Manager, Government Program Compliance, Pharmacy
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
HCSC is looking for a Manager to oversee Government Program Compliance in healthcare regulations. Focused on Medicare and Medicaid, evaluating compliance, risks, and reporting.
Responsibilities:
- evaluating Government Program (Medicare and Medicaid) regulations, guidance and contracts
- assessing the risk that those items present with respect to HCSC government contracts
- managing direct reports and provide oversight of the business’ operational compliance
- developing policies, conducting monitoring, managing risk
- preventing legal penalties
- consulting with business and providing guidance
- identifying and following up on compliance issues
Requirements:
- Bachelor’s Degree
- five (5) years’ experience in healthcare compliance OR nine (9) years’ experience in health plan, regulatory compliance or risk management
- One year of leadership/supervisory experience
- Excellent verbal and written communication skills
- Strong critical thinking, risk assessment and mitigation
- Organizational, project management, analytical and decision-making skills
- PC proficiency to include MS Teams, Word, PowerPoint and Excel as well as Workday
Benefits:
- health and wellness benefits
- 401(k) savings plan
- pension plan
- paid time off
- paid parental leave
- disability insurance
- supplemental life insurance
- employee assistance program
- paid holidays
- tuition reimbursement
Similar Jobs
Senior Manager, Regulatory Submissions
Senior Regulatory Submissions Manager overseeing the operational aspects of regulatory submissions for U.S. and international agencies. Ensuring high-quality submissions delivered on-time in compliance with regulations.
Manager, Government Program Compliance – Risk Adjustment
Compliance Manager focused on Government Program regulations and overseeing operational compliance. Collaborating with multiple teams to manage risks and ensure adherence to laws for HCSC.
Government Programs Compliance Analyst
Compliance Analyst supporting HCSC Government Programs in data analysis, trending, and regulatory compliance. Involvement in monitoring corrective actions and sales activities for healthcare compliance.
Marketing Associate – SMS Compliance
A2P & Email Deliverability Operations Specialist managing SMS/email frameworks for Moxie's provider network. Ensuring provider communications are effective and streamlined.
Compliance Manager – Transparency
Compliance Manager for Summit Therapeutics managing transparency reporting and compliance activities across healthcare providers and organizations. Enhancing corporate compliance program with stakeholders' collaboration and adherence to regulations.
GRC Consultant – Sales
GRC Consultant focusing on B2B SaaS sales at HiScout GmbH. Contributing to sales strategies in compliance and IT security markets with remote work.
Senior GRC Engineer
Senior GRC Engineer at Workstreet managing cybersecurity compliance for clients and leading a team of analysts. Delivering exceptional client experiences while overseeing projects in various regulatory frameworks.
TPA and Insurance Regulatory Licensing Specialist
TPA and Insurance Regulatory Licensing Specialist managing licensing applications for compliance within a diverse regulatory environment. Requires a minimum of 3 years of experience in licensing and regulatory monitoring.
Senior Regulatory Publishing Associate
Senior Regulatory Ops Associate overseeing regulatory document management for clinical trials at ICON healthcare intelligence. Collaborating cross-functionally to optimize regulatory processes for innovative therapies.
Manager, Regulatory Compliance
Regulatory Compliance Manager responsible for overseeing product safety and compliance for Eos Energy's Z3 batteries. Collaborating with engineering, clients, and regulatory bodies to maintain safety standards.
Regulatory Affairs Consultant – Clinical Regulatory Affairs
Regulatory Affairs Consultant guiding clinical studies through regulatory processes for Parexel. Collaborating with cross-functional teams to ensure compliant and efficient trial execution.
GRC Engineer
GRC Engineer at WorkOS managing compliance, risk, and customer trust programs. Leading initiatives for certifications and automating GRC processes in a remote environment.
Specialist, Regulatory & Site Activation
Specialist in Regulatory & Site Activation at Worldwide Clinical Trials in Australia. Responsible for driving regulatory submissions with a focus on quality and compliance.
Head of Compliance
Head of Compliance for beqom, ensuring global compliance and governance while leading a high-impact team. Focused on regulatory frameworks in a dynamic SaaS company.
Compliance Officer
Compliance Officer overseeing projects ensuring adherence to laws and regulations at Codekeeper. Leading compliance initiatives and managing project timelines in a fast-paced, remote-first environment.
Senior Regulatory Policy and Intelligence Manager
Regulatory Manager at Amgen driving alignment on regulatory policies and engaging with external stakeholders. This role requires in-depth knowledge of legislation and strong communication skills.
SAP GRC Consultant – Senior
SAP GRC Senior Consultant at Mollica IT enhancing security and compliance measures through SAP solutions. Collaborating in project implementations and multi-functional governance activities.
Early Development Global Regulatory Lead
Early Development Global Regulatory Lead at argenx focusing on regulatory strategies and patient-centric development pathways. Overseeing regulatory affairs to support early asset progression in biopharmaceuticals.
IT Specialist, SOX Compliance, SAP GRC
Specialist IT SOX and SAP GRC Compliance ensuring integrity and compliance of key reports. Support for financial and IT control environments while contributing to SOX processes in a biotech company.
Data Governance, Risk and Compliance Lead
Lead Data Governance initiatives at Auto Club Enterprises, ensuring data trust and compliance across the organization. Overseeing implementation of governance frameworks and project timelines.