What Compliance Programs Jobs are in Chicago?

Job Description Summary

The Compliance Lead for Government Programs serves as a senior subject matter expert supporting the Medicare Compliance Officer in executing and continuously enhancing the compliance program in alignment with CMS requirements and the seven elements of an effective compliance program. This role drives the operationalization of key compliance functions including policies and procedures, training, monitoring and auditing, and issue investigation and remediation while proactively identifying and mitigating compliance risks across Medicare Advantage (Part C) and Part D operations. Acting as a primary liaison to operational teams, the position translates complex regulatory requirements into practical, embedded business processes, ensures compliance integration into day‑to‑day activities, and provides expert guidance across core functional areas such as claims, pharmacy, utilization management, and appeals, with a strong emphasis on enterprise risk assessment and regulatory alignment.

Responsibilities

• Support the Medicare Compliance Officer in the execution and continuous improvement of the compliance program, ensuring alignment with CMS requirements and the 7 elements of an effective compliance program, with a focus on proactive risk identification and mitigation. Operationalize compliance program elements, including: policies and procedures development and implementation, training and awareness initiatives, monitoring, auditing, and data‑driven oversight, issue identification, investigation, and corrective action planning.
• Provide deep subject matter expertise in Medicare Part C and/or Part D operations, with the ability to assess compliance risks within core functional areas (e.g., claims processing, utilization management, pharmacy operations, coverage determinations, grievances/appeals).
• Serve as the primary compliance liaison to Association Medicare operational teams, ensuring alignment with regulatory requirements across Medicare Advantage (Part C) and Part D programs, including oversight of compliance integration within day‑to‑day operations. Experience supporting EGWP plans is strongly preferred.
• Partner with operational and business teams to translate Medicare regulatory requirements into actionable, operational processes, ensuring compliance is embedded into workflows across key operational functions.
• Support ongoing risk assessment activities, incorporating insights from audits, FDR monitoring, and committee reporting to continuously enhance compliance program effectiveness and proactively address emerging regulatory risks.

Compensation

Posted salary range: $113,572.92 – $153,590.12.

Annual bonus incentive pay.

Education

Required: BS.

Experience

Required: 7+ years.

Knowledge, Skills, and Abilities

• Deep knowledge of CMS Medicare regulations and guidance (including 42 CFR Parts 422/423, CMS manuals, HPMS guidance, and audit protocols).
• Understanding of the 7 Elements of an Effective Compliance Program and ability to operationalize them across Medicare Advantage and Part D programs.
• Knowledge of Medicare Part D and/or MA‑PD program requirements including enrollment, claims, formulary, pharmacy operations, and member protections.
• Knowledge of Fraud, Waste, and Abuse (FWA) requirements and detection methodologies including exclusion screening, investigations, and reporting obligations.
• Ability to conduct regulatory gap analyses and translate requirements into actionable controls across operational functions (e.g., claims, UM/CM, network, enrollment).
• Strong auditing and monitoring capabilities including development of work plans, identification of compliance risks, and use of data‑driven oversight.
• Ability to design, implement, and evaluate corrective action plans (CAPs) ensuring timely remediation and sustainable compliance outcomes. Knowledge of CMS audit processes and audit‑readiness expectations including document production, universes, and issue remediation lifecycle.
• Ability to interpret and apply regulatory requirements to complex business scenarios and provide practical, risk‑based compliance guidance to operational stakeholders. Strong governance and reporting skills including experience supporting compliance committees, senior leadership reporting, and Board‑level oversight.
• Effective communication skills with the ability to translate regulatory requirements into clear guidance, training, and business‑friendly language.
• Knowledge of privacy, data governance, and handling of sensitive information particularly as it relates to Medicare data and compliance investigations.
• Ability to manage relationships with internal stakeholders and FDRs to ensure compliance expectations are understood, implemented, and monitored.
• Strong analytical and problem‑solving skills with the ability to identify root causes of compliance issues and recommend sustainable solutions.
• High level of professional integrity and judgment including the ability to identify, elevate, and address potential compliance risks or noncompliance.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account, and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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Job Description

The Compliance Lead for Government Programs serves as a senior subject matter expert supporting the Medicare Compliance Officer in executing and continuously enhancing the compliance program in alignment with CMS requirements and the seven elements of an effective compliance program.

