Manager of Contracts and Compliance

As the Manager of Contracts and Compliance, you will oversee contracting and compliance of the Tailored Care Pathways program on behalf of Telligen. This includes providing subject matter expertise and business advisory support as it relates to these programs. You will be the primary resource and point of contact for all contracting activities for the company. This is a hybrid position. Telligen will only consider candidates who can commit to a hybrid schedule out of our Oak Brook, Illinois or West Des Moines, Iowa location The Illinois Tailored Care Management Program helps individuals with complex health and social needs transition from nursing facilities and Specialized Mental Health Rehabilitation Facilities (SMHRFs) to community-based living. Through person-centered care management and coordinated support services, the program empowers members to live more independently and thrive in their communities.

Ensures TCMP programs and services are provided, documented, and reported in accordance with existing and future HFS policies and requirements applicable to the Williams and Colbert Consent Decrees. Develops, implements, and maintains policies, procedures, processes, and practices designed to ensure compliance with contractual and program requirements. Reviews contract requirements, policies, and program guidance and translates those requirements into operational procedures and compliance activities. Monitors program activities and documentation to assess compliance with applicable requirements and identifies areas requiring follow-up or corrective action. Coordinates with program leadership and operational teams to address compliance concerns and support timely resolution of identified issues. Maintains documentation necessary to demonstrate compliance with contractual, regulatory, and program requirements. Supports the preparation, review, and submission of required reports, documentation, and other contract deliverables. Monitors changes to HFS policies, contractual requirements, and program guidance and coordinates updates to internal policies and procedures as appropriate. Assists with internal and external audits, monitoring activities, and compliance reviews, including gathering documentation and responding to requests for information. Identifies compliance risks and opportunities for process improvement and recommends appropriate corrective or preventive actions. Tracks compliance issues and corrective actions through resolution and maintains appropriate supporting documentation. Provides guidance and education to staff regarding applicable contract requirements, policies, procedures, and compliance expectations. Collaborates with internal stakeholders to promote consistent implementation of TCMP requirements across program operations. Performs other duties related to contract and program compliance as assigned.

Bachelor’s degree in business administration, healthcare administration, public administration, compliance, or a related field, or equivalent experience. 7+ years of experience in contract compliance, healthcare program administration, regulatory compliance, quality management, or related discipline. Required experience with healthcare regulatory compliance and Medicaid programs. Minimum 1 year experience leading or managing staff in a compliance or contracting discipline. Ability to interpret contracts, policies, regulations, and program guidance and translate requirements into operational procedures and compliance activities. Strong analytical, organizational, documentation, problem-solving, customer service, and communication skills, with the ability to manage competing deadlines and collaborate across functions. Proficiency with Word, Excel, Adobe Acrobat, and database or customer relationship management systems. Ability to manage multiple requirements, deadlines, and compliance activities simultaneously. Ability to work collaboratively with program, operational, quality, and leadership teams. Ability to manage overnight travel of 5%-10%

Knowledge of applicable OMB policies and Federal Acquisition Regulations preferred NCMA certification preferred.