Compliance Program Manager, Provider Operations - Jefferson Health Plan

The Compliance Program Manager oversees compliance activities across all lines of business, including Medicare, Medicaid, CHIP, and ACA. This role ensures policies and procedures align with regulatory requirements, manages internal and external audits, and leads the development of corrective action plans. The manager conducts routine monitoring, supports regulatory reporting, identifies compliance risks, and drives operational improvements while serving as a key liaison between Compliance and Operations teams.