Responsibilities

• Support the Medicare Compliance Officer in the execution and continuous improvement of the compliance program, ensuring alignment with CMS requirements and the 7 elements of an effective compliance program, with a focus on proactive risk identification and mitigation.
• Operationalize compliance program elements, including policies and procedures development and implementation, training and awareness initiatives, monitoring, auditing, and data‑driven oversight, issue identification, investigation, and corrective action planning.
• Provide deep subject matter expertise in Medicare Part C and/or Part D operations, with the ability to assess compliance risks within core functional areas (claims processing, utilization management, pharmacy operations, coverage determinations, grievances/appeals).
• Serve as the primary compliance liaison to Association Medicare operational teams, ensuring alignment with regulatory requirements across Medicare Advantage (Part C) and Part D programs and overseeing the integration of compliance into day‑to‑day operations. Experience supporting EGWP plans is strongly preferred.
• Partner with operational and business teams to translate Medicare regulatory requirements into actionable, operational processes, ensuring compliance is embedded into workflows across key operational functions.
• Support ongoing risk assessment activities, incorporating insights from audits, FDR monitoring, and committee reporting to continuously enhance compliance program effectiveness and proactively address emerging regulatory risks.

Qualifications

• Education: BS required.
• Experience: 7+ years in Medicare compliance or related field.
• Deep knowledge of CMS Medicare regulations and guidance (including 42 CFR Parts 422/423, CMS manuals, HPMS guidance, and audit protocols).
• Understanding of the 7 Elements of an Effective Compliance Program and ability to operationalize them across Medicare Advantage and Part D programs.
• Knowledge of Medicare Part D and/or MA‑PD program requirements including enrollment, claims, formulary, pharmacy operations, and member protections.
• Knowledge of Fraud, Waste, and Abuse (FWA) requirements and detection methodologies, including exclusion screening, investigations, and reporting obligations.
• Ability to conduct regulatory gap analyses and translate requirements into actionable controls across operational functions (claims, UM/CM, network, enrollment).
• Strong auditing and monitoring capabilities, including development of work plans, identification of compliance risks, and use of data‑driven oversight.
• Ability to design, implement, and evaluate corrective action plans (CAPs) ensuring timely remediation and sustainable compliance outcomes.
• Knowledge of CMS audit processes and audit‑readiness expectations, including document production, universes, and issue remediation lifecycle.
• Ability to interpret and apply regulatory requirements to complex business scenarios and provide practical, risk‑based compliance guidance to operational stakeholders.
• Strong governance and reporting skills, including experience supporting compliance committees, senior leadership reporting, and Board‑level oversight.
• Effective communication skills with the ability to translate regulatory requirements into clear guidance, training, and business‑friendly language.
• Knowledge of privacy, data governance, and handling of sensitive information, particularly as it relates to Medicare data and compliance investigations.
• Ability to manage relationships with internal stakeholders and FDRs to ensure compliance expectations are understood, implemented, and monitored.
• Strong analytical and problem‑solving skills with the ability to identify root causes of compliance issues and recommend sustainable solutions.
• High level of professional integrity and judgment, including the ability to identify, elevate, and address potential compliance risks or noncompliance.

Salary & Benefits

Salary Range: $113,572.92 – $153,590.12. Eligible for annual bonus incentive pay and a comprehensive benefits package that includes paid time off, holidays, medical/dental/vision insurance, 401(k) matching, and a lifestyle spending account.

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Blue Cross Blue Shield Association in Chicago, Illinois, is seeking a Compliance Lead for Government Programs. This position supports the Medicare Compliance Officer in enhancing the compliance program to align with CMS requirements.

The ideal candidate will have over 7 years of experience and will operationalize compliance functions, translating regulatory requirements into business processes. A comprehensive benefits package including health insurance and paid time off is offered.

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Union League Boys & Girls Club is seeking a Senior Director, Compliance & School-Based Sites. This leadership role requires overseeing compliance, safety, and school-based site administration.

The ideal candidate will manage grant-funded initiatives and ensure that the organization meets its mission to serve 15,000 youth annually. This is a full-time, exempt position with required travel to school-based club sites.

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A leading healthcare provider in Chicago is seeking a Residency Program Coordinator to manage daily operations and academic support for the residency program. The role involves coordinating with residents, faculty, and administrative staff to ensure compliance with ACGME standards and enhance the educational experience. Ideal candidates will have a strong background in healthcare administration, excellent organizational skills, and a commitment to supporting future healthcare professionals.
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Morningstar, Inc. is seeking a Compliance Director to oversee the compliance program for its Wealth, Retirement, and Research groups based in Chicago. The role involves managing compliance for regulated entities and advising on material compliance and regulatory matters.

