Managed Care Compliance - Manager

Are you passionate about ensuring compliance in the rapidly evolving world of managed care? Do you have a strong understanding of regulatory requirements and the ability to navigate complex compliance issues? PricewaterhouseCoopers is seeking a driven and knowledgeable Managed Care Compliance Manager to join our team. As a key member of our healthcare consulting practice, you will play a vital role in helping our clients navigate the ever-changing landscape of managed care compliance. If you have a strong background in healthcare compliance and a desire to make a meaningful impact, we want to hear from you. Join our team and help us shape the future of managed care compliance.

1. Develop and maintain a thorough understanding of federal and state regulations related to managed care compliance.
2. Monitor and assess changes in regulatory requirements and communicate updates to relevant stakeholders.
3. Collaborate with clients to identify potential compliance gaps and develop strategies to address them.
4. Conduct regular compliance audits and risk assessments to ensure adherence to regulations and identify areas for improvement.
5. Advise clients on best practices for managing compliance risks and developing effective compliance programs.
6. Stay current on industry trends and best practices in managed care compliance to provide innovative solutions to clients.
7. Assist clients in responding to compliance inquiries and investigations from regulatory bodies.
8. Create and deliver training programs for clients on relevant compliance topics.
9. Work closely with cross-functional teams to ensure compliance considerations are integrated into business processes and projects.
10. Maintain accurate and organized documentation of compliance activities and findings.
11. Communicate and report on compliance issues and progress to senior management.
12. Act as a subject matter expert on managed care compliance, providing guidance and support to colleagues and clients.
13. Continuously identify opportunities to improve and streamline compliance processes and procedures.
14. Uphold the highest ethical standards and promote a culture of compliance within the organization.
15. Represent the company at industry conferences and events to stay updated on the latest developments in managed care compliance.

According to JobzMall, the average salary range for a Managed Care Compliance - Manager in Philadelphia, PA, USA is $95,000 - $135,000 per year. This salary range may vary depending on the specific job responsibilities, level of experience, and the employer's salary structure.

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.