As a Compliance Program Manager, you will lead regulatory change management initiatives within the healthcare industry, ensuring that evolving federal and state requirements are translated into effective business practices. You will monitor new legislation, healthcare regulations, and guidance from the Centers for Medicare & Medicaid Services (CMS), assessing their impact across multiple business functions. Working closely with operational teams and senior stakeholders, you will turn complex regulatory requirements into clear implementation plans and actionable recommendations. You will coordinate cross-functional initiatives, track implementation progress, and help ensure organizational readiness in a dynamic regulatory environment. This highly visible role offers the opportunity to influence strategic decisions, strengthen compliance processes, and support the delivery of reliable, compliant healthcare services. It is particularly suited to an analytical and collaborative professional who enjoys solving complex regulatory challenges and driving results across an organization. The position is open to candidates based in the United States, with remote or hybrid work arrangements potentially available depending on the role's requirements.
Regulatory Monitoring and Analysis: Monitor, research, and interpret evolving federal and state healthcare laws, regulations, CMS guidance, and contractual obligations to identify new compliance requirements and emerging risks.
Business Impact Assessments: Evaluate the operational and organizational implications of regulatory changes, identify affected departments, and determine the actions necessary to achieve compliance.
Regulatory Change Management: Lead regulatory implementation initiatives from initial assessment through planning, execution, monitoring, and completion, ensuring requirements are addressed accurately and within established timelines.
Translation of Regulatory Requirements: Convert complex legal and regulatory language into clear, practical guidance, recommendations, and action plans that operational teams can implement effectively.
Cross-Functional Coordination: Partner with business leaders, operational teams, and other stakeholders to establish implementation plans, clarify responsibilities, resolve challenges, and maintain accountability.
Governance and Implementation Tracking: Facilitate meetings, committees, and governance discussions to monitor regulatory initiatives, evaluate organizational readiness, identify outstanding actions, and track progress against implementation milestones.
Reporting and Executive Communication: Prepare regulatory impact assessments, executive summaries, presentations, dashboards, and reports that communicate key findings, risks, recommendations, and implementation status to leadership.
Stakeholder Advisory Support: Serve as a trusted compliance resource for internal teams, answering questions about regulatory requirements and explaining their practical implications for business operations.
Risk Identification and Mitigation: Collect and synthesize information from business partners to identify implementation gaps, assess potential compliance risks, and recommend appropriate corrective or preventive actions.
Regulatory Inquiries and Special Projects: Support responses to regulatory inquiries and contribute to compliance-related projects, strategic initiatives, and operational improvement efforts.
Process Improvement: Identify opportunities to strengthen regulatory readiness, improve accountability, streamline implementation processes, and enhance the organization's overall compliance framework.
Compliance Culture: Promote proactive compliance practices through effective communication, collaborative problem-solving, stakeholder engagement, and continuous improvement.