Senior Healthcare Compliance Manager: HIPAA & Medicaid

Medical Guardian; Philadelphia (Philadelphia County); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health Plan (Medical, Dental & Vision)

Paid Time Off

Short Term Disability & Life Insurance

401(k) with Company Match

Job summary

Medical Guardian's MedScope brand is seeking a Senior Compliance Manager to safeguard the integrity of its healthcare operations, focusing on Medicaid, Medicare, and HIPAA compliance. You will design and oversee a robust compliance program, train staff, and partner with legal, IT and operations to embed regulatory excellence.

The ideal candidate will bring 7+ years in healthcare compliance, strong auditing and risk-management experience, and a proactive, collaborative approach to cross-state

Qualifications

• Bachelor’s degree in healthcare administration, Business, Law, or related field.
• 7+ years of experience in healthcare compliance focusing on Medicaid, Medicare, and HIPAA.
• Experience auditing, monitoring, and risk management in a healthcare environment.
• Experience managing compliance across multiple states.

Responsibilities

• Develop and manage a comprehensive compliance program for Medicaid, Medicare, and HIPAA.
• Lead internal audits, risk assessments, and CAP oversight.
• Oversee HIPAA privacy and security compliance and investigations.
• Deliver ongoing training on regulatory updates to all employees.
• Lead cross-functional projects, including policy updates and contract compliance.
• Maintain documentation and reporting for executive leadership.
• Possibly other duties as assigned.

Skills

Medicaid/Medicare

HIPAA compliance

Auditing

Risk management

Multi-state compliance

PERS knowledge

Policy development

Training & education

Documentation

Project management

Education

Bachelor’s degree in healthcare administration, Business, Law, or related field

Master’s degree or certifications (CHC, CCEP)

Tools

MS Office

Compliance software

Job description

Medical Guardian's MedScope brand is seeking a Senior Compliance Manager to safeguard the integrity of its healthcare operations, focusing on Medicaid, Medicare, and HIPAA compliance. You will design and oversee a robust compliance program, train staff, and partner with legal, IT and operations to embed regulatory excellence.

The ideal candidate will bring 7+ years in healthcare compliance, strong auditing and risk-management experience, and a proactive, collaborative approach to cross-state