Top 43 Compliance manager Jobs in Hialeah, Fl

Compliance Manager
Alivi Health —Miami, FL
- $120,000 a year
- Full-time
- OSHA
- 3 years
- Bachelor's degree
- Health savings account
- Health insurance
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Regional Compliance Manager
Abby Care —Miami, FL
- $80,000 - $105,000 a year
- Full-time
- Background check
- 5 years
- Travel
- Commuter assistance
- Paid parental leave
Manager, Privacy
CITRIN COOPERMAN ADVISORS LLC —Coral Gables, FL
- $150,000 - $175,000 a year
- Full-time
- 6 years
- Office
- Bachelor's degree
Quality Systems & Compliance Manager
MSHS Pacific Power Group —Fort Lauderdale, FL
- $90,000 - $120,000 a year
- Full-time
- Hybrid work
- ERP systems
- Mid-level
- Office
- Paid holidays
- Disability insurance
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Manager, Global Compliance
Univision communications inc —Miami, FL
- Full-time
- Spanish
- English
- Office
- Health insurance
- Dental insurance
Compliance Manager
Mia Aesthetics Services —Miami, FL
- Up to 50% travel
- HIPAA
- Analysis skills
- Continuing education credits
- On-the-job training
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1d
Manager, Global Logistics & Compliance
Jazwares, LLC —Plantation, FL
- Email
- 5 years
- ERP systems
- Bachelor's degree
- AD&D insurance
- Disability insurance
Trade Compliance Manager
BARFIELD INC —Miami, FL
- Full-time
- Microsoft Word
- Office
- Continuous improvement
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Fidelity and Quality Assurance Manager
Girl Power —Miami, FL
- Weekends as needed
- Management
- Mid-level
- Supervising experience
Manager of Safety, Compliance & Risk
ReturnPro —Aventura, FL
- Full-time
- 6 years
- Bachelor's degree
- Continuous improvement
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Fraud Prevention & Risk Manager (Security Department)
TROPICAL FINANCIAL CREDIT UNION —Miramar, FL
- Full-time
- Ability to walk for extended periods
- 5 years
- Office
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11d
Manager, Quality Assurance
University of Miami —Miami, FL
- Full-time
- Remote
- Microsoft Excel
- Management
- 5 years
- Health insurance
- Dental insurance
Compliance Administration Oversight & Reporting Manager
TD Bank —Fort Lauderdale, FL
- $91,000 - $136,240 a year
- Full-time
- 7 years
- Microsoft Excel
- Writing skills
- Health insurance
- Paid time off
GME Institutional Compliance Manager
Florida International University —Miami, FL
- $75,000 - $80,100 a year
- Online Application
- Pass drug screening
- University
- Bachelor's degree
Transportation & Fleet Manager
Nuage Designs Inc —Miami, FL
- $75,000 - $80,000 a year
- Weekends as needed
- Spanish
- English
- Forklift
- Paid holidays
- Health insurance
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Audit Account Manager
1800NOFAULT LLC —Coral Gables, FL
- Up to $100,000 a year
- Full-time
- Spanish
- English
- Mid-level
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Institutional Review Board Manager - FT - Days - MHS - On-Site
Memorial Healthcare System —Hollywood, FL
- Full-time
- Customer service
- 5 years
- Office
Manager, Global Regulatory Compliance
Life Extension Foundation Buyers Club Inc —Fort Lauderdale, FL
- Full-time
- 5 years
- Bachelor's degree
- Driving
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Specialist Manager, Risk and Compliance Services (Personal Consultation)
Deloitte —Miami, FL
- $93,000 - $171,300 a year
- Full-time
- 6 years
- CPA
- Research
Ocean Freight Traffic Manager
Antillean Marine Shipping Corp —Miami, FL
- Full-time
- 5 years
- Bachelor's degree
- Senior level
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compliance manager jobs near hialeah, fl

Compliance Manager

Alivi Health -
Miami, FL

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Job Details

Full-time
$120,000 a year

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance
Referral program

Qualifications

OSHA
Presentations for conferences or internal meetings
CMS
CMS regulatory compliance
Bachelor's degree

Full Job Description

Pay: $120,000.00 per year

Job description:

SUMMARY

The Compliance and Risk Manager is responsible for overseeing the organization’s enterprise-wide compliance and risk management programs, ensuring adherence to federal, state, and health plan requirements, as well as internal policies and industry standards. This role manages the full compliance framework for both clinical and nonclinical benefit programs—including Non-Emergency Medical Transportation (NEMT), Podiatry, Acupuncture, Chiropractic, Therapy, Optometry, Ophthalmology, and additional specialty care services.

