Clinical Compliance Program Manager

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Clinical Compliance Program Manager in United States.

This role plays a key part in ensuring clinical and operational compliance across post-acute healthcare environments by aligning utilization management practices with federal and state regulatory requirements. You will act as a clinical subject matter expert supporting compliance programs that span CMS, NCQA, and other accreditation standards, helping ensure consistency, accuracy, and regulatory adherence across care settings. The position involves analyzing performance data, conducting audits, and leading root cause investigations to identify improvement opportunities in clinical and operational processes. You will collaborate closely with cross-functional teams to implement policy updates, enhance documentation standards, and support regulatory readiness. The environment is highly analytical and mission-driven, with a strong focus on healthcare quality, compliance excellence, and continuous improvement. This is a remote U.S.-based role with exposure to large-scale healthcare systems and regulatory frameworks.