Compliance – FDR Manager
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Job Description
FDR Manager managing compliance and audits for First Tier, Downstream and Related Entities at Devoted Health. Ensuring adherence to State and Federal regulations while collaborating in a remote-first environment.
Responsibilities:
- Monitoring of FDRs on a regular basis as part of our Compliance Effectiveness Program
- Conducting desktop audits of FDRs
- Conducting onsite audits of FDRs
- Creating audit reports
- Creating scorecards and tools to evaluate the FDRs
- Issuing Corrective Action Plans as needed and ensuring that deficiencies have been addressed and corrected
Requirements:
- 2–5 years of healthcare auditing or insurance operations experience, with a deep understanding of Medicare Part C & D standards.
- Proven experience managing First Tier, Downstream, and Related Entities (FDRs), including the ability to identify non-compliance and drive meaningful resolution.
- Demonstrated ability to execute the full audit process—from conducting desktop/onsite audits to creating reports and scorecards—with meticulous attention to detail.
- Skilled in issuing and managing Corrective Action Plans (CAPs), ensuring that deficiencies are not just identified but fully remediated.
- Ability to translate complex audit findings into clear presentations and written reports for both internal leadership and external FDR partners.
- Strong project management skills with a track record of meeting strict CMS deadlines while collaborating effectively in a remote-first, fast-paced environment.
- Proficiency in Google Workspace (Docs, Sheets, Slides) and Slack.
- Active interest or experience in applying Generative AI or LLMs to automate routine audit tasks, such as summarizing compliance reports or identifying patterns in vendor data.
Benefits:
- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
- Parental leave program
- 401K program
- And more....
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