Hybrid Regulatory Compliance Manager – Government Programs SIU

Deltadentalmi; Nashville (TN); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Delta Dental of Michigan, Ohio, and Indiana in Nashville, TN seeks a Regulatory Compliance Manager to lead the Government Programs SIU team, overseeing claims data research, audits, and investigations. This hybrid role requires strong leadership, deep insurance know-how, and expert data analysis to ensure regulatory and contractual obligations are met.

Responsibilities include developing policies, supervising staff, and coordinating with internal and external partners to prevent fraud and waste

Qualifications

• Bachelor’s degree and seven years auditing or data analysis experience in the insurance industry.
• Leadership experience of at least three years.
• Strong ability to interpret contracts and regulation in the insurance space.

Responsibilities

• Plan and oversee Government Programs SIU activities, including claims data research, audits, and investigations.
• Hire, train, mentor, and monitor SIU staff and ensure achievement of goals.
• Develop and implement policies, procedures, and reporting for regulatory compliance.
• Coordinate with internal/external partners to address fraud, waste, and abuse related to government programs.

Skills

Leadership

Data analysis

Auditing

Communication

Problem solving

Education

Bachelor’s degree in statistics, criminal justice, finance, healthcare management or related field

Tools

SQL

ACL

Claims processing software

Job description

Delta Dental of Michigan, Ohio, and Indiana in Nashville, TN seeks a Regulatory Compliance Manager to lead the Government Programs SIU team, overseeing claims data research, audits, and investigations. This hybrid role requires strong leadership, deep insurance know-how, and expert data analysis to ensure regulatory and contractual obligations are met.

Responsibilities include developing policies, supervising staff, and coordinating with internal and external partners to prevent fraud and waste