• Job Description

  Req#: 16707
  Employer Industry: Managed Care and Healthcare Compliance
  
  Why consider this job opportunity:
  - Salary up to $89,000 per year plus corporate bonus incentive
  - Comprehensive benefits package including Medical, Dental, Vision, and 401(k) with company match
  - Paid Time Off, Personal/Sick Time, and Paid Parental Leave
  - Opportunity to work within an award-winning culture that values excellence and integrity
  - Drive continuous improvement initiatives that impact compliance across the organization
  - Engage in strategic thinking and collaboration with leadership to influence future trends
  
  What to Expect (Job Responsibilities):
  - Monitor and analyze federal and state laws impacting government programs, ensuring compliance with legal obligations
  - Provide guidance in developing policies and procedures to support operational compliance across teams
  - Coordinate compliance audits, ensuring accurate and timely responses for Medicare Part C and Managed Medicaid
  - Assist with onboarding new government program customers, integrating compliance requirements into operations
  - Conduct internal audits to assess compliance effectiveness and identify areas for improvement
  
  What is Required (Qualifications):
  - Bachelor’s degree preferred or a minimum of 5 years’ experience in a managed care setting
  - Minimum of 5 years’ experience with managed care laws affecting Medicare Advantage and/or managed Medicaid
  - Demonstrated experience in regulatory affairs and operations of HMOs and Managed Care Organizations
  - Proficiency in MS Office applications including Excel, SharePoint, and PowerPoint
  - Strong knowledge of Medicare Advantage guidelines and state regulations applicable to Managed Medicaid
  
  How to Stand Out (Preferred Qualifications):
  - Master’s degree, JD, or paralegal experience preferred
  - Advanced legal research skills and exceptional organizational and analytical abilities
  - Excellent written and verbal communication and presentation skills
  
  #ManagedCare #HealthcareCompliance #CareerOpportunity #CompetitivePay #ContinuousImprovement
  
  "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."

• About the company

  We are architecting the future of care at home through a holistic view of post-acute care, determining the best clinical path, and guiding care to the home.

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