Compliance Officer
Lucet
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $160,000 - $190,000 per year
About the role
- Lead and maintain organization‑wide compliance and privacy programs aligned with CMS, NCQA, URAC, HIPAA, HITECH, and federal/state regulations.
- Conduct risk assessments and develop compliance plans, controls, and KPIs to ensure regulatory adherence.
- Manage internal audits, regulatory audits, accreditations, and controls to prevent and detect unethical or improper conduct.
- Oversee Program Integrity investigations to identify, investigate, remediate, and refer cases of fraud, waste, and abuse.
- Partner with internal and external stakeholders, including leadership and the Board, to ensure compliance across products, processes, and initiatives.
- Build a strong culture of compliance through training, education, and support that makes compliance easy and embedded in daily operations.
Requirements
- Bachelor’s degree
- Advanced degree preferred (JD, MBA, MPH, MHA, or equivalent)
- 10+ years of progressive leadership experience in compliance, regulatory affairs or risk management within a health care services, delivery, or technology organization.
- 5+ years of executive-level leadership in compliance, internal audit, or related oversight functions.
- 5+ years of managed care experience with a health plan working through Medicare and health insurance regulatory requirements.
- 3 years of program integrity, claim integrity or SIU experience relating to fraud, waste, and abuse.
- Demonstrated leadership, including proven ability to establish a vision and drive structural change across the organization.
- Employee must have an active driver’s license and must be insurable.
- Ability to translate regulatory and legal requirements into practical, actionable advice and programs.
- Ability to pass background check upon hire and throughout employment.
Benefits
- Comprehensive health benefit options: Medical, dental, and vision coverage
- 401(k) with competitive employer match
- Company-paid life and disability insurance
- Paid parental leave and wellbeing incentives
- Generous paid time off, including volunteer time
- Flexible spending accounts for healthcare and dependent care
- Professional development opportunities and tuition reimbursement
- Remote work flexibility (role-dependent)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
compliance programsrisk assessmentscompliance plansinternal auditsregulatory auditsaccreditationsfraud investigationKPI developmentregulatory adherencemanaged care
Soft Skills
leadershipcommunicationorganizational skillsstakeholder engagementtraining and educationvision establishmentstructural change managementproblem-solvingcollaborationcultural development
Certifications
Bachelor’s degreeJDMBAMPHMHA