Compliance Program Manager (Government-Managed Healthcare Regulations)

About the Role

Liberty Dental Plan is seeking an experienced Compliance Program Manager to oversee regulatory and contractual compliance across Commercial, Exchange, Medicaid, and Medicare lines of business.

This role requires a deep understanding of government-managed healthcare regulations and the ability to collaborate cross-functionally to ensure adherence to compliance standards. The ideal candidate will have strong analytical skills, excellent communication abilities, and the discretion to handle sensitive matters.

What You’ll Do

Regulatory Oversight & Advisory

• Serve as a subject matter expert on regulatory and contractual requirements affecting Liberty Dental Plan’s business lines
• Monitor, track, and maintain a repository of regulatory requirements, summarizing key updates for leadership
• Collaborate with internal departments to implement new contract and regulatory requirements
• Research and advise on ad hoc compliance-related inquiries

Audits, Reviews & Accountability

• Respond to client and regulatory audits, including managing corrective action plans
• Review agreements, policies, and member-facing materials to ensure compliance with applicable requirements
• Manage findings from exclusion and preclusion screenings, ensuring timely investigation and appropriate action for employees, contractors, or vendors identified on federal and state exclusion lists (e.g., OIG LEIE, GSA SAM)

Risk Management & Reporting

• Oversee Liberty Dental Plan’s annual risk assessment, compliance workplan, and testing program
• Analyze compliance findings, identify trends, and provide performance improvement recommendations
• Develop and maintain compliance reporting tools, including dashboards and tracking summaries

Program Leadership & Operations

• Lead compliance-related initiatives and special projects, supporting process improvements
• Ensure compliance training materials are updated and coordinate enterprise-wide training
• Support the HIPAA compliance program, including incident management
• Coordinate Compliance Committee meetings and prepare reports for the Board of Directors
• Identify opportunities to strengthen Liberty Dental Plan’s culture of compliance

What Sets This Role Apart

✅ Enterprise-wide compliance ownership across multiple lines of business
✅ Direct impact on regulatory adherence and risk mitigation
✅ Visibility to leadership and Board-level reporting
✅ Opportunity to drive compliance program improvements

Qualifications

Education & Experience

• Bachelor’s degree required (or equivalent experience with relevant certifications)
• Minimum of 7 years of progressive experience in regulatory compliance roles
• At least 5 years of hands-on HIPAA privacy compliance experience, including implementing and managing HIPAA privacy programs
• Experience in government-managed or regulated healthcare preferred

Skills & Expertise

• Strong critical thinking and problem-solving skills
• Experience compiling, analyzing, and organizing regulatory data
• Advanced proficiency in Microsoft Office (Excel, Word, PowerPoint, SharePoint)
• Intermediate to advanced Excel skills (pivot tables, charts, macros, external data connections preferred)
• Effective communication skills across all levels of the organization

Core Capabilities

• Strong analytical and decision-making skills
• Ability to interpret complex regulatory requirements and apply them operationally
• High level of attention to detail and organizational discipline
• Professional judgment and discretion when handling confidential information
   

Why Join Liberty Dental Plan

At Liberty Dental Plan, you will play a key role in supporting a strong compliance framework that ensures regulatory integrity and operational excellence across the organization.

Apply Today

If you are a compliance professional with a passion for regulatory excellence, we encourage you to apply.