offers training and development programs for its associates.
Manage a team of compliance professionals or third-party providers to ensure proper Compliance program execution and performance management.
Provide compliance advisory services and guidance for regulatory change, product change, and business-as-usual operations across multiple domains.
Recruit, hire, and develop employees while ensuring adherence to consistent standards for communication, documentation, and reporting.
Fulton Bank is a financial institution committed to making a positive impact in local communities and championing a culture of continuous learning and inclusion. The company promotes a digitally enabled work environment and values employee well-being.
Designs and implements compliance risk management strategies and governance structures.
Oversees internal controls, reporting, and regulatory compliance across the enterprise.
Manages a team of employees, providing direction, leadership, and performance management.
Fulton Bank is a financial services company focused on compliance and risk management. With a culture of continuous learning and inclusion, they employ a team dedicated to making a positive impact in local communities.
Serve as primary legal counsel for the PBM business unit, advising executive leadership on strategy, regulatory developments, and business risk.
Provide sound, practical judgment in the interpretation and application of relevant laws such as state PBM laws and regulations, federal PBM reform, and HIPAA.
Demonstrate strong business acumen and the ability to structure, draft, and negotiate contracts.
VytlOne is a fast-growing, entrepreneurial pharmacy benefits manager operating nationally across all 50 states. They offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment.
Provide quality customer service and monitor compliance mailbox for client requests.
Prepare written responses to security inquiries and handle due diligence questionnaires.
Support audit activities and coordinate with departments on policy development and remediation.
TierPoint provides information security and compliance solutions. The company fosters a collaborative, team-oriented culture with a focus on confidentiality and accuracy.
Serve as a primary compliance resource embedded in the Alma-to-Spring Health integration, mapping control environments and building a unified compliance organization.
Own and lead enterprise-level compliance programs including SOC 2 Type II, HITRUST, HIPAA, GDPR, ISO 27001, ISO 42001, and ITGC-SOX.
Develop and operationalize Spring Health's AI governance program, including policies, risk frameworks, and AI-specific compliance documentation.
Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. With outcomes independently validated by JAMA Network Open, Spring Health reaches more than 170 million people worldwide through leading employers, health plans, and partners.
Put the employee experience first by designing and administering health, retirement, and wellbeing programs with a focus on clarity and accessibility.
Champion employee understanding and adoption of benefits through thoughtful communication, data-driven insights, and strategic partnerships.
Act as a trusted advisor to HR colleagues and employees, bringing empathy and strong problem-solving skills to complex situations.
Blue Cross & Blue Shield of Rhode Island is a health insurance provider dedicated to serving Rhode Islanders with high-quality, affordable care. The company fosters a culture of belonging with transparent, accountable, and collaborative teams, valuing diverse perspectives.
Review appeals for commercial and Part D plans, rendering determinations based on clinical guidelines and regulatory requirements.
Serve as a clinical reviewer and subject matter support, performing independent research and retrospective case reviews.
Assist with CMS client audits, investigate appeal determination questions, and support clinical training activities.
MedImpact delivers leading edge pharmaceutical and technology related solutions that improve the value of healthcare, providing transparency and choice. Privately-held for over three decades, it is one of the leading pharmacy benefit managers in America, committed to making prescription benefits understandable and accessible.
Creating budget reconciliation and forecasting reports.
Reviewing and approving all expenditures and ensuring compliance with requirements.
Grant preparation, budget development and application form submission.
Harvard University advances Harvard's world-changing mission in meaningful ways, inspires innovation and collaboration, and builds skills and expertise. They are dedicated to creating a diverse and welcoming environment where everyone can thrive.
Lead and monitor the bank's CRA program to ensure ongoing regulatory compliance and performance.
Partner with leadership to evaluate community development investments and coordinate regulatory examinations.
Provide guidance and training to business units on lending compliance requirements and regulatory expectations.
Ocean Bank is a financial institution focused on community development and regulatory compliance. The bank values a collaborative culture and regulatory excellence, with a team that balances compliance with meaningful community impact.