The ideal candidate should have over 8 years of compliance experience, strong leadership skills, and a deep understanding of the regulatory environment. The position offers a hybrid work environment and a comprehensive benefits package.

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The Opportunity

Compliance at U.S. RIAs, broker‑dealers, and wealth fintechs still runs largely on manual review — analysts reading marketing materials line by line, scanning communications for keywords, and reviewing trades and trade requests by hand. Across more than 25,000 firms, operational costs are significant, and regulatory exposure is even greater.

Global RegTech spend is projected to grow from roughly $12B to more than $66B over the next decade, with the US growing to $32B. The teams that ship credible, audit‑ready platforms in the next 18 months will define the category. We intend to be one of them.

The Venture

The answer is not another rules engine. We are building an explainable AI platform that reasons like a senior compliance officer, cites firm policy and SEC/FINRA regulations for every decision, and produces audit‑ready evidence on demand — across marketing, communications, trading, policy, audit, and filings.

The platform is designed to operate alongside the systems compliance teams already use, replacing manual review with explainable AI judgments that hold up to regulator scrutiny. The roadmap moves from marketing review into communications surveillance, policy and manuals, audit, and ultimately regulatory filings and enterprise integrations.

The Partnership

The CEO co‑founder is in place. The customer thesis is validated, design partners are engaged, and the market work is complete. What remains is to bring on the technical co‑founder — a partner who will own product and engineering with the same conviction, urgency, and ownership stake.

This is a co‑founder role, not a CPTO hire. In return for that level of commitment, you receive founder‑level equity, founder‑level authority with co‑decision rights on product, technology, hiring, fundraising, and strategy, a board or board‑observer seat as appropriate to the cap table and stage, and a genuine partnership with the CEO on every material decision.

Role & Responsibilities

As Co‑Founder & CPTO, you will write the first lines of production code, set the technical direction, and lead execution end‑to‑end.

• Architecture & Engineering Culture — Establish the core architecture, engineering culture, and security posture, including SOC 2 readiness, tenant isolation, encryption, and audit logging
• Product Build — Ship a marketing review prototype into production with a design partner early adopter, then deliver communications surveillance, trading oversight, audit‑ready logs and reporting; release GA v1 covering all core modules except regulatory filings within 9 months, and expand into regulatory filings and enterprise integrations through 18 months
• AI/LLM Build — Own the training and constant evolution of the core AI/LLM model, delivering robust and highly reliable analysis
• Explainability & Reliability — Own the explainability layer that produces audit‑ready evidence on demand, and the reliability engineering that ensures the platform performs consistently in the field
• Customer & Market — Represent the company in front of all customer constituencies and third‑party interests, as well as investors, as the technical voice of the venture
• Capital — Convert pilots into ten paying customers and reach $1M ARR within 18 months, partnering with the CEO on conversion and fundraising
• Team — Recruit and lead the founding engineering and applied AI team, and establish the cultural foundation of the company

Co‑Founder Profile

• Shipped LLM‑powered systems into production environments where incorrect outputs carried real consequences — not prototypes or demonstrations
• Full‑stack confidence across applied LLMs, RAG, retrieval, deterministic rules engines, human‑in‑the‑loop workflows, observability, and secure multi‑tenant SaaS (SOC 2, tenant isolation, encryption, audit logging)
• Well‑formed convictions about explainability and reliability engineering, developed through direct production experience
• Preference for systems that perform consistently in the field over systems that demonstrate well in controlled settings
• Prepared to operate as a principal — setting the technical agenda, making decisive calls under uncertainty, and owning the outcomes that follow
• Strongly preferred: prior founder, founding engineer, or early‑stage technical leadership experience; background in legal tech, RegTech, fintech compliance, healthcare, or another high‑trust regulated vertical; familiarity with the U.S. wealth management ecosystem, including SEC and FINRA workflows, marketing review, communications surveillance, and trade monitoring; direct experience self‑hosting or privately deploying foundation models

How to Apply

Please submit your resume, LinkedIn profile, and a brief note on why this venture aligns with your goals as a founder. We will move quickly for the right candidate.

FutureSight is committed to diversity, equity, and inclusion. We welcome applicants of all backgrounds and experiences.

