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# Senior Compliance Administrator - Network, Provider, Product

- **Company:** Louisiana Healthcare Connections, Inc.
- **Location:** United States
- **Experience:** Expert
- **Salary:** $87,700.0 - $157,800.0
- **Contract:** Permanent contract
- **Skills:** Issue Tracking Systems, Strategies of Testing
- **Published:** October 25, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=8d153d1e6808c087

## About the Role

* Bachelor's degree in a related field (e.g., healthcare administration, public health, policy) or equivalent experience required. Master's Degree or Juris Doctor preferred.
 * 5+ years Compliance, regulatory, operations, or risk management within a regulated industry (e.g., healthcare, managed care, insurance, or public sector).
 * 4+ years Compliance advisory experience to include regulatory research and drafting compliance guidance, assessing risk, issue tracking, auditing / monitoring, and overseeing the development and implementation of correction action plans required.
 * 2+ years experience supporting managed care, Medicare Advantage/Part D, or Dual Eligible (DSNP) programs.
 * Foundational knowledge of Medicare regulations, including CMS guidance and compliance expectations (e.g., Parts C & D)
 * Strong written and verbal communication skills.
 * Strong analytical, organizational and documentation skills with attention to detail.
 * Ability to manage multiple assignments and meet deadlines in a fast-paced environment.

 * Certified in Healthcare Compliance (CHC) preferred.
 * Familiarity with CMS audit protocols, program audits, or monitoring activities preferred.
 * Experience working in a matrixed or cross-functional environment preferred.

## Description

* Execute the Medicare Compliance Program in alignment with CMS and applicable federal and state regulations, ensuring prevention, detection, and correction of noncompliance and FWA.
 * Interprets and translates federal, state, and contractual requirements into clear, actionable compliance guidance for business stakeholders, ensuring consistent understanding and application across operations.
 * Develops and coordinates regulatory communications, including responses to inquiries, issue summaries, and disclosures, while serving as a liaison with internal stakeholders and external regulators as appropriate.
 * Supports the preparation, validation, and submission of regulatory reports, attestations, and filings, ensuring accuracy, completeness, and timeliness of all deliverables.
 * Proactively identifies compliance risks and evaluates business processes to assess exposure, provide risk stratification, and recommend mitigation strategies.
 * Leads or supports issue identification, root cause analysis, and development of corrective action plans to ensure effective and compliant resolution of identified gaps.
 * Provides subject matter expertise to audit and monitoring activities, including supporting audit scope development, testing strategies, and ongoing compliance oversight.
 * Partners with internal and external stakeholders to support audit execution, regulatory reviews, and ongoing audit readiness activities.
 * Evaluates remediation plans and validates corrective actions to ensure sustainable and compliant resolution of issues, including assessment of regulatory reporting or disclosure requirements.
 * Contributes to the development and delivery of compliance training, while mentoring stakeholders on regulatory requirements, policies, and best practices.
 * Reviews and assesses policies, procedures, and business processes to ensure alignment with regulatory and contractual requirements and organizational standards.
 * Leads or contributes to cross-functional initiatives to enhance compliance processes, drive operational efficiency, and align compliance activities with organizational objectives.
 * Monitors regulatory developments and industry trends to identify emerging risks and support continuous improvement of compliance programs.
 * Collaborates with compliance, legal, audit, and operational partners to ensure coordinated execution of compliance activities across business areas.
 * Performs other duties as assigned.
 * Complies with all policies and standards.