Oversee all compliance functions for the Illinois health plan including communication and coordination of policy development
Oversee the accurate and timely submission of over-contact deliverables for all lines of business and service delivery areas
Oversee the accurate and timely submission of all CMS Medicare SNP requirements
Serve as senior leadership and single point of contact in all State compliance meetings and interactions
Manage direct correspondence and daily interaction with all state regulators
Serve as senior leadership in all Department of Insurance and HHSC audit processes
Managing all facets of the audit and communications
Serve as senior leadership in Enterprise Risk Management process
Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements
Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight
Requirements
Bachelor’s degree in related field
Master's degree preferred
7+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits
5-7 years of experience with health care regulatory agencies in development of compliance and fraud programs
5+ years experience with overseeing implementation of contract requirements
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
compliance program managementcontract managementinternal auditscorrective action plansregulatory compliancefraud program developmentoversight of contract requirementsaudit processesEnterprise Risk Managementpolicy development