Compliance Officer, Washington
About the role
This role will focus on regulatory compliance for health insurance operations in Washington state, with an emphasis on maintaining alignment between internal policies and complex state and federal requirements. The position will partner closely with legal, operational, and leadership teams to support compliant decision-making, strengthen program controls, and reduce organizational risk. The ideal candidate will bring deep knowledge of managed care regulations, compliance program management, and public policy considerations that affect healthcare organizations. Success in this role will require the ability to track changing laws, advise business partners, and represent the organization in interactions with external stakeholders.
Responsibilities
- Ensure compliance with Washington state health insurance regulations
- Maintain and track laws, regulations, contracts, and compliance measures
- Develop policies and procedures aligned with state and federal law
- Oversee implementation of compliance programs, including fraud, abuse, and HIPAA
- Guide departments on compliance issues and new regulatory requirements
- Conduct audits, develop corrective action plans, and report outcomes to leadership
- Build relationships with state legislative policymakers and support public policy initiatives
Qualifications
- Bachelor's Degree in Public Policy, Government Affairs, Business Administration, or a related field; Master’s or Law degree preferred
- 8+ years of experience in compliance program management and contracts
- Deep understanding of Washington state administrative code, insurance laws, and managed care regulations
- Familiarity with state and federal agencies, TPA laws, HIPAA, and credentialing regulations
- Equivalent experience reflecting similar knowledge and skills
Compensation
$188,900 – $359,800 annually
Location
Remote — US-based candidates only; no visa sponsorship available
Benefits
- Comprehensive health insurance options
- 401K and stock purchase plans available
- Tuition reimbursement for further education
- Generous paid time off and holiday leave
- Flexible work arrangements including remote, hybrid, and field options