CareCentrix

Compliance

• Monitor and track federal and state laws and guidance impacting CareCentrix's workers’ compensation, auto, and commercial program operations, analyze the information, and prepare and circulate written and verbal communications to affected business areas regarding such laws.
• Provide cross functional support, guidance, and direction in the development of policies, procedures, and other operational changes necessary to comply with legal requirements and support the operational areas in the implementation of such policies, procedures, and other changes as required.
• Secure and maintain required operational licenses.
• Assist in the implementation of new CareCentrix workers’ compensation, auto and commercial program customers.
• Identify continuous improvement efforts to ensure effective compliance tracking, trending, and reporting tools.
• Perform internal audits as needed and identify opportunities for improvement.
• Develop and deliver training programs to ensure a clear understanding of compliance requirements.
• Train and serve as mentor to new and other junior Compliance Department regulatory team members.

Analyst IV – Regulatory Compliance, Workers Compensation, Auto & Commercial

• Monitor and analyze federal and state laws and guidance impacting CareCentrix’s government programs (e.g., Medicare Advantage and Managed Medicaid) and communicate updates clearly.
• Provide cross-functional guidance in developing policies, procedures, and operational changes to ensure compliance with legal requirements.
• Coordinate and support compliance audits, including Medicare Part C program audits and managed Medicaid audits.
• Assist with onboarding new government program customers and ensure compliance requirements are integrated into processes.
• Drive continuous improvement initiatives to enhance compliance tracking, trending, and reporting tools.
• Conduct internal audits to assess compliance effectiveness and identify opportunities for improvement.
• Design and deliver training programs that promote clear understanding of compliance requirements.

Analyst III – Regulatory Compliance – Government Programs

Customer Support

• Serve as the initial point of contact for patients seeking home healthcare services.
• Handle approximately 60-65 inbound calls a day ranging from healthcare service requests to more complex inquiries.
• Use multiple applications and a dual monitor setup to assist customers with services.
• Check the status of service requests and submit initial requests for items like wheelchairs, wound care, diabetic supplies, etc.
• Work an 8-hour shift with a scheduled 30-minute lunch break and scheduled breaks throughout the day.

Healthcare Customer Service Expert – Phone Intake

Network Engineer

• Develop and maintain the overall data networking architecture, ensuring it aligns with the organization's goals and future growth.
• Plan and implement network upgrades and expansions, keeping abreast of emerging technologies.
• Oversee the day-to-day operation of the data networking infrastructure, including routers, switches, firewalls, and load balancers.
• Monitor network performance and ensure optimal uptime, troubleshooting and resolving issues promptly.
• Implement and enforce network security policies and procedures to protect sensitive data and maintain compliance with relevant regulations.
• Conduct regular security audits and vulnerability assessments.
• Evaluate network capacity and bandwidth requirements, planning for future growth and scaling as needed.
• Optimize network performance and efficiency.
• Maintain comprehensive network documentation, including network diagrams, configurations, and SOPs.
• Stay current with industry trends and emerging technologies related to data networking.
• Identify opportunities for technology improvements and make recommendations for implementation.

Analyst IV – Regulatory Compliance, Workers Compensation, Auto & Commercial

Analyst III – Regulatory Compliance – Government Programs

Healthcare Customer Service Expert – Phone Intake

Lead Network Engineer