The Compliance and Risk Manager conduct internal audits, leads external and health plan audit responses, manages risk assessments, and partners with cross functional teams to strengthen organizational integrity, operational excellence, and regulatory compliance.

DUTIES & RESPONSIBILITIES

Regulatory Compliance

Oversee the organization’s compliance program for all clinical and nonclinical benefits, including NEMT, ancillary care, specialty care, and provider delivered benefits.
Monitor regulatory updates and communicate new or changing compliance requirements across operational departments.
Maintain, update, and enforce compliance policies, procedures, and training programs.
Provide guidance to leadership and business units to ensure alignment with federal, state, Medicaid Managed Care, Medicare Advantage, and commercial health plan obligations.

Audit Oversight – Health Plans & External Audits

Serve as the primary point of contact for all health plan audits, external regulatory audits, accreditation reviews, and delegated oversight audits.
Lead audit preparation, document collection, corrective action plans, and remediation tracking.
Coordinate responses to inquiries from state agencies, plan partners, regulators, and accreditation bodies.
Ensure timely, accurate, and compliant audit submissions across all service lines and business functions.

Risk Management

Conduct enterprise risk assessments and maintain the organization’s risk register.
Identify emerging risks in operations, claims processing, vendor management, and program integrity.
Develop and monitor risk mitigation strategies in collaboration with internal stakeholders.

Investigations & Issue Management

Conduct investigations involving potential policy violations, regulatory risks, fraud/waste/abuse concerns, or operational failures.
Coordinate with Legal, HR, and operational teams as appropriate to ensure proper resolution.
Document all findings, root causes, and remediation outcomes.

Vendor & Third-Party Oversight‑Party Oversight

Oversee compliance obligations for contractors, subcontractors, transportation providers, and clinical networks.
Support credentialing verification, exclusion screening compliance, and risk scoring of third-party entities.
Conduct and oversee delegated vendor audits, corrective action plans, and ongoing monitoring.

Documentation & Reporting

Prepare compliance reports, board level updates, audit summaries, and risk dashboards.
Maintain comprehensive documentation related to audits, investigations, policies, training, and mitigation activities.
Support regulatory submissions as required.

Program Development & Continuous Improvement

Assist in strategic planning and development of enhancements to the compliance and risk programs.
Promote a culture of compliance through training, communication, and proactive risk prevention initiatives.
Identify opportunities to streamline compliance processes and strengthen oversight.
Oversees and provides direct supervision to the Compliance, Fraud, Waste and Abuse (FWA), and Grievances and Appeals team to ensure regulatory adherence and operational effectiveness.

REQUIREMENTS & QUALIFICATIONS

Bachelor’s degree in Business, Healthcare Administration, Risk Management, Legal Studies, or related field required.
Located in Miami, FL, or surrounding areas.
Certified Professional in Healthcare Compliance (CPHC or CHC) preferred.
3–7 years of experience in compliance, risk management, audit, legal, or regulatory affairs.
Strong knowledge of federal and state regulatory frameworks (e.g., HIPAA, CMS, OIG, OSHA).
Exceptional analytical, investigative, and problem‑solving abilities.
High degree of integrity, professionalism, and discretion.
Ability to effectively present information and respond to questions.

Benefits:

401(k)
Dental insurance
Health insurance
Health savings account
Life insurance
Paid time off
Referral program
Vision insurance

Work Location: In person

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Refine Your Search

compliance manager jobs in hialeah, fl

Compliance Manager

Regional Compliance Manager

Manager, Privacy

Quality Systems & Compliance Manager

Manager, Global Compliance

Compliance Manager

Manager, Global Logistics & Compliance

Trade Compliance Manager

Fidelity and Quality Assurance Manager

Manager of Safety, Compliance & Risk

Fraud Prevention & Risk Manager (Security Department)

Manager, Quality Assurance

Compliance Administration Oversight & Reporting Manager

GME Institutional Compliance Manager

Transportation & Fleet Manager

Audit Account Manager

Institutional Review Board Manager - FT - Days - MHS - On-Site

Manager, Global Regulatory Compliance

Specialist Manager, Risk and Compliance Services (Personal Consultation)

Ocean Freight Traffic Manager

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