Senior Director of Product Compliance- Mostly Remote

Posted 3 hours ago

United States

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Senior Director of Product Compliance
Salary Range: $190,000 â $210,000 per year
Location: New York, NY
Work Arrangement: Remote â Occasional In-Person Attendance Required
Employment Type: Full-Time, Permanent Placement
Position Summary
RCM Healthcare Services is recruiting an experienced Senior Director of Product Compliance for a well-established healthcare organization. This senior leadership role oversees regulatory compliance and external audit functions across multiple government-sponsored and commercial health insurance products. The ideal candidate will have extensive experience in managed care compliance, Medicare and Medicaid regulations, regulatory audits, and leading multidisciplinary compliance teams.
Responsibilities
Schedule / Work Arrangement

Full-time, permanent position.
Remote, with occasional in-person attendance approximately 4â6 times annually.
Required in-person attendance may involve employee-paid travel expenses.

Key Duties

Lead state, federal, and integrated product compliance programs and external regulatory audit functions across multiple health insurance lines of business.
Oversee regulatory audits, CMS examinations, state regulatory reviews, compliance risk assessments, and corrective action plans.
Direct implementation and monitoring of healthcare regulatory requirements, including Medicare Advantage, Medicaid Managed Care, MLTC, and integrated products.
Partner with senior leadership to identify regulatory risks, develop compliance strategies, and oversee organizational audit readiness and delegation compliance.
Manage and develop compliance Directors, managers, and teams while presenting compliance findings and recommendations to executive leadership and governance committees.

Requirements
Education

Required: Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Law, or related field.
Preferred: Master's degree in Healthcare Administration, Public Health, Business Administration, Law, or related discipline.

Experience

Minimum of 10 years of progressive experience in healthcare compliance, managed care operations, regulatory affairs, auditing, or related healthcare functions.
Minimum of 5 years of leadership experience managing managers, Directors, or multidisciplinary teams.
Extensive knowledge of Medicare Advantage, Medicaid Managed Care, MLTC, integrated healthcare products, and New York State healthcare regulations.
Demonstrated experience managing external regulatory audits, compliance investigations, corrective action plans, and regulatory implementation programs.

Licenses & Certifications

Preferred: Certified in Healthcare Compliance (CHC) or Certified Compliance & Ethics Professional (CCEP).

Skills

Strong knowledge of CMS, New York State Department of Health, OIG guidance, and managed care regulatory requirements.
Proven leadership and strategic planning skills with experience overseeing complex compliance programs.
Excellent analytical, communication, project management, and executive presentation skills.
Ability to assess regulatory risks, develop corrective action strategies, and collaborate across departments.

About Us
RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences. With more than 50 years of staffing experience, our team understands the environments youâre stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. Weâre committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being. RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.
Equal Employment Opportunity & Reasonable Accommodation
RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.

#ACP
#AC1

RCM Healthcare Services

Senior Director of Product Compliance- Mostly Remote

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