Program Manager - Compliance Platform

HCL Global Systems, Inc.

$100K — $130K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years of experience in Program Management or Large-Scale Project Management.
  • 5+ years of hands-on management of compliance or regulatory platform programs, preferably Inovaare.
  • Strong background in Healthcare (Payer, Provider, or Health Services) with a focus on compliance and regulations.
  • Proven experience in managing multi-vendor, cross-functional compliance programs.
  • Expertise in Agile, Hybrid, and Waterfall methodologies for project delivery.
  • Experience with CMS regulations, audits, and compliance reporting processes.
  • Exceptional communication and stakeholder management capabilities.

Responsibilities

  • Own and manage end-to-end compliance platform programs with Inovaare across multiple workstreams.
  • Define program objectives, success metrics, and delivery roadmaps aligned to regulatory and business outcomes.
  • Drive integrated planning and execution across compliance activities, including workflow automation and data reporting.
  • Ensure project delivery meets schedule, budget, quality, and scope requirements.
  • Act as the primary liaison for compliance leadership, regulatory teams, IT, and vendors.
  • Establish governance practices including steering committees and compliance reporting.
  • Manage risks and dependencies while aligning compliance solutions to regulatory mandates.

Benefits

  • Opportunities to work with leading healthcare payer and provider organizations.
  • Participation in large-scale transformative compliance and regulatory initiatives.
  • Access to cross-functional collaboration with compliance, legal, and technology teams.
  • Potential for professional growth in a critical area of healthcare compliance.
  • Contributions leading to improved operational efficiency and audit readiness.
Full Job Description
Program Manager - Compliance Platform (Inovaare) with a strong Healthcare domain background to lead large, multi-track compliance and regulatory programs. The role supports healthcare payer and provider organizations by driving enterprise compliance initiatives across Inovaare and related regulatory platforms, ensuring regulatory adherence, operational efficiency, and audit readiness.
The ideal candidate will have hands-on experience managing compliance and regulatory platforms (Inovaare preferred), leading transformation programs in payer or provider environments, and coordinating cross-functional teams across compliance, business, technology, and vendor ecosystems.

Key Responsibilities
• Own and manage end-to-end compliance platform programs leveraging Inovaare, spanning multiple workstreams, releases, and regulatory cycles.
• Define program scope, objectives, success metrics, and delivery roadmaps aligned with regulatory and business outcomes.
• Drive integrated planning across compliance configuration, rule updates, workflow automation, integrations, data ingestion, reporting, and user adoption.
• Ensure delivery commitments across schedule, budget, quality, and scope.
• Serve as the primary point of contact for client compliance leadership, regulatory teams, IT, security, legal, and external vendors.
• Establish and run program governance, including steering committees, executive reviews, RAID management, and compliance status reporting.
• Translate regulatory and business requirements into actionable program deliverables across compliance operations and technology teams.
• Proactively manage risks, dependencies, regulatory changes, and escalations with clearly defined mitigation strategies.
• Ensure compliance platform solutions align with healthcare regulatory requirements, including CMS mandates, HIPAA, PHI handling, data privacy, and audit controls.
• Collaborate with compliance, security, privacy, and legal teams to embed controls into Inovaare workflows, rules engines, and reporting processes.
• Support audit readiness, regulatory submissions, and documentation for internal and external audits.
• Oversee integrations between Inovaare and upstream/downstream systems such as claims, enrollment, provider data, member systems, analytics, and reporting platforms.
• Guide teams on best practices for compliance platform architecture, release management, and regulatory update cycles.
• Partner with architects, product owners, and compliance SMEs to ensure scalable, secure, and future-ready compliance solutions.
• Manage program budgets, forecasts, and resource plans, including onshore/offshore delivery models.
• Track benefits realization, ROI, and value delivery tied to regulatory adherence, reduced audit findings, and operational efficiency.
• Support SOW execution, change requests, and commercial governance as required.

Required Qualifications
• 8+ years of overall experience in Program Management or Large-Scale Project Management.
• 5+ years of hands-on experience managing compliance or regulatory platform programs (Inovaare preferred).
• Strong experience in the Healthcare domain (Payer, Provider, or Health Services), with a solid understanding of healthcare regulations and compliance operations.
• Proven track record of managing multi-vendor, cross-functional compliance programs.
• Strong expertise in Agile, Hybrid, and Waterfall delivery models.
• Experience managing programs involving CMS regulations, audits, and compliance reporting.
• Excellent communication, stakeholder management, and executive presentation skills.

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