Hi
Role : Healthcare Project/Program
Location : Long Beach, CA - Hybrid
Key Responsibilities:
• Own and manage end-to-end compliance platform programs leveraging Inovaare, spanning multiple workstreams, releases, and regulatory cycles.
• Define program scope, objectives, success metrics, and delivery roadmaps aligned with regulatory and business outcomes.
• Drive integrated planning across compliance configuration, rule updates, workflow automation, integrations, data ingestion, reporting, and user adoption.
• Ensure delivery commitments across schedule, budget, quality, and scope.
• Serve as the primary point of contact for client compliance leadership, regulatory teams, IT, security, legal, and external vendors.
• Establish and run program governance, including steering committees, executive reviews, RAID management, and compliance status reporting.
• Translate regulatory and business requirements into actionable program deliverables across compliance operations and technology teams.
• Proactively manage risks, dependencies, regulatory changes, and escalations with clearly defined mitigation strategies.
• Ensure compliance platform solutions align with healthcare regulatory requirements, including CMS mandates, HIPAA, PHI handling, data privacy, and audit controls.
• Collaborate with compliance, security, privacy, and legal teams to embed controls into Inovaare workflows, rules engines, and reporting processes.
• Support audit readiness, regulatory submissions, and documentation for internal and external audits.
• Oversee integrations between Inovaare and upstream/downstream systems such as claims, enrollment, provider data, member systems, analytics, and reporting platforms.
• Guide teams on best practices for compliance platform architecture, release management, and regulatory update cycles.
• Partner with architects, product owners, and compliance SMEs to ensure scalable, secure, and future-ready compliance solutions.
• Manage program budgets, forecasts, and resource plans, including onshore/offshore delivery models.
• Track benefits realization, ROI, and value delivery tied to regulatory adherence, reduced audit findings, and operational efficiency.
• Support SOW execution, change requests, and commercial governance as required.
Required Qualifications
• 8+ years of overall experience in Program Management or Large-Scale Project Management.
• 5+ years of hands-on experience managing compliance or regulatory platform programs (Inovaare preferred).
• Strong experience in the Healthcare domain (Payer, Provider, or Health Services), with a solid understanding of healthcare regulations and compliance operations.
• Proven track record of managing multi-vendor, cross-functional compliance programs.
• Strong expertise in Agile, Hybrid, and Waterfall delivery models.
• Experience managing programs involving CMS regulations, audits, and compliance reporting.
• Excellent communication, stakeholder management, and executive presentation skills.
Never miss an opportunity! Create an alert based on the job you applied for.