Healthcare Compliance Manager – Audit & Risk Lead

Presbyterian Healthcare Services; United States; On-site; USD 81,000 - 139,000; Full time

Benefits offered by this job

Benefits package

Wellness program

Job summary

Presbyterian Healthcare Services seeks a Compliance Manager to support the PHP/PIC Compliance Officer in implementing and administering the PHP Compliance Program. The role conducts monitoring and auditing of healthcare practices to ensure regulatory compliance and minimize risk across policies, procedures, and guidelines.

Based at the Reverend Hugh Cooper Administrative Center in Albuquerque, NM, the position involves coordinating audits, risk assessments, and regulatory responses with internal

Qualifications

• Bachelor’s degree in healthcare management, law, or related field.
• Five to seven years of healthcare management or regulatory experience.
• Managed care health plan experience in Medicare, Medicaid, or Commercial plans.
• CHC certification or willingness to obtain within one year.

Responsibilities

• Assist in establishing and updating compliance standards and procedures across PHP employees and agents.
• Coordinate training, updates, and communications related to compliance.
• Support auditing, monitoring, risk assessments, and regulatory reporting with the PHP/PIC Compliance Officer.
• Collaborate with departments to identify compliant solutions and mitigate risks.
• Oversee investigations of alleged violations and report concerns to leadership.

Skills

Healthcare management experience

Regulatory compliance knowledge

CHC certification or willingness to_ob

Education

Bachelor's Degree

Job description

Presbyterian Healthcare Services seeks a Compliance Manager to support the PHP/PIC Compliance Officer in implementing and administering the PHP Compliance Program. The role conducts monitoring and auditing of healthcare practices to ensure regulatory compliance and minimize risk across policies, procedures, and guidelines.

Based at the Reverend Hugh Cooper Administrative Center in Albuquerque, NM, the position involves coordinating audits, risk assessments, and regulatory responses with internal