Own and manage shared inboxes and ensure timely review, triage, escalation and routing of requests
Identify trends, risks, or recurring issues and ensure escalation and action planning
Conduct compliance audits, write corrective action plans and work with department managers to ensure timely completion and compliance with local, state and regulatory requirements
ComplianceAuditingHealthcareManaged CarePolicy Development
Lead end-to-end investigations into compliance and ethics.
Translate complex regulations into practical guidance.
Identify systemic risks and ensure robust remediation.
Rula is dedicated to treating the whole person and aims to create a world where mental health is embraced as an integral part of one's overall well-being. They are a remote-first company that is dedicated to having a culture of inclusion that will support their employees.
Supports compliance initiatives through data analysis and process improvement.
Develops and executes strategic business objectives supporting key business areas.
Develops training on compliance and privacy topics.
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Their aim is to make personalized genetic testing and diagnostics part of the standard of care. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for their work and each other.
Document and continuously improve legal and compliance processes, playbooks, and SOPs.
Support Machinify’s compliance programs in planning and executing projects and initiatives, and managing operational frameworks and workflows.
Research laws, regulations, contractual obligations, and internal requirements; synthesize findings into clear, actionable outputs.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. They have over 85 health plans deployed, including many of the top 20, and representing more than 270 million lives, and they are constantly reimagining what’s possible in healthcare.
Investigating alleged violations of program requirements.
Drafting letters regarding program violations.
Identifying trends in consumer complaints and program violations.
Energy Solutions focuses on market-based programs to deliver large-scale energy, carbon, and water-use savings. Since 1995, they've offered performance-based solutions for utility, government, and institutional customers and have a supportive and energetic culture.
Design, manage, and execute the Compliance Assurance Plan.
Drive the evolution of our Compliance Independent Testing Team (CITT) through automation, data-driven monitoring, and modern control-testing practices.
Lead and develop a high‑performing team of Compliance Testers across United States and Costa Rica, responsible for conducting independent reviews, control testing, validation, and monitoring activities.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries and corporate headquarters are in Dublin, Ireland.
Responsible for ensuring that the Value Hub adheres to regulatory standards, contract requirements, and internal quality benchmarks.
Analyzing compliance data, preparing detailed reports, and working closely with various departments to maintain and improve compliance and quality standards.
Supporting the understanding of local regulatory requirements, completion of local audits, participation in quality committees, and supporting health plan needs and interactions to ensure consistent implementation of contractual obligations.
CommonSpirit Health has more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside their hospitals and out in the community.
Responsible for planning and executing quality and oversight activities to ensure operational compliance.
Responsible for internal and external case audits for Capital and our delegated UM vendors.
Responsible for educating staff on findings, and the audit tool ensuring a consistent approach.
Capital Blue Cross promises to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”
Prepare regulatory filings, conduct routine audits, and organize documentation for legal reviews.
Collaborate with attorneys and business leaders to support compliance initiatives and respond to regulatory inquiries.
Provide guidance to internal stakeholders on compliance requirements.
AffirmedRx aims to improve healthcare outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. They are committed to making pharmacy benefits easy to understand, straightforward to access, and always in the best interest of employers. and the lives they impact.
Partner with product and marketing teams to ensure compliance with consumer protection regulations.
Monitor and analyze new and evolving regulatory requirements, assessing their impact on products.
Manage and develop a team of compliance professionals by setting clear expectations.
EarnIn is a pioneer of earned wage access, building products that deliver real-time financial flexibility for those with the unique needs of living paycheck to paycheck. It is a fast-growing company with experienced leadership and world-class funding partners.
Design, build, and scale patient support services infrastructure
Own the end-to-end patient journey from referral through therapy initiation
Establish program goals, performance benchmarks, and continuous improvement frameworks
Definium Therapeutics is a clinical stage biopharmaceutical company developing novel product candidates to treat brain health disorders. They aim to be the global leader in the development and delivery of treatments that improve patient outcomes. Founded in 2019, they are continuously expanding their presence and global footprint and searching for high-impact individuals to strengthen their team.
