Employer Industry: Healthcare Compliance

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Comprehensive understanding of healthcare regulations and policies
- Collaborative work environment with various internal stakeholders
- Involvement in critical compliance reviews and audits
- Chance to influence policy implementation and corrective actions across the organization

What to Expect (Job Responsibilities):
- Ensure compliance with the Affordable Care Act, CMS guidelines, and state-specific regulations for marketplace and large group products
- Provide guidance on compliance matters to internal stakeholders, including senior management and product development teams
- Conduct compliance reviews and audits to identify and address compliance issues
- Communicate compliance issues and developments to internal stakeholders
- Support business areas in conducting root cause analysis and corrective actions upon identification of non-compliance

What is Required (Qualifications):
- Bachelor's degree
- At least 3 years of managed care experience or a satisfactory combination of education, experience, and training
- CHC or CCEP certification
- Knowledge of healthcare regulations and policies, including the Affordable Care Act and CMS guidelines
- Excellent oral, written, and presentation skills, as well as strong analytical abilities

How to Stand Out (Preferred Qualifications):
- Experience leading interdepartmental and cross-functional workgroups
- Proven ability to manage multiple projects to meet corporate deadlines
- Familiarity with operationalizing complex regulatory provisions, laws, and statutes
- High level of integrity in handling confidential materials

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