Manager Compliance Monitoring & Auditing
Job DescriptionJob Description
Manager, Compliance Monitoring & Auditing
Location: Houston, TX 77041
Pay: Starting at $62/hour
Schedule: Hybrid (2 days remote per week)
Dean's Professional Services is actively seeking a qualified Manager of Compliance Monitoring & Auditing to support a respected health plan client in Houston, TX. This role is responsible for overseeing compliance auditing and monitoring programs to ensure alignment with federal, state, and contractual regulations.
Key Responsibilities:
- Oversee and conduct internal and external audits and real-time monitoring in accordance with the Compliance Program.
- Ensure compliance with HHSC, TDI, NCQA, and other regulatory bodies.
- Develop and implement audit tools to measure performance against internal standards, contractual requirements, and regulatory guidelines.
- Provide compliance guidance to internal teams and support the development of corrective action plans.
- Collaborate with senior leadership to ensure audit tools and reports are updated annually or as needed.
Required Skills and Experience:
- In-depth knowledge of the healthcare regulatory environment, including CMS, HIPAA, and HITECH.
- Strong understanding of business systems, controls, and compliance frameworks.
- Ability to analyze data, identify trends or issues, and recommend solutions.
- Proficient in Microsoft Office (Word, Excel, PowerPoint).
- Effective communication skills, both written and verbal.
- Experience with provider contract, benefit, and schedule configuration is required.
- Tapestry experience is .
Education:
- Bachelor's degree required.
Certifications (any of the following):
- CCEP - Certified Compliance & Ethics Professional
- CHC - Certified in Healthcare Compliance (via HCCA or CCB)
Experience:
- Minimum 5 years of progressive experience in compliance, auditing, healthcare operations, or legal.