Clinical Compliance Manager

Monogram Health

. Lead, administer, and continuously improve key components of the Compliance Program to support organizational objectives .

Posted 5/22/2026full-timeBrentwood • Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Lead, administer, and continuously improve key components of the Compliance Program to support organizational objectives
Conduct compliance oversight activities, including monitoring and auditing, to assess adherence to regulatory requirements (e.g., CMS) and contractual obligations
Drive and support compliance risk assessments, as well as work plan development and implementation, aligning enterprise priorities with regulatory expectations
Serve as a primary liaison internally for assigned compliance activities, including audits, inquiries, etc. as tied to the annual risk assessment and compliance workplan
Provide subject matter expertise and strategic guidance to cross-functional teams on compliance matters, including interpretation and implementation of regulatory and contractual requirements
Collaborate with operational leaders to develop, review, and update policies and procedures in connection with completed compliance audit and monitoring activities
Develop and deliver reports and presentations on compliance activities, including audit and monitoring results to leadership and stakeholders
Lead or contribute to compliance-related projects, initiatives, and research to support program effectiveness and regulatory readiness
Conduct internal investigations related to concerns reported via the Compliance & Ethics Helpline or directly to the Compliance team; ensure proper documentation, tracking, and reporting

Requirements

What you’ll need

Bachelor’s degree in healthcare, nursing, legal studies, or a related field, or equivalent combination of education and relevant experience
Minimum of five (5) years of experience in Medicare Managed Care, with preferred expertise in Special Needs Plan Model of Care (SNP MOC) requirements, including D-SNP and C-SNP with at least three (3) years of leadership or supervisory experience
Active, unrestricted Registered Nurse (RN) license required
Certified in Healthcare Compliance (CHC) preferred (or willingness to obtain certification within a defined timeframe)
Extensive knowledge of Medicare and Medicaid compliance programs, including applicable regulatory frameworks and audit expectations
Influencing and stakeholder management skills, with the ability to build trust and drive alignment across cross-functional teams
Written and verbal communication skills, including the ability to translate complex regulatory requirements into clear, actionable guidance for diverse audiences
Critical thinking and risk-based decision-making skills, with the ability to assess compliance risks and recommend practical, business-aligned solutions
Integrity and ethical judgment, with a commitment to fostering a culture of accountability, transparency, and compliance.

Benefits

Comp & perks

Comprehensive Benefits - Medical, dental, and vision insurance
employee assistance program
employer-paid and voluntary life insurance
disability insurance
health and flexible spending accounts
Competitive compensation
401k with employer match
financial wellness resources
Paid holidays
flexible vacation time/PSSL
paid parental leave
Work life assistance resources
physical wellness perks
mental health support
employee referral program
BenefitHub for employee discounts

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

compliance oversightregulatory requirementsrisk assessmentsaudit and monitoringpolicy developmentinternal investigationsMedicare Managed CareSpecial Needs Plan Model of CareMedicaid complianceregulatory frameworks

Soft Skills

influencing skillsstakeholder managementwritten communicationverbal communicationcritical thinkingrisk-based decision-makingintegrityethical judgmenttrust buildingcollaboration

Certifications

Registered Nurse (RN) licenseCertified in Healthcare Compliance (CHC)