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 teams—inclusive of Amazon Pharmacy and One Medical—to 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 Services—including Amazon Pharmacy and One Medical—to 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 Amazon's 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.