What are the responsibilities and job description for the Delegation Oversight Audit Manager position at Capital Rx?
About Us:
JUDI Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; JUDI Health, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and JUDI, the industry's leading proprietary Enterprise Health Platform. To learn more, visit www.judi.health.
Position Summary:
Capital Rx is seeking a strategic and detail-oriented Delegation Audit Oversight Manager to lead operational compliance initiatives and ensure audit readiness across the enterprise. This role manages daily compliance activities, supports accreditation efforts, and drives process improvements. The ideal candidate has deep knowledge of healthcare regulations and excels at building scalable, efficient compliance operations.
Key Responsibilities:
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Oversee daily compliance operations, including issue tracking, policy management, and regulatory reporting.
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Supervise and mentor compliance staff, ensuring timely task execution and professional growth.
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Manage new client compliance requests with accuracy and efficiency.
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Collaborate with internal teams to ensure compliance with federal and state regulations (e.g., CMS, HIPAA, ERISA, TPA).
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Maintain and enhance dashboards, metrics, and reporting tools.
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Develop and implement training, policies, and procedures.
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Coordinate internal audits and support external audit readiness.
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Lead URAC and NCQA accreditation efforts.
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Identify and implement process improvement initiatives.
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Serve as compliance liaison for new hire orientation and internal communications (e.g., surveys, Compliance Week activities).
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Maintain positive and collaborative working relationships with internal business partners.
- Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.
Preferred Qualifications:
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Bachelor's degree required
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Master's degree in public health, Healthcare Administration, Business, or related field preferred.
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Minimum 5 years of experience in compliance, risk management, or regulatory affairs, preferably in healthcare or pharmacy benefit management.
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Compliance certification required (e.g., CHC, CCEP, CRCMP).
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Demonstrated experience managing or mentoring staff.
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Experience with NAVEX platforms is strongly preferred.
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Working knowledge of URAC and NCQA accreditation standards required.
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Strong project management, analytical, and communication skills.
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Proficiency with Microsoft Office Suite and compliance management systems.
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
JUDIHealth values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.
Salary : $105,000 - $135,000