Sr. Risk Manager, Billing Compliance, Amazon, Amazon Health Services Billing Compliance

Amazon Health Services (AHS) is on a mission to make it dramatically easier for customers to find choose afford and engage with the services products and professionals they need to get and stay healthy. We use design service and technology to provide the best possible customer experience and change the way people think about healthcare.

Amazon Health Services is searching for a talented Healthcare Billing Compliance Senior Risk Manager to help us evolve the technology and processes needed to operate a world-class healthcare billing compliance program. This role will partner closely with Amazon Health Services teamsinclusive of Amazon Pharmacy and One Medicalto optimize key elements of an effective compliance program across all partner services payer relationships and care delivery models.

The Healthcare Billing Compliance Senior Risk Manager will be responsible for overseeing and managing complex healthcare billing relationships by evaluating regulatory risk under Medicare Medicaid and commercial payer requirements. You will identify compliant solutions to complicated billing and contract requirements with third-party payers pharmacy benefit managers HUBs and digital health companies. This role enables our business partners to prioritize and address compliance requirements while maintaining billing integrity across multiple care settings including primary care specialty services and pharmacy operations.

Key job responsibilities
Key responsibilities include:

- Conducting compliance monitoring and risk assessments for healthcare billing operations across Amazon One Medical Amazon Pharmacy and emerging health services
- Partnering with legal privacy audit clinical operations and product teams to identify billing risks and implement preventive controls
- Supporting audit programs payer contract compliance reviews and corrective action initiatives
- Evaluating complex regulatory requirements including CMS guidelines state pharmacy laws HIPAA and payer-specific billing policies
- Building scalable compliance processes and technology solutions for a rapidly growing healthcare organization

A day in the life
A day in the life
Provide preventative actionable compliance guidance to various stakeholders utilizing subject matter expertise in federal state and local rules and regulations.
Assess business processes and systems to identify any additional compliance risks.
Present reports to the leadership team related to identified findings and risks.
Support development and maintenance of policies and procedures.
Propose action plans to comply with applicable laws regulations and/or internal policies and procedures.


About the team
The AHS Billing Compliance team partners across Amazon Health Servicesincluding Amazon Pharmacy and One Medicalto build and operate world-class compliance programs that protect customers and enable innovation. We evaluate regulatory risk navigate complex payer requirements and create scalable solutions that maintain billing integrity across multiple care settings. Our team combines deep healthcare expertise with Amazons customer obsession and bias for action working cross-functionally with legal clinical operations audit and product teams to simplify compliance and deliver trusted healthcare experiences at scale.

- 6 years of compliance audit or risk management experience
- Knowledge of Microsoft Office products and applications at an advanced level
- Knowledge of U.S. federal state and local government contracting laws rules and regulations

- Experience leveraging technology and implementing lean principles / Six Sigma methodologies to drive process improvements or equivalent
- Experience implementing scalable compliance solutions (technology procedures processes etc.) in a regulated environment

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status disability or other legally protected status.

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process including support for the interview or onboarding process please visit for more information. If the country/region youre applying in isnt listed please contact your Recruiting Partner.

The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience qualifications and location. Amazon also offers comprehensive benefits including health insurance (medical dental vision prescription Basic Life & AD&D insurance and option for Supplemental life plans EAP Mental Health Support Medical Advice Line Flexible Spending Accounts Adoption and Surrogacy Reimbursement coverage) 401(k) matching paid time off and parental leave. Learn more about our benefits at WA Seattle - 121400.00 - 163900.00 USD annually