Managed Care Compliance - Manager

Are you a detail-oriented and driven individual with a passion for healthcare compliance? Do you thrive in a fast-paced environment and have a strong understanding of managed care regulations? PricewaterhouseCoopers is seeking a highly skilled and experienced Managed Care Compliance Manager to join our team and oversee compliance for our managed care clients. In this role, you will play a critical role in ensuring our clients' adherence to legal and regulatory requirements, while also providing strategic guidance to help them navigate the ever-changing healthcare landscape. If you have a strong background in managed care compliance and a desire to make a meaningful impact in the healthcare industry, we want to hear from you. Join us at PwC and take the next step in your career as a Managed Care Compliance Manager.

1. Develop and implement compliance programs for managed care clients in accordance with relevant laws and regulations.
2. Monitor and assess compliance risks for managed care clients and provide recommendations for mitigation.
3. Conduct audits and reviews of managed care operations to ensure compliance with contractual obligations and regulatory requirements.
4. Provide guidance and support to managed care clients on compliance matters, including interpretation of laws and regulations and best practices.
5. Stay up-to-date on changes and updates to managed care regulations and communicate relevant information to clients.
6. Collaborate with internal teams to identify and address potential compliance issues.
7. Develop and maintain strong relationships with managed care clients and serve as a trusted advisor on compliance matters.
8. Train and educate team members and clients on compliance policies, procedures, and regulations.
9. Prepare and submit compliance reports to regulatory agencies as required.
10. Review and revise policies and procedures to ensure compliance with changing regulations.
11. Lead and manage a team of compliance professionals, providing guidance, direction, and performance evaluations.
12. Participate in industry events and conferences to stay current on managed care compliance trends and best practices.
13. Identify opportunities for process improvement and efficiency in managing compliance for managed care clients.
14. Collaborate with cross-functional teams to develop solutions for complex compliance issues.
15. Serve as a subject matter expert on managed care compliance for internal and external stakeholders.

According to JobzMall, the average salary range for a Managed Care Compliance - Manager in Houston, TX, USA is $120,000-$150,000 per year. This may vary depending on the specific company, years of experience, and skills of the individual.

PricewaterhouseCoopers is a multinational professional services network with headquarters in London, United Kingdom. PwC ranks as the second largest professional services firm in the world and is one of the Big Four auditors, along with Deloitte, EY and KPMG.