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.
What You'll Do:
- 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.
Required Skills and Experience:
- 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%
Preferred Skills and Experience:
- Knowledge of applicable OMB policies and Federal Acquisition Regulations preferred
- NCMA certification preferred.
$118,000 - $146,000 a year
Who We Are:
Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we’re seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
Are you Ready?
Benefits: A general description of the benefits and other compensation available for this position can be found in Telligen's Benefits Summary.
We’re on a mission to transform lives and economies by improving health.
Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.
Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.
Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.
Thank you for your interest in Telligen!
Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
Telligen is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.
Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment. Reasonable accommodations are considered on a case-by-base basis.
If you need assistance to navigate Telligen’s careers website or to apply for a position, please send an email to [email protected]
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.