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Liberty Dental Plan · 17 hours ago

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

Tustin, CA

Full-time

Hybrid

Senior Level

$98K/yr - $112K/yr

7+ years exp

Liberty Dental Plan is seeking an experienced Compliance Program Manager to oversee regulatory and contractual compliance across their commercial, Exchange, Medicaid, and Medicare lines of business. This role requires a deep understanding of government-managed healthcare regulations and involves collaborating cross-functionally to ensure adherence to compliance standards.

DentalInsuranceMedical

No H1B

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

Qualification

HIPAA compliance experienceRegulatory compliance expertiseAnalytical skillsMicrosoft Office proficiencyCritical thinkingData analysisEffective communicationProblem-solving skills

Required

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

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

Strong critical thinking and problem-solving skills

Experience compiling, analyzing, and organizing regulatory data

Expertise in Microsoft Office (Excel, Word, PowerPoint, SharePoint)

Effective communication skills across all levels of the organization

Preferred

Candidates located in the Eastern Time Zone are preferred

Intermediate to advanced Excel skills (pivot tables, charts, macros, external data connections preferred)

Benefits

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 unused time.

10 paid company holidays.

Tuition reimbursement for eligible educational expenses.

Remote or hybrid work options available for various positions.