Make an Impact Where Compliance Meets Care

At Liberty Dental Plan, we’re transforming access to oral healthcare—and compliance is at the heart of everything we do.

We’re looking for a Sr. UM Compliance Analyst who thrives in a dynamic environment, enjoys solving complex regulatory challenges, and is ready to play a high-visibility role influencing audit outcomes, CMS alignment, and operational excellence.

If you're passionate about Medicare/Medicaid compliance, audits, and driving meaningful change, this is your opportunity to lead and make a measurable impact.

What You’ll Do

You’ll serve as a key partner across Compliance, UM Operations, and Client teams to ensure we meet and exceed regulatory expectations.

Compliance & Audits

• Lead and manage UM audits (internal, external, client, CMS-related)
• Identify risks, analyze findings, and drive corrective action plans (CAPs)
• Monitor remediation effectiveness and implement sustainable controls 

Regulatory Expertise

• Interpret and operationalize CMS Medicare/Medicaid guidelines
• Stay ahead of regulatory changes and lead implementation efforts
• Research and resolve compliance issues with a solution-oriented mindset 

Cross-Functional Influence

• Partner with Account Management, System Configuration, and Compliance teams
• Ensure UM processes, policies, and member communications (letters/templates) meet all regulatory requirements  
• Collaborate with external stakeholders, including clients and regulatory entities 

Reporting & Leadership Exposure

• Present audit findings and compliance insights to leadership and committees
• Support compliance training and operational excellence initiatives

What Success Looks Like

You are:

• A subject matter expert in CMS regulations
• Comfortable owning audits end-to-end
• Skilled at translating complex regulations into actionable processes
• Seen as a trusted partner and advisor
• Confident communicating with both frontline teams and executive stakeholders 

What You Bring

Required:

• Bachelor’s degree or equivalent experience
• 4+ years in utilization management or healthcare compliance
• Deep knowledge of CMS Medicare/Medicaid regulations
• Experience with audits and corrective action plans (CAPs) 

Preferred:

• Experience in UM operations or healthcare payer environment
• Knowledge of compliance auditing frameworks and best practices
• Familiarity with tools such as HSP or Meditrac 

Key Strengths We’re Looking For

• Strategic thinker who can connect compliance to business impact
• Strong analytical + root cause problem-solving skills
• Exceptional communication and executive presence
• Ability to work independently and make sound decisions 
• Highly organized and able to manage multiple priorities under pressure 

Why Join Liberty?

• Remote flexibility
• Meaningful work impacting healthcare access and quality
• Strong collaboration across compliance, operations, and clinical teams
• Opportunity to grow within Compliance career pathways 

Hiring Process

• Recruiter Screening
• Hiring Manager Interview
• Final Panel with Compliance Leadership & SMEs 

Ready to Make an Impact?

If you’re a compliance professional who wants to lead, influence, and elevate healthcare quality through regulatory excellence, we’d love to meet you.