Salary
💰 $105,600 - $195,400 per year
About the role
- Manage and implement strategies to ensure successful maintenance and implementation of compliance programs
- Ensure all Medicare and Medicaid product and services are being tested for compliance
- Maintain and track laws and regulations, contract documentations, and compliance measures
- Develop policies, procedures, and processes to comply with federal program regulations
- Provide guidance to various departments regarding compliance issues
- Conduct compliance audits, develop and implement corrective action plans
- Perform plan risk assessments and report emerging trends, deficiencies and variances
- Provide required training for existing and new employees and non-employees
- Provide mentoring and guidance to subordinates within the department
- Serve as primary backup to department lead as necessary
Requirements
- Bachelors’ degree in related field or equivalent experience
- Master's or Juris Doctorate degree preferred
- 5+ years of compliance experience in a healthcare environment
- at least 3+ years of Medicaid, Medicare or Commercial Managed Care experience
- Previous experience with federal and state regulatory agencies
- 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 programscompliance auditsrisk assessmentscorrective action planspolicy developmentprocedure developmentprocess developmentregulatory complianceMedicaid experienceMedicare experience
Soft skills
guidancementoringcommunicationleadershiporganizational skillstrainingproblem-solvingcollaborationanalytical skillsattention to detail