Compliance Manager (RN)

Habitat Health; Dallas (TX); Remote; USD 132.000 - 175.000; Vollzeit

Zusammenfassung

Habitat Health seeks a Compliance Manager to oversee CMS/SAA audits and partner with leadership to foster a culture of compliance. Remote role with travel up to 30%, reporting to the Director of Compliance.

Lead audit readiness, live audits, and data-driven risk responses while aligning with PACE standards and company policies. The role requires an RN license, 3+ years in healthcare audit, and experience in PACE compliance.

Qualifikationen

• Minimum of three (3) years of experience in healthcare audit or related field.
• Active and unrestricted Registered Nurse (RN) License.
• Experience in PACE compliance highly preferred.
• Aligns with our purpose and our values, and is excited about living those out in daily practice.
• Ability to lead with influence.
• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position.

Aufgaben

• Audit readiness activities for CMS and SAA audits, including internal monitoring of audit data and policies.
• Live audit management with CMS and SAA teams; QA and corrective actions.
• Expertise on PACE audit data, trends, and risk mitigation.
• Regular internal reporting to executives and board committees.
• Recommend updates to the annual auditing workplan based on findings.
• Collaborate with teams on audit impacts to programs and center operations.
• Represent the compliance program within Habitat Health.
• Travel as required for regulatory audits.

Kenntnisse

Audit compliance

RN license

PACE compliance

Data interpretation

Communication skills

Organizational skills

MS 365

Project leadership

Training others

Ausbildung

Bachelor’s degree in health care administration

CHC certification

Tools

Epic EHR

DHCS knowledge

CMS knowledge

Jobbeschreibung

Habitat Health empowers older adults to experience more good days in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as meals, transportation, and in‑home assistance. We deliver coordinated clinical and social care in our centers and directly in participants’ homes, creating a fully integrated experience that brings peace of mind and a true sense of belonging. As we expand our scalable, affordable PACE model to meet the growing and complex needs of aging populations, our mission‑driven care teams continue to help participants live well on their own terms.

Habitat Health is supported by leading healthcare organizations and investors including New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures. We are entering a period of significant growth and are looking for exceptional teammates to help us scale a better model of care for older adults. To learn more, visit www.habitathealth.com.

Location

Remote (with ability to travel up to 30% during peak times)

Estimated Start Date

11/30/26

Role Scope

The Habitat Health Compliance Manager has oversight for ensuring the successful outcome of the organization’s for Centers for Medicaid & Medicare Services (CMS) and State Administering Agency (SAA) audits, and for partnering with leadership to foster a culture of compliance. The Manager, Audit (“Manager”) reports directly to the Director of Compliance and serves a key role in ensuring effective audit preparation and CMS and SAA audit results. Specifically, the Manager will be responsible for:

• Audit readiness activities for CMS and SAA audits, including internal monitoring of audit universe data (ex. medical records), training, review of applicable company policies/procedures, and corresponding processes;
• Live audit management, including serving point with the CMS and SAA audit teams, submission quality assurance, and corrective action plan development, approval, and monitoring;
• Expertise on PACE audit data, trends, best practices, and risk mitigation and responses to audit-related questions and business development components;
• Regular and consistent internal audit-related reporting and metrics for the Chief Medical Officer, the Executive Compliance Committee, and compliance subcommittee of the Board of Managers;
• Makes recommendations for updates to the Compliance Department’s annual auditing and monitoring workplan and recommendations to the business on needed areas of focus based on audit findings and PACE regulatory trends;
• Build and fosters collaborations with the Habitat Population Health and Practice Operations teams regarding audit-related impacts to the Quality Improvement Program and center operations
• Performs other Compliance Department duties, as needed.
• As a member of the Compliance Department, the Audit Manager is also expected to represent the compliance program within the Habitat Health team, including:
• Developing and maintaining productive relationships with all levels of staff; and championing the compliance program.
• Some travel will be required, including but not limited to, travel in anticipation and support of regulatory audits.

