Claims Compliance Program Manager

Job Summary

Managing claims compliance activities, the full-time salaried Claims Compliance Program Manager will oversee operational quality initiatives, monitor key performance indicators, and collaborate cross-functionally to address compliance gaps in a remote environment.

Key responsibilities

• Monitor claims compliance activities and analyze data to identify trends, risks, and areas for improvement
• Coordinate internal, financial, and regulatory audits while tracking compliance issues and collaborating for timely remediation
• Develop and update policies, procedures, and compliance materials to reinforce operational and regulatory standards

Required qualifications

• Bachelor's degree or equivalent work experience
• Experience in developing and standardizing standard operating procedures (SOPs) and workflow documentation
• Strong interpersonal skills for effective collaboration across teams
• Proficient in drafting compliance reports and audit documentation
• Proven ability to manage multiple priorities and support operational monitoring activities