Manager Compliance - NJ or PA resident

Location: Robbinsville, NJ

Primary Job Function: Compliance

ID**: 34471

Job Brief

This position is remote eligible but with a candidate who lives in the Philadelphia / Southern New Jersey area.

Your career starts now. We are looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities:

The Manager, Compliance provides support in the oversight of all operating division and line of business compliance functions and the implementation of compliance policy, process, and control activities. This position will monitor the execution of operational changes required by regulations and guidelines and possess the following attributes:

• Assists in the development of compliance methodologies and monitors the effectiveness of compliance-related processes.

• Assist in the identification of gaps, weaknesses, and deficiencies and/or business productivity/efficiency opportunities.

• Partners with PerformCare New Jersey line of business and corporate counterparts to review and assess objectives that ensure compliance with PerformCare New Jersey line of business and corporate policies and procedures.

• Implements and monitors metrics and ensures accurate reporting of compliance information.

• Ensure that local compliance-related issues and risks are reported.

• Conduct routine and ad-hoc compliance assessments/research.

• Assist in the training of New Jersey line of business associates.

• The Manager, Compliance must be able to operate independently with minimal management oversight and be able to manage competing priorities and deadlines that are subject to frequent change. Must possess and exercise excellent professional judgment in all interactions.

Education/Experience:

• Bachelor’s Degree in Business, Social Science, or relevant field required.

• CHC preferred

• 3 to 5 years in a managed healthcare environment, including experience in the areas of compliance oversight is a must.

• Knowledge of compliance concepts and practices (strategies, control activities, information analysis, reporting, and communication.

• Strong analytical and research skills, able to synthesize information to provide practical solutions to accomplish meaningful results.

• Self-motivated with demonstrated project management skills.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

EOE Minorities/Females/Protected Veterans/Disabled