Manager, Compliance
CareSource
full-time
Posted on:
Location Type: Office
Location: United States
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Salary
💰 $84,690 - $148,320 per year
About the role
- Responsible for supporting the establishment of a baseline compliance risk
- Identification of areas of potential exposure
- Development and alignment of compliance risk management strategies with CareSource goals and objectives
- Execution of the compliance program ensuring consistency
- Partner with Business Units and internal support functions to help ensure that all compliance requirements have been met
- Remain current in federal/state laws and regulations regarding Medicaid, Medicare and Marketplace requirements as applicable
- Assist with the creation and execution of the annual compliance work plan, risk assessment activities
- Manage and drive usage for the compliance tracking systems
- Report key statistics and trends of core compliance and oversight functions
- Perform data analysis and reporting activities
- Collaborate with internal resources on the production and communication of compliance related alerts, newsletters and educational materials
- Establish effective working relationships and build credibility within the organization
Requirements
- Bachelor of Science/Arts degree or equivalent years of relevant work experience is required
- Minimum of five (5) years of healthcare compliance, vendor oversight, internal audit or equivalent experience is required
- Managed care or other healthcare related experience is required
- Prior management experience is preferred
- Direct Centers for Medicare & Medicaid program experience and qualified health plan (i.e. marketplace) experience is required depending on the assigned program
Benefits
- Comprehensive total rewards package
- Bonus tied to company and individual performance
- Health insurance
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysiscompliance risk managementrisk assessmentcompliance program executioncompliance tracking systems
Soft Skills
collaborationrelationship buildingcredibilitycommunication