Compliance Manager (RN)

Habitat Health; United States; Remote; USD 132,000 - 175,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Paid parental leave

Short- and long-term disability

401(k) matching

Paid time off

Company holidays

Remote work options

Job summary

Habitat Health, a remote-first provider expanding PACE-based care for older adults, is seeking a Compliance Manager (Audit). You will oversee CMS and SAA audits, coordinating with leadership to ensure preparedness and effective response.

You will manage audit readiness, live audits, and action plans, while building relationships across departments and traveling up to 30% as needed to support regulatory activities. Strong RN credentials are required.

Qualifications

• Active RN license required.
• Minimum 3 years in healthcare audit or related field.
• Experience with CMS/SAA audits preferred.
• Ability to lead with influence in a fast-paced environment.
• Strong data interpretation and actionable recommendations.
• Excellent written and verbal communication skills.
• Proficient with Microsoft 365 and data tools.

Responsibilities

• Lead audit readiness activities for CMS and SAA audits.
• Manage live audits and corrective action plans.
• Provide CMS audit data trends and risk mitigation guidance.
• Provide regular audit metrics to senior leadership.
• Recommend updates to audit work plans based on findings.
• Collaborate with Population Health and Practice Operations teams on audit impacts.
• Represent the compliance program within Habitat Health.
• Travel up to 30% as needed for regulatory audits.

Skills

RN License

Healthcare audit

PACE compliance

Data analysis

Communication

Organizational skills

Microsoft 365

Project management

Education

Bachelor’s degree in health care administration

Certified in Healthcare Compliance (CHC)

Tools

Epic

CMS auditing tools

Job description

Habitat Health empowers older adults to experiencemore gooddays 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, andin ‑ homeassistance. 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, ourmission ‑ drivencare 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)

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 VP of Compliance (Compliance Officer) 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.

To helpmaintaina safe environment for our participants and team members, Habitat Healthmaintainsvaccination 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