Jefferson Health
Compliance Program Manager, Provider Operations - Jefferson Health Plan
Philadelphia, PA · Manager · Full-time · Posted Oct 26, 2026
- Experience
- 5 years of experience in compliance, auditing, or risk management; healthcare operations or a highly regulated industry; managing or coordinating internal/external audits; or developing or overseeing compliance monitoring activities.
- Education
- Bachelor’s Degree in a relevant field such as Business Administration, Healthcare Administration, Public Health, Compliance, Risk Management, or a related field.
About the job
Oversees regulatory compliance across Medicare, Medicaid, CHIP, and ACA operations, including audits, monitoring, corrective action plans, reporting, and coordination between Compliance and Operations.
What you'll do
- Manage regulatory compliance activities, review policies and procedures, and support regulatory reporting.
- Conduct scheduled and targeted audits and monitoring; prepare teams for regulatory reviews and report findings.
- Develop and track corrective action plans, identify compliance risks, and support training and workflow improvements.
What they ask for
- Bachelor’s Degree in a relevant field such as Business Administration, Healthcare Administration, Public Health, Compliance, Risk Management, or a related field.
- Strong analytical and critical thinking skills to assess compliance risks and identify solutions.
- Ability to interpret and apply complex regulations and policies to business operations.
- Audit, monitoring, project/program management, communication, and corrective-action skills.
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