Required Qualifications

• Minimum of three (3) years of experience in healthcare audit or related field.
• Active and unrestricted Registered Nurse (RN) License.
• Experience in PACE compliance highly preferred.
• Aligns with our purpose and our values, and is excited about living those out in daily practice.
• Ability to lead with influence.
• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
• Ability to work in a fast-paced environment and in an efficient manner.
• Optimistic and can-do approach.
• Excellent organizational skills and attention to detail.
• Ability to review and interpret data and make data-based recommendations.
• Excellent interpersonal, verbal, and written communication skills.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Knowledge of the Microsoft 365 suite.

Nice to haves:

• Bachelor’s degree in health care administration, public health, health care operations, public policy, or a clinical field.
• Certified in Healthcare Compliance (CHC).
• Experience with DHCS and/or CMS.
• Working knowledge of Epic.
• Experience developing or delivering training (compliance) to adult learners.

Compensation

The anticipated base salary range for this position is $145,000 - $175,000 for candidates located in San Francisco, New York City, or Seattle, and $132,000 – $165,000 for candidates located elsewhere.

This position is also eligible for a target annual bonus of 10% and may be eligible for additional incentive compensation, as applicable.

The final compensation offered will be determined based on factors including, but not limited to, the candidate's qualifications, skills, experience, education, certifications, geographical location, and business needs.

In addition, this position is eligible for a comprehensive benefits package, including medical, dental, and vision insurance; paid parental leave, short- and long-term disability coverage; life insurance; flexible spending accounts; a 401(k) savings plan that includes a match; paid time off; and company paid holidays.

At-Will Employment

Employment with Habitat Health is at-will. This means that either the employee or the employer may terminate the employment relationship at any time, with or without cause, and with or without notice, subject to applicable law. Nothing in this job posting or any other company document is intended to create a contract of employment, express or implied, or to alter the at-will nature of employment.

Any written or oral statements to the contrary are not authorized unless made in writing and signed by an authorized representative of the Company.

Because this is a remote position, employment will be governed by the laws applicable to the employee’s work location, and applicable legal requirements will be followed.

Vaccination Policy, including COVID-19

To help maintain a safe environment for our participants and team members, Habitat Health maintains vaccination and infection control policies applicable to certain roles and work locations. For COVID-19 and influenza, team members who are working in a participant care setting are required to provide either proof of vaccination or a signed declination form and comply with applicable masking requirements while in a care setting to the extent permitted by law in the applicable jurisdiction.

Habitat Health will consider requests for reasonable accommodation based on an applicant's disability, medical condition, or sincerely held religious belief, practice, or observance in accordance with applicable law.

As a condition of employment, team members are expected to comply with all applicable infection control protocols, personal protective equipment (PPE) requirements, and vaccination requirements associated with their role and work location, and to the extent required by law and as permitted in the applicable jurisdiction.

Our Commitment to Equal Opportunity and Inclusion

Habitat Health is an Equal Opportunity Employer committed to the principles of equal opportunity and inclusion. Employment decisions at Habitat Health are based on qualifications, merit, and business needs. We do not discriminate on the basis of race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender identity, gender expression, sexual orientation, marital status, registered domestic partner status, age, national origin, ancestry, citizenship, military or veteran status, physical or mental disability, medical condition, genetic information, reproductive health decision‑making, or any other characteristic protected by applicable federal, state, or local law.

Habitat Health is committed to the full inclusion of all qualified individuals. Consistent with applicable law, we provide reasonable accommodations to qualified individuals with disabilities and to individuals with religious beliefs, practices, or observances that require accommodation.

If you require a reasonable accommodation to participate in the application or interview process, perform the essential functions of a position, or receive other employment benefits and privileges, please contact us at [e-mail].

We encourage individuals from all backgrounds to apply, even if their experience does not align perfectly with every qualification listed.

E-Verify Participation Notice

Habitat Health participates in E-Verify and will provide the federal government with information from your Form I-9 to confirm your authorization to work in the United States.

If E-Verify cannot confirm your authorization to work, Habitat Health will provide you with written instructions and an opportunity to contact the Department of Homeland Security (DHS) and/or the Social Security Administration (SSA) to resolve the issue before any adverse employment action is taken, including termination of employment.

E-Verify is used only after an applicant has accepted an offer of employment and completed the Form I-9 and to the extent permitted by applicable law.

Habitat Health complies with all federal and state employment eligibility verification requirements.