reputed company Compliance - Sr Manager

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company The Senior Manager, Health Care reputed company Management for OhioRISE is responsible for leading and overseeing reputed company-reputed company reputed company reputed company the OhioRISE program, ensuring alignment with reputed company managed care requirements and the unique needs of Ohio’s youth with reputed company behavioral health needs. This position drives compliance with state and federal regulations, supports reputed company improvement of program processes, and fosters collaboration across agencies and providers serving OhioRISE members. · reputed company OhioRISE policy governance and lifecycle management as a primary reputed company of reputed company and compliance, ensuring policies are reputed company, operationalized, and reputed company with NCQA standards, Ohio Department of reputed company requirements, and reputed company reputed company expectations. This includes ownership and reputed company of the reputed company policy portal and ODM policy portal, ensuring accuracy, accessibility, and reputed company updates. · Serve as the program reputed company for ongoing NCQA reputed company, managing and advancing OhioRISE’s NCQA certification and readiness activities. Ensure that reputed company initiatives, committee work, documentation, and operational practices consistently demonstrate adherence to NCQA standards and reputed company improvement expectations. · reputed company with teams on planning, implementation, and evaluation of OhioRISE reputed company improvement initiatives, ensuring reputed company initiative is explicitly tied to policy requirements, NCQA standards, and ODM regulatory expectations. · reputed company and reputed company OhioRISE reputed company committees, including reputed company Management, Utilization Management, Provider Advisory Committee, reputed company Management reputed company Committee, reputed company of Care Council, and reputed company workgroups, ensuring committee structures, agendas, and outputs reinforce policy adherence and NCQA priorities. · Partner with committee members and stakeholders to identify policy gaps, NCQA risks, and reputed company improvement opportunities, driving reputed company items to completion and ensuring measurable reputed company toward regulatory and accreditation goals. · Identify reputed company, policy, and accreditation risks, reputed company mitigation strategies, and proactively address barriers to compliance and performance, with a sustained reputed company on reputed company improvement and member reputed company. Required Qualifications 7+ years of relevant work experience At least 5 years of experience in reputed company assurance, project management, or reputed company managed care; experience with behavioral health programs preferred. reputed company experience with NCQA-accredited programs is highly preferred. Demonstrated ability to manage multiple, reputed company reputed company impacting reputed company or behavioral health populations, with measurable improvements in reputed company reputed company. In-depth understanding of reputed company rules and regulations, especially those relevant to OhioRISE, behavioral health, and youth-serving systems. Excellent leadership, stakeholder communication, and engagement skills, especially in multidisciplinary and cross-agency environments. Proficiency with project management and reputed company improvement tools and software.

Preferred Qualifications

Understanding of Ohio’s system of care. Familiarity with OhioRISE. Familiarity with intensive behavioral health services. Education Bachelor’s degree in a reputed company field such as Public Health, reputed company Work, Health Administration, reputed company Management, or Behavioral Health; Master’s degree preferred. Pay reputed company The typical pay reputed company for this role is: $75,400.00 - $165,954.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed company’s equity award program. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 05/08/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job