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Senior Compliance Manager

$130k - $145k

Teladoc Health

Join the team leading the next evolution of virtual care. At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives. Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we’re transforming how better health happens. Summary of Position The Compliance, Senior Manager is accountable for strengthening and advancing the organization's compliance program to ensure sustainable regulatory compliance, effective risk management, and a culture of ethics and accountability. This role partners with business leaders to proactively identify and mitigate compliance risks, improve organizational performance, and enable responsible business growth while maintaining trust with patients, customers, employees, regulators, and other stakeholders. Essential Duties And Responsibilities Compliance Program Management Support execution of the day-to-day Teladoc Health, Inc. Compliance Program in partnership with senior leadership Collaborate with Legal and cross-functional teams to support program execution Serve as a subject matter expert for designated compliance areas Oversee applicable compliance policies and procedures, including development, updates, and implementation Ensure adherence to internal controls and organizational compliance standards Maintain awareness of regulatory changes and evolving compliance best practices Stay current with applicable laws, regulations, and standards (e.g., Medicare/Medicaid, FWA laws) Provides guidance on regulatory matters concerning accessibility Assist with the development of RCM compliance-based training of relevant information on coding, billing, claims, denials, and revenue integrity to relevant roles Auditing, Monitoring & Controls Manage internal compliance audit controls to ensure compliance with policies, procedures, and regulatory requirements with a focus on RCM/Billing/Coding Identify opportunities for enhanced monitoring and additional investigative activities Monitor compliance activities and track results to identify trends and improvement opportunities Conduct internal audits of processes and procedures and implement corrective actions Contribute to development of the annual audit and compliance work plan and reporting of results RCM/ Billing/ Coding Own the RCM/Billing/Claims compliance framework and annual plan: risk assessment, controls inventory, monitoring/audit schedule, policy suite, and training roadmap. Provide routine dashboards and executive reporting on RCM compliance posture, issues, trends, corrective action status, and key risk indicators. Investigations & Issue Management Investigate compliance concerns and allegations as necessary and as related to RCM/ Billing/ Coding. Gather and analyze information to determine root causes. Partner with Legal, HR, and other departments during investigations. Assist in investigations related to regulatory inquiries (e.g., CMS, OIG) and internal compliance concerns where appropriate Ensure issues are escalated appropriately and corrective actions are implemented. Resolve compliance issues and track outcomes. Risk Assessment & Regulatory Oversight Lead the annual RCM compliance risk assessment; tailor by business line, modality (synchronous/asynchronous), specialty, and payer segment. Design and maintain preventive and detective controls across the revenue cycle in conjunction with the RCM department, which may include: Patient access/eligibility, financial clearance, referral/authorization. Coding/HIM, clinical documentation integrity. Charge capture and revenue integrity (including device-enabled CCM services). Claim edits/scrubbers, submission timelines, and clearinghouse exceptions. Payment posting, coordination of benefits, take-backs/recoupments. Denials, underpayments, appeals, and root-cause remediation. Credit balances, refunds, and escheatment. Assist with conducting overall risk assessments and gap analyses. Monitor federal and state regulatory changes. Communicate regulatory impacts to leadership. Develop or support processes necessary to address evolving regulatory requirements. Support development of processes to address evolving regulatory requirements Policy Development & Compliance Infrastructure Assist with development and maintenance of compliance policies and procedures where indicated. Support implementation of compliance standards and program requirements. Ensure adherence to regulatory and organizational requirements. Organize and maintain compliance-related documentation and resources Cross-Functional Collaboration Partner with Legal and other business functions on investigations and compliance initiatives. Work collaboratively across departments to support compliance objectives. Support regulatory responses and compliance-related activities Data Analysis & Continuous Improvement Analyze compliance-related data to identify risks and trends. Use findings to improve monitoring, investigative, and compliance processes. Identify opportunities to reduce organizational risk and strengthen program effectiveness. General Program Support Support the Chief Compliance Officer in execution of Enterprise Compliance Program Perform additional compliance-related duties as needed to support the overall program Qualifications Expected For Position Education & Experience Bachelor’s degree in a relevant field (e.g., business, legal, finance, or related discipline) preferred 8-10 years of experience in compliance, risk management, audit, or a related function Experience in regulated environments preferred (e.g., healthcare, financial services, insurance, or similar industries) Certifications (Preferred) Certified Compliance & Ethics Professional (CCEP), Certified Healthcare Compliance (CHC), or equivalent Other relevant certifications in risk, audit, or quality (e.g., CPHQ, CIA, CISA) Knowledge, Skills & Abilities Strong knowledge of compliance frameworks, regulatory requirements, and internal control principles Experience with audits, investigations, and risk assessments Ability to interpret regulations and translate them into actionable business practices Excellent communication and interpersonal skills, with the ability to influence stakeholders Ability to manage multiple priorities in a fast-paced environment High attention to detail, organization, and accountability Proficiency with standard business and reporting tools (e.g., Microsoft Office or equivalent) The base salary range for this position is $130,000 - $145,000. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2026. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions. We follow a Flexible Vacation Policy, intended for rest, relaxation, and personal time. All time off must be approved by your manager prior to use. You will also receive 80 hours of Paid Sick, Safe, and Caregiver Leave annually. This applies to full-time positions only. If you are applying for a part-time role, your recruiter can provide additional details. As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified. Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future. Why join Teladoc Health? Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission. Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference. Join a multi-faceted community that celebrates each colleague’s unique perspective and is focused on continually improving, each and every day. Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways. Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn. As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind. Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health’s Notice of Privacy Practices for U.S. Employees’ Personal information is available at this link. #J-18808-Ljbffr Teladoc Health

Vacancy posted 6 days ago
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