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Senior Regulatory Compliance Manager

Cohere Health is a fast-growing clinical intelligence company focused on improving lives at scale with the best patient-specific care options using cutting-edge AI. They are looking for a Sr. Regulatory Compliance Manager to enhance their compliance program.

Skills

  • Regulatory compliance
  • Healthcare knowledge
  • Leadership communication
  • Risk assessment
  • Audit processes

Responsibilities

  • Maintains knowledge of state and federal legislation for health care and health insurance
  • Ensures compliance against regulatory standards
  • Provides regulatory compliance guidance to leadership
  • Responds to compliance inquiries
  • Leads Cohere’s Legislative Implementation process
  • Collaborates on compliance program enhancements

Education

  • Bachelor’s degree or equivalent experience in health insurance

Benefits

  • Health insurance
  • 401k
  • Bonus programs
To read the complete job description, please click on the ‘Apply’ button
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Average salary estimate

$145000 / YEARLY (est.)
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$130000K
$160000K

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What You Should Know About Senior Regulatory Compliance Manager, Cohere Health

Cohere Health is looking for an enthusiastic Senior Regulatory Compliance Manager to join our innovative team in the United States. As a fast-growing clinical intelligence company, Cohere is on a mission to improve patient care through cutting-edge AI and deep clinical expertise. In this role, you'll play a critical part in enhancing our compliance program by researching and analyzing federal and state regulations as well as NCQA and URAC standards. You will also offer guidance to various stakeholders on compliance matters while collaborating closely with our compliance and quality team. Your day-to-day responsibilities will include reviewing our operating practices against regulatory standards and leading the Legislative Implementation process. Your experiences in healthcare compliance, particularly in Utilization Management or health plan roles, will be invaluable here. At Cohere, we are not just about crunching numbers; we value empathetic teamwork and foster an inclusive environment where everyone feels supported. If you're passionate about healthcare compliance and want to be part of a transformative team, we would love to meet you!

Frequently Asked Questions (FAQs) for Senior Regulatory Compliance Manager Role at Cohere Health
What are the primary responsibilities of a Senior Regulatory Compliance Manager at Cohere Health?

At Cohere Health, the Senior Regulatory Compliance Manager is primarily responsible for researching federal and state regulations and providing guidance to leadership on compliance-related matters. This includes analyzing operating practices against regulatory standards, leading the Legislative Implementation process, and participating in projects that enhance our compliance program.

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What qualifications are required for the Senior Regulatory Compliance Manager role at Cohere Health?

Candidates for the Senior Regulatory Compliance Manager role at Cohere Health should have a Bachelor’s degree or equivalent experience in health insurance, along with a minimum of 6 years in healthcare compliance. Experience in Medicare/Medicaid and knowledge of HIPAA Privacy are preferred, and a Healthcare Compliance certification (CHC) is a plus.

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How does Cohere Health ensure compliance with regulations?

Cohere Health ensures compliance by regularly reviewing operating practices and systems against established regulatory standards. The Senior Regulatory Compliance Manager plays a key role in this process, working with various stakeholders to analyze and improve compliance practices through audits, risk assessments, and informed recommendations.

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Can you describe the culture at Cohere Health for the Senior Regulatory Compliance Manager?

Cohere Health promotes a culture of empathy, respect, and inclusion. As a Senior Regulatory Compliance Manager, you will be part of a cohesive team that values collaboration and growth, ensuring that every team member feels supported and valued in driving the company's mission of improving patient care.

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What is the salary range for the Senior Regulatory Compliance Manager role at Cohere Health?

The salary range for the Senior Regulatory Compliance Manager at Cohere Health is between $130,000 and $160,000 annually. This includes a comprehensive benefits package that encompasses health insurance, a 401k plan, and potential bonuses, tailored to the individual’s qualifications and expertise.

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Common Interview Questions for Senior Regulatory Compliance Manager
What experience do you have in healthcare compliance?

When answering this question, provide a detailed overview of your previous roles in healthcare compliance, emphasizing any specific knowledge of regulations relevant to the Senior Regulatory Compliance Manager position at Cohere Health, such as Medicare/Medicaid compliance or HIPAA Privacy.

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How do you stay updated on changes in regulations?

To effectively tackle this question, discuss the resources you utilize to stay informed, such as newsletters, industry webinars, or networking with other compliance professionals. Mention how you would apply this knowledge to your role at Cohere Health.

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Can you describe a time when you identified a compliance issue?

When responding, share a specific example where you recognized a compliance concern, the steps you took to address it, and the outcomes of those actions. Highlight your problem-solving abilities relevant to the Senior Regulatory Compliance Manager role.

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What techniques do you use to provide compliance training for staff?

In your response, consider elaborating on your methods for creating effective training programs tailored to various departments. Discuss your approach to engaging employees and ensuring they understand compliance responsibilities in their roles.

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How would you handle conflicting compliance inquiries from internal stakeholders?

Explain your strategy for addressing conflicting inquiries, emphasizing your commitment to thorough research and communication. Discuss your collaborative approach to provide clear, actionable guidance within the framework of Cohere Health’s compliance strategy.

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What role does data analysis play in compliance management?

Discuss the importance of data analysis in monitoring compliance metrics, identifying potential issues, and evaluating program effectiveness. Mention specific tools or methodologies you’ve used, relating them to the responsibilities of the Senior Regulatory Compliance Manager.

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Describe your experience with legislative implementation processes.

Here, provide details regarding any past implementations you've managed, focusing on your role, the challenges faced, and how those experiences would be applied as a Senior Regulatory Compliance Manager at Cohere Health.

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How do you approach risk assessment in compliance?

Talk about your methodology for conducting risk assessments, including steps you take to evaluate and prioritize risks, and how you would implement strategies to mitigate them within the compliance framework at Cohere Health.

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What strategies would you employ to foster a culture of compliance across the organization?

Outline the approaches you’d take to promote a compliance-focused culture, such as regular training sessions, open communication about compliance issues, and the importance of leadership buy-in, especially relevant to your future role at Cohere Health.

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How do you ensure effective communication of compliance initiatives to various departments?

In your answer, highlight the importance of tailoring communication to different audiences and ensuring clarity. Discuss tools or platforms you use to facilitate this communication, ensuring buy-in from teams across the organization.

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Cohere Health will simplify healthcare by enabling patients, physicians, and health plans to collaborate on getting the right care -- at the right time, at the right place, and with the right value. Our focus is to enable an efficient, transparent...

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BENEFITS & PERKS
Disability Insurance
Flexible Spending Account (FSA)
Health Savings Account (HSA)
Vision Insurance
Performance Bonus
Paid Holidays
FUNDING
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
SALARY RANGE
$130,000/yr - $160,000/yr
EMPLOYMENT TYPE
Full-time, on-site
DATE POSTED
March 18, 2025

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