Job Overview
Location
Remote, USA
Job Type
Full-time
Category
HR & Recruiting
Date Posted
March 27, 2026
Full Job Description
đź“‹ Description
- • The Compliance Manager at Avesis Incorporated plays a critical role in safeguarding the organization’s adherence to federal and state regulations, internal policies, and ethical standards by leading audit and corrective action initiatives that protect legal, operational, and reputational integrity.
- • This role ensures that compliance risks are proactively identified, addressed, and resolved through structured audit processes, stakeholder collaboration, and team leadership, fostering a culture of accountability and transparency across the enterprise.
- • Day-to-day responsibilities include leading and overseeing a team in executing all phases of regulatory and client audits—from pre-site deliverables and mock audits to on-site logistics, written responses to findings, and corrective action planning.
- • The Compliance Manager interfaces directly with external clients and regulatory bodies to address inquiries, support examinations, and ensure timely, accurate communication throughout audit cycles.
- • They coordinate cross-functionally to document, monitor, and track corrective actions, driving accountability and ensuring successful resolution of compliance issues while maintaining alignment with organizational goals.
- • Close collaboration with compliance leadership is required to refine audit execution strategies, develop corrective action plans, and ensure consistency in methodology and reporting standards.
- • The role involves preparing and assisting with monthly metrics reporting, including synthesizing data for oversight committees and boards to support informed decision-making and regulatory transparency.
- • Performance management is a key function: the Compliance Manager monitors team productivity, provides regular feedback, coaches for development, and supports continuous improvement initiatives to elevate team effectiveness.
- • Proactively identifying compliance risks in partnership with business stakeholders enables early intervention, reducing exposure and strengthening preventive controls across operations.
- • Researching, interpreting, and communicating complex regulatory and contractual requirements—particularly those related to Medicare, Medicaid, and commercial health plans—is essential to ensure accurate application and adherence.
- • Fostering a positive, engaged, and inclusive team culture is central to the role, emphasizing mentorship, psychological safety, and recognition to retain talent and promote ethical behavior.
- • The Compliance Manager performs additional duties as assigned by leadership, demonstrating flexibility and commitment to organizational priorities in a dynamic regulatory environment.
- • About the team or company: Avesis Incorporated is a leading provider of supplemental benefits, dedicated to improving member wellness through innovative, personalized offerings in dental, vision, and ancillary health services, guided by a mission to create healthier communities and brighter futures.
- • The Compliance Department is a strategic pillar of the organization, working to embed ethics, transparency, and accountability into every operational layer by preventing, detecting, and correcting compliance risks before they impact legal standing or public trust.
- • Employees at Avesis are expected to perform at a high level while embodying humility, helpfulness, and positivity—values that define the culture and drive success in a mission-driven, people-first environment.
- • What the person can learn or achieve in this role: Develop advanced expertise in healthcare regulatory compliance, particularly within managed care and government-funded programs, positioning themselves as a trusted authority in audit and corrective action frameworks.
- • Gain hands-on leadership experience in managing compliance teams, refining audit methodologies, and influencing organizational policy through data-driven reporting and stakeholder engagement.
- • Build transferable skills in risk assessment, regulatory interpretation, cross-functional collaboration, and ethical leadership—competencies highly valued across healthcare, insurance, and regulated industries.
- • Contribute meaningfully to a culture of integrity by helping shape compliance practices that protect members, uphold legal obligations, and reinforce Avesis’s reputation as a responsible, member-centric organization.
🎯 Requirements
- • Bachelor’s degree in business, healthcare, or a related field, or equivalent combination of education and work experience
- • 5+ years of experience in compliance, privacy, regulatory affairs, or audit support within a highly regulated industry, preferably in government, healthcare, or managed care environments
- • 3–5 years of direct experience with Medicare, Medicaid, or commercial health plan regulations
- • Proficiency in Microsoft Word, Excel, and PowerPoint, including creating professional documents, complex spreadsheets with formulas and pivot tables, and polished presentations
- • Demonstrated ability to work independently, manage multiple priorities, meet deadlines, and maintain reliable remote work infrastructure (minimum 50 Mbps download / 10 Mbps upload hardwired)
- • Ability to travel up to 25% as needed for on-site audits or stakeholder engagements
🏖️ Benefits
- • Competitive compensation package with geographic pay zones ranging from $74,260 to $145,250 annually, plus eligibility for bonuses and commissions
- • Comprehensive medical, dental, supplemental health, life, and vision coverage for employees and dependents with no waiting period
- • Life and disability insurance, a 401(k) with company match, tuition assistance, paid parental leave, and backup family care support
- • Flexible time off, dress code, and work location policies designed to support work-life integration in a remote-friendly environment
- • Access to Employee Resource Groups, community volunteering opportunities, educational partnerships, and sustainability initiatives that promote inclusion and social responsibility
Skills & Technologies
Remote
Degree Required
About Avesis Incorporated
Avesis Incorporated provides vision, dental, and hearing benefit management services to Medicaid, Medicare Advantage, and commercial health plans. The company administers routine and specialty care networks, claims processing, member services, and utilization management for over 20 million covered lives across the United States. Its programs emphasize preventive care, accessible provider networks, and data-driven clinical oversight to improve oral, vision, and hearing health outcomes while controlling costs for public and private payers. Founded in 1978, Avesis is headquartered in Phoenix, Arizona, and operates as a wholly owned subsidiary of Guardian Life Insurance Company of America.
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