Senior Manager, Corporate Compliance
Core
Senior Manager responsible for Medicare and Medicaid compliance programs, risk assessment, auditing, and regulatory reporting for Special Needs Plans.
Role type
Senior Manager, Corporate Compliance
Builds
Compliance programs and processes for Medicare Advantage and Special Needs Plans
Domain
Healthcare / Regulatory Compliance
Deliverable
client delivery
Required skills
Medicare/Medicaid compliance expertise, regulatory rule analysis, auditing and monitoring, root cause analysis, project management, risk assessment, stakeholder communication
Preferred skills
Knowledge of integrated duals plans, complex regulatory environments
Technologies
Archer, Microsoft products
Responsibilities
Serve as market compliance officer for assigned Special Needs Plans; Track, analyze, and interpret CMS and state regulations; Lead and implement effective Compliance Programs including risk assessment and auditing; Develop and manage compliance strategies to mitigate risks; Support and facilitate communications with regulators; Lead external regulatory review and audit activities; Monitor and audit compliance work plans and direct remediation projects
Seniority
Senior, hands-on IC with management responsibilities
