Compliance - FDR Manager

About the Role

Day-to-day responsibilities will include collaborating with various stakeholders, both internal and external, to ensure that all FDRs are complying with regulatory requirements. This includes working closely with the compliance team to develop and implement effective audit processes, as well as with external partners to address any compliance issues that may arise. The ability to work effectively in a remote-first environment is crucial, as is the capacity to manage multiple projects simultaneously and meet strict deadlines.

What You Will Do

• Conduct desktop and onsite audits of FDRs to ensure compliance with all applicable regulations
• Develop and implement effective audit processes and procedures
• Create detailed audit reports and scorecards to evaluate FDR compliance
• Identify and address compliance deficiencies, issuing Corrective Action Plans as necessary
• Collaborate with internal stakeholders to ensure that all FDRs are meeting regulatory requirements
• Develop and maintain relationships with external partners, including FDRs and regulatory bodies
• Stay up-to-date with changes in healthcare regulations, adapting audit processes as necessary
• Manage multiple projects simultaneously, prioritizing tasks to meet deadlines
• Analyze data and trends to identify areas for improvement in FDR compliance
• Present findings and recommendations to internal leadership and external partners

What We Are Looking For

• 2-5 years of experience in healthcare auditing or insurance operations, with a deep understanding of Medicare Part C & D standards
• Proven ability to manage audits and compliance reports, with meticulous attention to detail
• Experience in overseeing FDRs, including the ability to identify non-compliance and drive meaningful resolution
• Strong project management skills, with the ability to meet strict deadlines in a fast-paced environment
• Excellent communication and interpersonal skills, with the ability to work effectively with internal and external stakeholders
• Ability to translate complex audit findings into clear presentations and written reports
• Proficiency in Google Workspace (Docs, Sheets, Slides) and Slack
• Active interest or experience in applying Generative AI or LLMs to automate routine audit tasks

Nice to Have

• Experience with compliance software and systems
• Certification in a related field, such as healthcare compliance or auditing
• Knowledge of CMS regulations and guidelines
• Experience in managing remote teams or working in a remote-first environment

Benefits and Perks

• Competitive salary
• Employer-sponsored health, dental, and vision plan with low or no premium
• Generous paid time off
• 00 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Director and above
• Commission eligibility for Sales roles
• Parental leave program
• 401K program

• Ensure your resume highlights specific experience in healthcare auditing or insurance operations, particularly with Medicare Part C & D standards.
• Be prepared to discuss how you have managed audits and compliance reports in previous roles, including any challenges you faced and how you overcame them.
• Develop a thorough understanding of the company's compliance processes and be ready to ask informed questions during the interview.
• Showcase your ability to work effectively in a remote-first environment, including your experience with project management tools and communication platforms.
• Consider creating a portfolio of your work, including examples of audit reports and compliance plans you have developed, to demonstrate your skills to potential employers.
• When negotiating salary, be sure to emphasize your relevant experience and the value you can bring to the organization, and do not hesitate to ask about additional benefits such as stock options or professional development opportunities.