Top 357 Compliance Jobs in Tennessee

Sr Compliance Specialist
Shearwater Health —Nashville, TN
- Full-time
- Remote
- Bachelor of Science
- Analysis skills
- Bachelor's degree
Quick Apply
Senior Compliance Investigator
Centene —Tennessee
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
7d
Insurance Regulatory Compliance Manager (Remote)
MEM —Tennessee
- $98,800 - $148,200 a year
- Full-time
- Remote
- 5 years
- Finance
- Bachelor's degree
- Profit sharing
- Paid jury duty
Field Compliance Officer
Akima, LLC —Oak Ridge, TN
- Mid-level
- 3 years
- In-person
Pressure Equipment Compliance Inspector(Trainee)
Veterans Prime, Inc. —Knoxville, TN
- $70,000 - $80,000 a year
- Full-time
- Entry level
- Paid holidays
- Dental insurance
Compliance Coordinator
Pyramex Safety Products LLC —Piperton, TN
- Full-time
- Mid-level
- Office
- Bachelor's degree
Quick Apply
6d
Sr. Director, Compliance and Privacy
American Health Plans —Franklin, TN
- Remote
- HIPAA
- 3 years
- Bachelor's degree
Quick Apply
10d
Junior Associate, Compliance HelpDesk
Deloitte —Memphis, TN
- $42,700 - $78,600 a year
- Full-time
- Bachelor's degree
- Travel
- Communication skills
Legal and Compliance Administrator
Standard Nuclear, Inc. —Oak Ridge, TN
- Remote
- Google Workspace
- Continuous improvement
- Organizational skills
- Health savings account
- Paid holidays
Quick Apply
DIRECTOR OF SECURITY GOVERNANCE AND COMPLIANCE - 79912
Finance and Administration —Nashville, TN
- $136,236 - $217,752 a year
- Full-time
- Background check
- 8 years
- Bachelor's degree
13d
Compliance Inspector 2-NDOT/Enforcement
Metropolitan Government of Nashville & Davidson County —Nashville, TN
- $64,209 a year
- Overtime
- Mid-level
- Residential
- High school diploma or GED
- Paid holidays
Senior Manager, Operational Compliance
Silicon Ranch Corporation —Nashville, TN
- Remote
- 5 years
- Engineering
- Senior level
Quick Apply
HR Compliance Analyst
Core Civic —Brentwood, TN
- Full-time
- Background check
- Writing skills
- Research
4d
Risk and Compliance Analyst
Boston Government Services, LLC —Oak Ridge, TN
- $136,849 - $160,999 a year
- Overnight shift
- Hybrid work
- Writing skills
- Pass drug screening
- Mid-level
- Disability insurance
- Health insurance
Compliance Analyst
SmartBank —Knoxville, TN
- Full-time
- Microsoft Outlook
- Mid-level
- Office
AUDITOR 1*-08042026-79592
Commerce and Insurance —Nashville, TN
- $3,631 - $5,434 a month
- Full-time
- Writing skills
- Office
- Driver's License
13d
Import/Export Compliance Specialist
Opella Healthcare Group —Chattanooga, TN
- $98,250 - $141,916 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Human Resources Compliance & Audit Representative
Baptist Memorial Health Care —Memphis, TN
- Mid-level
- Master's degree
- Bachelor's degree
Youth and Senior Programs Compliance and Fulfillment/Warehouse Coordinator
Second Harvest Food Bank of East Tennessee —Maryville, TN
- $43,680 - $46,800 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid parental leave
- Health insurance
Quick Apply
11d
Quality Auditor
AdTech Ceramics Company —Chattanooga, TN
- From $17 an hour
- Overtime
- Computer literacy
- Basic math
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply

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compliance jobs near tennessee

Sr Compliance Specialist

Shearwater Health -
Nashville, TN

Quick Apply

Job Details

Full-time

Qualifications

Utilization review
Managed care organization experience
Professional ethics
Clinical audit and monitoring
Schedule management
Documentation tools
Health insurance knowledge
Utilization management
Productivity software
Achieving project delivery timelines

Full Job Description

In this role you will be responsible for:

Corporate Compliance

Support the development, implementation and continuous improvement of the corporate compliance program.
Monitor changes in healthcare regulations and collaborate with the appropriate stakeholders to assess organizational impact.
Partner with the appropriate internal stakeholders to ensure compliance with applicable laws, standards and contractual commitments.
Assist in risk assessments and compliance program effectiveness evaluations.
Maintain and update policies, procedures, and compliance documentation.

