Senior Healthcare Compliance Manager at Express Employment Professionals - Birmingham, AL South

Job Summary:

Our client is seeking a Senior Regulatory Compliance Manager to oversee corporate regulatory compliance, internal policy adherence, quality assurance/quality improvement initiatives, and accreditation activities. This position reports directly to the Head of Commercial Operations and plays a key role in maintaining organizational excellence and compliance across all divisions.

Here's What Your Day-to-Day Looks Like:

• Ensure compliance with all applicable federal and state regulations, including ERISA, HIPAA, MHPAEA, and ACA
• Serve as liaison with healthcare attorneys on legislative and regulatory matters; recommend and implement policy changes as needed
• Manage corporate licensing requirements and oversee related audits and board meetings
• Develop client-specific NQTL analyses and maintain corporate reporting
• Oversee corporate complaints and appeals processes, including Federal External Reviews and Appeal Committee meetings
• Conduct staff orientation and compliance training; provide ongoing guidance on quality assurance and regulatory requirements
• Maintain all state licensing, certification, and registration filings, including name and trademark registrations
• Assist in the development and updating of clients’ benefit plan documents (SPDs, SBCs) to ensure compliance with federal regulations
• Oversee corporate accreditation processes and quality assurance programs
• Conduct divisional quality audits, including patient chart audits, and utilize findings to improve care management and service delivery
• Oversee patient satisfaction survey responses and assist in maintaining high satisfaction ratings
• Serve as corporate liaison for subpoenas, lawsuits, or complaints filed against the organization

Schedule & Pay:

• Schedule: Monday–Friday, 8:00 AM – 5:00 PM
• Onsite | Full-Time
• Salary: $120,000 – $150,000
• Potential Bonus up to $8,000 - $10,000

Here's What Makes YOU a Great Fit:

• Juris Doctor (JD) degree with advanced degree in clinical counseling
• Mental Healthy Parity is a plus
• 5+ years’ quality assurance experience
• Experience in managed care/PPO environment and case management/utilization review
• Proficiency in Microsoft Office Suite
• Strong communication, organization, and problem-solving skills
• Proven experience in staff supervision, training, and group presentations

Job Location:

Birmingham, Alabama

Benefits:

• Medical, Dental & Vision: Comprehensive coverage through Blue Cross Blue Shield and VSP, with company contributions toward premiums. Eligibility begins the 1st of the month following hire.
• Employee Assistance Program (EAP): Up to three free mental health sessions per year for employees, spouses, and dependents (up to age 26).
• Life & Voluntary Insurance: Company-paid life insurance (1x annual income, up to $200K) and options for supplemental life, short-term, long-term, and critical illness coverage. Eligibility typically after 6 months.
• Retirement: 401(k) plan with company match (100% up to 3%, 50% up to 2%) after probationary period.
• Paid Time Off:
• Vacation: 2–6 weeks, based on role and years of service.
• Sick Days: 8 days, accrued from first day.
• Holidays: 9 recognized holidays per year.
• Personal Days: 2 per year, available immediately.