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Herself HealthCompliance Manager
Herself Health is seeking a Compliance Manager to oversee daily operations of the healthcare compliance program for its specialized primary care practices tailored to women aged…
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About This Role
Herself Health is seeking a Compliance Manager to oversee daily operations of the healthcare compliance program for its specialized primary care practices tailored to women aged 65 and older. This full-time, remote or hybrid position reports to the Chief People Officer and focuses on supporting a value-based primary care delivery model alongside Medicare Advantage arrangements. The person in this role will handle sensitive data, including protected health information and personnel…
Job Description
Herself Health is seeking a Compliance Manager to oversee daily operations of the healthcare compliance program for its specialized primary care practices tailored to women aged 65 and older. This full-time, remote or hybrid position reports to the Chief People Officer and focuses on supporting a value-based primary care delivery model alongside Medicare Advantage arrangements. The person in this role will handle sensitive data, including protected health information and personnel files, while maintaining regulatory compliance, policy libraries, risk assessments, and training programs.
This hands-on management role suits a professional with a background in healthcare compliance who can partner effectively with clinical leaders, the fractional General Counsel, and the fractional Compliance Officer. Key duties include managing compliance reporting channels, conducting exclusion screenings, executing monitoring and audit plans, handling regulatory paperwork, and coordinating payer audits.
Responsibilities
- Manage the compliance policy library, oversee version control and annual reviews, and coordinate state-specific scope-of-practice and collaboration agreements
- Maintain the Code of Conduct and track annual attestations from staff, vendors, and contractors
- Serve as the operational compliance point of contact for the annual work plan, risk assessments, committee dashboards, and Board reporting materials
- Administer compliance and fraud, waste and abuse training upon hire and annually, track completion rates, and build role-specific educational modules
- Supervise the MedTrainer compliance hotline and additional reporting channels, triage concerns, and log cases
- Perform required monthly and pre-hire exclusion and sanction checks across OIG, SAM, and state databases in partnership with the People Team
- Handle Medicare Advantage downstream-entity attestations, data requests, and payer audits while tracking CMS marketing and communications guidelines
- Execute audit and monitoring plans, report outcomes to the Compliance Committee, and assist with corrective actions
- Partner with clinical leadership, the fractional General Counsel, and outside counsel to conduct compliance investigations
Requirements
- Hands-on healthcare compliance experience covering Medicare, Medicare Advantage, Medicare managed care, or other complex government payer regulations
- Working knowledge of federal fraud and abuse rules, including the False Claims Act, Anti-Kickback Statute, Civil Monetary Penalties Law, and physician self-referral regulations
- Working familiarity with HIPAA privacy and security standards
Qualifications
- Bachelor's degree or an equivalent blend of education and directly relevant professional experience
- Background working with risk-bearing or value-based Medicare Advantage or state Medicaid frameworks
Core Skills
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the salary for the Compliance Manager position?
The compensation ranges from $90,000 to $105,000 per year, determined by experience.
Is this job remote?
The job posting indicates a remote or hybrid work arrangement, which includes periodic in-person collaboration at clinics and external meetings, along with periodic travel.
What education or background is required?
Applicants must have a bachelor's degree or an equivalent combination of education and directly relevant experience, alongside hands-on healthcare compliance background involving Medicare or other complex government payer requirements.
Sample Interview Questions
AI-generated questions tailored to this specific role — a preview of the full practice set.