Internal Audits & Audit Readiness

Support the execution of client audits and audit readiness activities includes providing guidance to internal stakeholders on oversight audit design and execution.
Develop audit tools and methodologies consistent with industry best practices and regulatory/accreditation requirements.
Evaluate compliance with regulatory standards such as CMS, state DOI, URAC and NCQA where applicable.
Document audit findings, identify root causes and provide actionable recommendations.
Collaborate with internal and external stakeholders to manage corrective action plans (CAPs) through closure.
Maintain audit schedules and ensure timely completion of all oversight activities.
Conduct internal audits across functional areas (i.e. operations, clinical programs, HR/HCM, IT/Information Security).
Perform ongoing monitoring activities to identify compliance risks and trends.
Prepare comprehensive audit reports and present findings to internal stakeholders and leadership.
Support enterprise risk management initiatives as needed.

Utilization Review / PBM Licensure & Regulatory Filings

Prepare and submit initial, renewal, and amendment filings for Utilization Review (UR) licenses across all applicable state jurisdictions, ensuring accuracy, completeness, and compliance with varying regulatory requirements and deadlines.
Demonstrate strong knowledge of UR licensure requirements, including applicability by line of business, and interpret state-specific URA regulations to ensure compliant filings.
Validate filings against applicable states, CMS, URAC, and NCQA accreditation standards.
Maintain compliance calendars and serve as primary liaison with state regulatory agencies and licensing bodies.
Monitor and respond to state regulator inquiries, deficiency notices, and documentation requests.
Evaluate entity structure changes (e.g., name changes, EIN changes, ownership changes) for licensure impact and required filings.
Support and respond to external audits.
Conduct 50-state regulatory research to identify licensure requirements, applicability, and compliance obligations.
Maintain and update state-specific Utilization Management (UM) policies and procedures, ensuring alignment with regulatory requirements and operational practices.

Training & Education

Assist in developing and delivering compliance training programs.
Promote a culture of compliance and ethical conduct throughout the organization through compliance communications and presentations.
Coordinate the collection, validation, and reporting of statistical data required for licensure filings, audits, and regulatory reporting.
Other Duties: Perform additional tasks as assigned.

QUALIFICATIONS

Required: [minimum education, certifications, and experience needed]

Requires a BA/BS and minimum of 5 years health care, regulatory, ethics, auditing, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
Experience with managed care, utilization management, care management, PBM or health plan environments.
Experience managing multi-state licensure processes (UR/PBM).
Capable of working within tight deadlines and the ability to arrange timeline properly.
Demonstrated experience with regulatory audits and delegated oversight programs.
Detail-oriented and highly organized.
Strong analytical capability, audit experience and deep understanding of healthcare regulatory frameworks in the US.
Knowledge of UR and PBM regulatory requirements across multiple states.
Demonstrated audit expertise including planning, execution and reporting.
Ability to interpret complex regulations and translate into actionable guidance.
Effective communication skills (verbal and written).
Proficient in MS Office Applications, PDF, Office 360.
Strong written and verbal communication skills including executive-level reporting.
Able to do problem-solving functions.
Strong moral and ethical principles with high level of integrity, discretion and professional judgement.

Desired: [preferred qualifications that enhance performance but are not mandatory]

Regulatory compliance and/or legal experience preferred.
Medicare, Medicaid, and/or Commercial experience preferred.
Certified in Healthcare Compliance, Internal Auditor or related healthcare certifications preferred.
Previous global, matrixed healthcare organization experience/background preferred.

Success Measures

Timely and accurate licensure submissions and renewals.
Completion of audit plans with high-quality outcomes.
Effective closure of corrective action plans.
Positive regulatory and client audit outcomes.
Reduction in compliance risks and audit findings over time.

Work Logistics

Full-time, remote role. Headquarters in Nashville, TN. Occasional travel to headquarters office may be required.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

compliance jobs in tennessee

Sr Compliance Specialist

Senior Compliance Investigator

Insurance Regulatory Compliance Manager (Remote)

Field Compliance Officer

Pressure Equipment Compliance Inspector(Trainee)

Compliance Coordinator

Sr. Director, Compliance and Privacy

Junior Associate, Compliance HelpDesk

Legal and Compliance Administrator

DIRECTOR OF SECURITY GOVERNANCE AND COMPLIANCE - 79912

Compliance Inspector 2-NDOT/Enforcement

Senior Manager, Operational Compliance

HR Compliance Analyst

Risk and Compliance Analyst

Compliance Analyst

AUDITOR 1*-08042026-79592

Import/Export Compliance Specialist

Human Resources Compliance & Audit Representative

Youth and Senior Programs Compliance and Fulfillment/Warehouse Coordinator

Quality Auditor

I want to receive the latest job alert for compliance in tennessee

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