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Company Description
About AbbVie
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at Follow @abbvie on LinkedIn, ( Facebook, Instagram ( , X ( and YouTube. ( Description
Purpose:
The Program Compliance Analyst (PCA) is responsible for monitoring and reconciliation
to ensure data is accurate and compliant with 60+ individual country policies; and
AbbVie's OPPFs, procedures, and CFMs for all activity excluding top tier Congress
activity. The PCA is also responsible for the successful close-out of activities, ensuring
financial, transparency and compliance accuracy of all costs and activity associated
with events planned within AbbVie's Business Service Group or by Third Party Vendors,
as required by country specific, federal and state government reporting and
regulations.
Responsibilities:
+ Ensure compliance with all US and country-specific laws and company policies for interacting with global Healthcare Providers (HCPs), Healthcare Organizations (HCOs), and Patients, as applicable.
+ Ensure correct reporting for all Transfer of Value (TOV) from AbbVie to the reportable Health Care Professionals (HCPs) and Teaching Hospitals (HCOs) for US and OUS activity, and support HCP Dispute Resolutions.
+ Achieve monthly, quarterly and annual reporting deadlines with accurately reported data.
+ Responsible for implementing and maintaining the effectiveness of the monitoring policies and procedures. Lead to ensure BSG performs in a consistent and accurate way, and ensure proper documentation is maintained and organization is audit ready.
+ Maintain up-to-date knowledge of Sunshine Act and global transparency reporting requirements in order to assess general data quality issues that may impact ability to report information to the country/state/government agencies.
+ Serve as transparency resource for day-to-day processes and analyze and determine the best course of action for each inquiry/problem.
+ Research and resolve invoice discrepancies and issues, correspond with vendors and respond to inquiries and produce monthly reports. Assist with month end closing and provide supporting documentation for audits
+ Event Tool Management liaison for reporting processes.
+ Expert in system of record meeting management and contracting tools.
Qualifications
+ Education: BA/BS required.
+ 3-5 years of work experience preferred
+ Data Entry Skills: emphasis on Excel, Extreme attention to detail and capable of asking insightful questions, Proficient in MS Office skills
+ Knowledge of finance and accounting practices
+ Must be flexible, able to adapt to changing business priorities and can multitask and deliver results within timelines
+ Must have strong interpersonal skills; customer-service oriented
+ Must be able to work well independently as well as part of a broader team with a strong sense of urgency, personal commitment and ownership over work
+ Collaboration: Ability to build strong productive, mutually beneficial relationships while enhancing collaboration with peers, internal stakeholders and external partners. A leader in "raising the bar" and cultivating strong relationships that builds trust and collaboration across AbbVie.
+ Communication: Effective people and communication skills; written, presentation and oral that persuades and gains understanding and alignment with others in a professional tone. Strong ability to read and display professional non-verbal cues with others. ability to operate in a cross-cultural and complex matrix environment, able to build consensus across functions without direct authority, able to manage multiple priorities at one time.
+ Problem Solving: Ability to problem-solve; challenges the status quo and seeks to identify more efficient business solutions.
+ Customer Focus: Skilled at adjusting and adapting service delivery to diverse customer needs and sensitivities. Continues to look for ways to improve service, e.g., TypeCoach methodologies when interacting with peers and stakeholders.
+ Technical Skills: Knowledgeable on related technical, systems and business process skills and consistently seeks opportunity to improve skills to advance business objectives, e.g. training others in department. Able to research and learn technical areas.
+ Latitude and Attention to detail: Ability to work independently with strong attention to detail. Must be able to determine objectives to assignments while prioritizing competing priorities and schedules. Analytical and innovative thinker, results-oriented, self-starter, highly-organized.
+ Meets deadlines with minimal supervision, balances workload requirements. Focuses attention on detail and compliance to country specific and OPPF guidelines, financial policies and federal/state laws. Must exhibit a high degree of integrity and be able to consistently enforce Country Policies, CFMs and OPPFs using Clear and Courageous behaviors.
+ Key Stakeholders :Position represents the BSG organization as a primary contact for area of responsibility. The position interacts with internal stakeholders, Business owners, HQ and Affiliate Finance and OEC, Internal Auditors, Financial Compliance and Global Transparency
Additional Information
Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:
+ The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
+ We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
+ This job is eligible to participate in our short-term incentive programs.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law.
AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community.  Equal Opportunity Employer/Veterans/Disabled.
US & Puerto Rico only - to learn more, visit & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:
$65,500