SoTalent · 2 days ago
Compliance Consultant
SoTalent is seeking a Compliance Consultant to support cross-functional teams and manage regulatory requirements in the healthcare sector. The role involves overseeing contract updates, tracking regulatory changes, and strengthening compliance processes across the organization.
Responsibilities
Review and update product‑specific contracts and amendments with subcontractors
Stay current on federal and state healthcare regulations and managed care requirements
Conduct legal and regulatory research; prepare summaries of legislative or rule changes
Coordinate waste and abuse investigations with internal compliance teams
Manage preparation and documentation for State Fair Hearings; represent the organization in hearings and report outcomes to senior leadership
Identify concerns with questionable billing practices or vendor contract issues and escalate as needed
Support audits, provider reviews, and case file development for compliance investigations
Participate in multi‑department regulatory change initiatives
Help create and maintain consistent processes for tracking requirements, policies, and procedures
Assist with developing and communicating new or updated policies and procedures across departments
Ensure cross‑functional alignment for processes that span multiple business units
Contribute to enterprise programs such as privacy, security, ethics, and fraud/waste/abuse compliance
Complete required compliance training and adhere to all organizational policies
Qualification
Required
Bachelor's degree in Business Administration, Finance, or a related field
5–10 years of experience in business operations or related functions
Experience in compliance, legal research, or contract review strongly preferred
7+ years of contract drafting and legal research experience for region-specific roles
Knowledge of healthcare laws and government program regulations
Familiarity with state administrative codes and federal regulations
Benefits
Health insurance options
401(k) with employer contributions
Employee stock purchase plans
Tuition reimbursement
Paid time off + holidays
Company
SoTalent
At SoTechTalent, we specialise in connecting forward-thinking tech companies with world-class talent.
Funding
Current Stage
Early StageCompany data provided by crunchbase