Compliance Program Manager (Government-Managed Healthcare Regulations Experience Required)

Job DetailsJob Location: Remote - Corp - Tustin, CA 92782Position Type: Full TimeLiberty Dental Plan is seeking an experienced Compliance Program Manager to oversee regulatory and contractual compliance across our commercial, Exchange, Medicaid, and Medicare lines of business. This role requires a deep understanding of government-managed healthcare regulations and the ability to collaborate cross-functionally to ensure adherence to compliance standards. The ideal candidate will have strong analytical skills, excellent communication abilities, and the discretion to handle sensitive matters.

Candidates located in the Eastern Time Zone are preferred.

 

Key Responsibilities


Serve as a subject matter expert on regulatory and contractual requirements affecting Liberty’s business lines.
Monitor, track, and maintain a repository of regulatory requirements, summarizing key updates for leadership.
Collaborate with internal departments to implement new contract requirements.
Research and advise on ad hoc compliance-related inquiries.
Respond to client and regulatory audits, including managing corrective action plans.
Review agreements, policies, and member-facing materials to ensure compliance.
Oversee Liberty’s annual risk assessment, compliance workplan, and testing program.
Analyze compliance findings, identify trends, and provide performance improvement recommendations.
Develop and maintain compliance reporting tools, including dashboards and tracking summaries.
Lead compliance-related initiatives and special projects, supporting process improvements.
Ensure compliance training materials are updated and coordinate enterprise-wide training.
Support the HIPAA compliance program, including incident management.
Coordinate quarterly Compliance Committee meetings and prepare reports for the Board of Directors.
Identify opportunities to strengthen Liberty’s culture of compliance.
Manage findings from exclusion and preclusion screenings, ensuring timely investigation and appropriate action for employees, contractors, or vendors identified on federal and state exclusion lists (e.g., OIG LEIE, GSA SAM) in accordance with organizational policies and regulatory requirements. 


 

Education & Experience



Education: Bachelor’s degree required, with relevant industry certifications or equivalent experience.


Must have 5+ years of hands-on HIPAA privacy compliance experience with proven track record successfully implementing and managing HIPAA privacy programs.


Experience: Minimum of 7 years in progressive regulatory compliance roles, preferably in government-managed or regulated healthcare.



Skills & Knowledge


Strong critical thinking and problem-solving skills.
Experience compiling, analyzing, and organizing regulatory data.
Expertise in Microsoft Office (Excel, Word, PowerPoint, SharePoint).
Intermediate to advanced Excel skills (pivot tables, charts, macros, external data connections preferred).
Effective communication skills across all levels of the organization.

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.


What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.

 

Our first-class benefits package supports employees and their dependents with:



Competitive pay structure and savings options to help you reach your financial goals.


Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.


Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.


100% employer-paid dental coverage for employees and eligible dependents.


Vision insurance with low-cost premiums for employee-only coverage and dependents.


Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.


Flexible Spending Accounts for healthcare and dependent care expenses.


Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.


Long-term disability coverage.


Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.


Employee Assistance Program (EAP) to support mental health and well-being.


Generous vacation and sick leave policies, with the ability to roll over