Compliance Monitoring & Auditing Manager in Bellaire

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Job DescriptionJob Description

Compliance & Auditing Manager

Location: Remote (EXCLUDING Ohio, Wyoming, Washington, North Dakota, California, and New York)

Pay Rate: $62/hr

Shift: Monday - Friday, 8:00 AM - 5:00 PM

Job Overview

Dean's Professional Services is actively seeking an experienced Compliance & Auditing Manager to oversee auditing, monitoring, and compliance activities for a leading health plan organization. The ideal candidate will have a strong understanding of healthcare regulations, audit processes, and compliance program development, ensuring alignment with all federal, state, and contractual requirements.

Responsibilities:

• Manage, oversee, monitor, and conduct internal and external auditing and real-time monitoring activities related to the Health Plan's regulatory and contractual requirements.
• Ensure compliance oversight and reporting align with HHSC, TDI, NCQA, and Health Plan Senior Management expectations.
• Maintain ongoing compliance with federal and state regulations and provide tools and guidance to support the Health Plan's auditing and monitoring program.
• Develop and maintain comprehensive audit tools to objectively measure internal performance and third-party (subcontractor) compliance against policies, metrics, and regulatory standards.
• Review and revise audit tools annually with input from Senior Management.
• Analyze data and identify compliance risks, errors, or process gaps, recommending practical solutions to mitigate them.
• Collaborate effectively with management and staff to ensure consistent implementation of compliance initiatives.
• Prepare clear and accurate compliance reports, documentation, and communication materials.

Qualifications:

• Bachelor's Degree required
• Minimum 5 years of progressive experience in compliance, auditing, healthcare, and/or legal fields required
• Knowledge of business systems, internal control structures, and the healthcare regulatory environment (CMS, HIPAA, HITECH)
• Strong analytical, problem-solving, and communication skills
• Proficiency in Microsoft Word, Excel, and related business software applications

Certifications:

• CCEP - Certified Compliance & Ethics Professional (HCCA)
• CHC - Certified in Healthcare Compliance (AIHC or CCB)

Why Join Us?

• Full benefits: medical, dental, vision, and 401(k)
• Temp-to-hire opportunity
• Work with a respected healthcare organization
• Supportive and professional work environment

Dean's Professional Services is a , award-winning staffing solutions firm. Since 1993, we have placed over 50,000 professionals across the nation - matching talent with opportunity through skill, experience, and culture fit.

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