Press ENTER to skip to the job's description    

Work Schedule/Shift


Req. No


Job Title

Manager Health Plans Compliance


CHRISTUS System Office


General Operations


No Travel Applicable


CHRISTUS Corp Irving Offices 919 and 909 Buildings


919 Hidden Ridge
Irving, TX  75038
USView On A Map View Other Locations



Manager Health Plans Compliance Job in Irving

Job Description


Reporting to the Director of Health Plans Compliance (Director), the Manager of Health Plans Compliance (Manager) will support CHRISTUS Health Plans (CHP) in developing and maintaining an effective Compliance Program. The Manager is responsible for executing the Health Plans’ Compliance Work Plan with particular focus on the auditing and monitoring, policies and procedures, education, and communication elements.

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Assists the Director in assessing and facilitating CHP’s compliance with all applicable laws and regulations for each of CHP’s business lines.
  • Develops strong relationships throughout organization to foster an advisory and proactive approach to compliance.
  • Helps to ensure effective training is provided for HIPAA Privacy/Security, Fraud, Waste, and Abuse, Code of Ethics, and other Health Plans compliance risk areas.
  • Supports the development of an infrastructure through which CHRISTUS continuously reviews standards, regulations, and develops plans for compliance, and addresses issues of non-compliance as identified.
  • Develops and executes a communication plan to keep compliance top of mind for Associates and educates them on high-risk areas and legal/regulatory changes.
  • Manages CHP Compliance policies and helps management ensure that effective operational policies, procedures, and controls are in place for compliance risk areas.
  • Performs organization audits to assist in determining regulatory compliance. Works with business department managers to ensure corrective action plans are developed and reports results to Director.
  • Responsible for understanding and keeping current on applicable regulations for all CHP business lines.
  • Conducts regularly scheduled meetings to communicate issues regarding on-going work issues, new developments, and overall effectiveness.
  • Strong attention to detail with a mindset toward the operationalization of compliance requirements.
  • Demonstrated aptitude with project management and diligence in addition to strong analytical and organizational skills. Reports must be current, technically complete and submitted timely.
  • Communicates effectively both orally and in writing.
  • Strong verbal and written communication skills.
  • Intermediate/Expert knowledge of Microsoft Office Suite (Access, Power Point, Excel, Word). Other duties as assigned.


  • Bachelor’s degree in related field required.
  • Five years of health plan compliance experience required, of which three years should be in Medicare, Health Insurance Exchange and/or US Family Health Plan (TRICARE).
  • Demonstrated experience in regulatory deliverables, investigations, training, reporting, SIU, FDR, oversight, OIG, and managing organization-wide projects, performance enhancement efforts, and State and Federal regulatory research and regulatory compliance highly preferred.
  • Experience leading organization-wide projects preferred.
  • Knowledge of healthcare payor issues and State and Federal regulatory environments.
  • Knowledge of healthcare privacy and security laws/regulations, including, but not limited to, the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
  • Certified in Healthcare Compliance (CHC) preferred.

Work Type:

Full Time

EEO is the law - click below for more information:

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

Apply Now
Current Associate? Click here to apply
Not ready to apply? Join our Talent Pool


Our application process is being upgraded and will not be accessible between 8:00 am and 12:00 pm CST. During our scheduled downtime, you can click here to join our talent community or come back later to fill out the application process. Thank you for your patience as we upgrade our technology.

Manager Health Plans Compliance