Manager, Compliance

Manager, Compliance – Manager II – Operations Who We Are: UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex administrative tasks, allowing our customers to prioritize members’ well‑being. With a commitment to simplicity, honesty, and leadership, we work with customers to navigate challenges and achieve affordable health care for all.

We have a global presence and a dedicated workforce of over 4,000 people worldwide. Our brand is built on simplicity, integrity, people‑centricity, and leadership, striving to unburden healthcare and ensure it reaches everyone equitably and effectively. You Are: This position supports the organization and clients in meeting Federal and State regulatory requirements and customer contractual compliance obligations.

The Opportunity: Communicate state and federal requirements to internal and external clients. Distribute, interpret, and monitor the implementation of regulatory changes. Prepare analyses/metric reports on regulatory communication and change‑management activities.

Oversee and maintain HealthEdge regulatory‑change‑management policies. Support compliance risk management and monitor plans. Partner with customer health plans (commercial, Medicare Advantage, Medicaid) to support regulatory requirements.

What You Need: Bachelor’s degree. Minimum of seven (7) years of health plan experience. Advanced proficiency with Microsoft Word, PowerPoint, and Excel.

Previous compliance and/or regulatory requirements experience. Relevant certification in healthcare compliance (e.g., CCEP, CHC) or completion of a graduate certification program. Working knowledge of health‑plan compliance, including monitoring, auditing, and corrective‑action implementation.

Deep understanding of health‑plan operations and how compliance interacts with business functions. Experience developing, maintaining, and reviewing policies and procedures for a healthcare compliance program. Compliance evaluation and auditing experience to identify operational problems and recommend solutions.

Strong ability to prioritize and manage multiple concurrent projects. Effective communication skills, including excellent writing, for reporting project risks and progress to senior management and partners. Proven collaboration and advising ability on compliance matters.

Ability to develop practical business solutions and facilitate risk assessment. Compensation The compensation range is $100,000–$120,000 per year, varying by office location, role, skill set, education, and experience. Role Location Remote.

Benefits Full‑time regular employees accrue up to 16 days of paid vacation per year, 6 days of paid sick leave, 10 paid holidays, and bereavement leave. They are eligible for a 401(k) retirement plan with employer matching, medical, dental, and vision insurance, basic life insurance, accidental death and disability, short‑ and long‑term disability, an HSA, and an FSA. Certain employees may earn quarterly incentive‑based bonuses or commissions depending on role.

Part‑time and temporary employees have paid sick leave and access to the company 401(k). All U.S. employees receive benefits per local laws regarding paid sick leave. What We Believe At UST HealthProof, we envision a bold future for American healthcare.

Our values—simplicity, integrity, people‑centricity, and leadership—guide every decision. We commit to unburdening healthcare so that plans can focus on member well‑being. Guiding Principles Simplicity : Simplify complexity with actionable insights.

Integrity : Build relationships with openness, honesty, and transparency. People‑Centricity : Foster transformative relationships that impact lives. Leadership : Own all aspects of work, drive completion and responsibility.

Mission A future wherein health plans are free from administrative burdens, so they can focus on member well‑being. Equal Employment Opportunity Statement UST HealthProof is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

We consider qualified applicants with arrest or conviction records in accordance with law. Skills Operational support Health plan compliance Auditing Change management Medicaid plans Compliance monitoring Regulatory communication Disclaimers UST HealthProof reserves the right to periodically redefine roles and responsibilities based on organizational needs and performance. #J-18808-Ljbffr