Manager Compliance

Role Overview

At the direction and assistance of the Compliance Director, the Compliance Manager is responsible for supporting and enhancing the organization's compliance program through oversight, monitoring, reporting, and partnership with key stakeholders across lines of business. This role oversees the organization's Conflict of Interest (COI) process, supports and/or manages compliance investigations through resolution, and leads the development and ongoing management of compliance dashboards and reporting (Tableau). The Compliance Manager performs review and synthesis of operational metrics and delivers actionable insights on compliance trends, emerging risks, and control performance. In addition, the role will focus heavily on compliance reporting and documentation of compliance processes.

Work Arrangement

• This is a remote position within the United States working East Coast hours. Residency preferred in Jacksonville, FL, or Philadelphia, PA

Responsibilities

• Oversee and continuously improve the Conflict of Interest (COI) intake, review, escalation, documentation, and tracking process

• Support and/or manage compliance investigations through resolution, including issue triage, fact gathering, documentation, and communication of outcomes

• Develop, maintain, and enhance compliance dashboards and reporting in Tableau, ensuring accurate, timely, and actionable insights for stakeholders

• Analyze and synthesize operational and compliance metrics; translate findings into clear reporting for leadership and business partners

• Partner with key stakeholders across lines of business to implement compliance requirements, remediate issues, and strengthen controls

• Prepare and maintain compliance documentation, including procedures, workflows, evidence of monitoring, and reporting artifacts

• Contribute to compliance program governance, including periodic reporting, committee/leadership updates, and support for compliance risk assessment

Education/Experience

• Bachelor's Degree in Business, Social Science, or relevant field required. Legal background helpful

• 3 to 5 years in a managed healthcare environment required, including experience in the areas of compliance oversight preferred

• 1 to 3 years of supervisory experience is a must

• Knowledge of compliance concepts and practices (strategies, control activities, information analysis, reporting, and communication) is preferred

• Strong analytical and research skills, able to synthesize information to provide practical solutions to accomplish meaningful results

• Self-motivated with demonstrated project management skills

• Extensive experience managing large amounts of data and creating leadership level data reports

• Certified in Healthcare Compliance preferred

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We are looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.