Supervise a team of appeals and grievances coordinators; develop/implement strategies to improve team performance and efficiency.
Receive, document, and manage member and provider appeals and grievances in accordance with Dignity Health MSOs policies and standards. Prepare and present reports on appeals and grievances activity.
Maintain detailed and accurate records of all appeals and grievances, including documentation of investigations, outcomes, and communications.
Dignity Health MSO offers management and business services that leverage economies of scale across provider types and geographies, leading the effort in developing Dignity Health’s Medicaid population health care management pathways. They focus on coordinating patient care while containing costs and improving quality of service. The company offers a Total Rewards package that integrates competitive pay with flexible Health & Welfare benefits and a generous employer-matched 401k retirement plan.
Take complete end-to-end oversight of our regulatory licensing programs, ensuring every submittal and renewal is executed timely with 100% accuracy.
TrueAccord is a company that focuses on modernizing debt collection using AI and machine learning. They aim to provide a better experience for consumers and improve recovery rates for creditors. They are known for their innovative approach to compliance and technology solutions in the financial services industry.
Provide guidance for Affirm’s Product and Operations teams on applicable regulatory requirements related to any changes to products or services, issue remediation, and marketing reviews.
Review and approve financial services marketing materials to ensure they comply with regulations and industry standards.
Support responses to regulatory and bank-partner inquiries, audits, and examinations through second-line reviews and documentation/evidence.
Affirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any hidden fees or compounding interest. The Legal, Compliance, and Public Affairs team is a group of dedicated professionals committed to helping Affirm scale, innovate, and provide outstanding products for consumers, merchants, and key partners.
Conduct compliance risk assessments for products and operational changes.
Translate regulatory expectations into practical controls.
Design and implement scalable compliance controls.
EarnIn builds products that deliver real-time financial flexibility for those with the unique needs of living paycheck to paycheck. They are a fast-growing company with experienced leadership and world-class funding partners, aiming to bring world-class talent onboard.
Lead an exhaustive audit of clinical and business operations to identify and remediate regulatory vulnerabilities.
Act as the authorized signatory for all legal compliance documents.
Partner with Product and Engineering to embed "Compliance by Design" into the patient platform.
Wheel is evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. They offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
Lead the oversight of all delegated activities to ensure compliance with CMS, and NCQA requirements.
Serve as the subject matter expert in interpreting compliance and regulatory requirements.
Direct pre-delegation audits, annual audits, required reporting and ongoing oversight of delegates.
Hackensack Meridian Health helps patients live better, healthier lives, and helps team members succeed. They have a culture rooted in connection and collaboration, and employees are considered team members. They are advancing their mission to transform healthcare and serve as a leader of positive change.
You will function as a central knowledge holder in a specialized team within Pharma Regulations & Audits.
You will carry out audits and compliance checks, formulate improvement measures and supervise the implementation.
You will implement projects to improve compliance and quality processes.
Redcare Pharmacy is Europe’s leading online pharmacy driven by innovative technologies and the passion of its employees. The company strives for an inspiring and collaborative work environment where everyone feels valued and contributes to their mission: “Until every human has their health.”
Lead regulatory compliance projects from initiation through completion.
Interpret new and evolving regulations and translate them into actionable project plans.
Oversee regulatory audits, assessments, and remediation activities.
SGS is the global leader in inspection, verification, testing and certification services. With over 97,000 employees in 130 countries, they provide services to almost every industry assuring quality and safety of products and services, fostering innovation and welcoming new ideas.
Support the Company’s Compliance Management System (CMS), including risk assessments and governance processes.
Implement compliance monitoring and testing across business lines and document findings.
Support the drafting and maintenance of compliance policies, ensuring they align with regulatory expectations.
NerdWallet aims to bring clarity to all of life’s financial decisions with a team of exceptional Nerds. They've built an inclusive and flexible culture where employees are empowered to grow and take smart risks.