Location:

Work from home (Pennsylvania)

Shift:

Days (United States of America)

Scheduled Weekly Hours:

40

Worker Type:

Regular

Exemption Status:

Yes

Job Summary:

Responsible for developing and overseeing the implementation and maintenance of a regulatory compliance program and plan for commercial lines of business.

Job Duties:

• Coordinates the development of and oversees the implementation and maintenance of a compliance program and plan for assigned areas.
• Interfaces with all departments to coordinate and monitor compliance with applicable regulatory requirements and reports these results.
• Coordinates the development of and oversees the implementation and maintenance of a regulatory compliance education plan.
• Coordinates the development of and oversees the implementation and maintenance of an auditing and review process which monitors compliance with applicable regulations.
• Coordinates the development of and oversees the implementation and maintenance of an investigation and remediation process to ensure prompt response to, and investigation of, any action inconsistent with applicable regulatory requirements.
• Coordinates the development of and assists with the subsequent implementation and maintenance of a formal system to receive and record internal complaints and reports regarding internal practices or actions which do not comply with applicable state and federal regulatory requirements.
• Ensures coordination between the regulatory compliance plans and accreditation compliance plans.
• Monitors departments' compliance with applicable state and federal regulatory requirements regarding record retention.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

If a suitably experienced candidate cannot be found, applicants who meet the basic qualifications but possess fewer years of experience will be considered for hire at a lower level. Salary would commensurate with experience.

Position Details:

Experience with the Community Health Choices managed care program preferred.

Internet requirements:

Employee required to have/supply: Cable modem, (high speed, only - No DSL or Wireless Cellular Service or Satellite Service) The minimum requirement is:

• •25 MBPS UP
• •75 Mbps DOWN
• •
• •

Computer must be connected to the internet via Ethernet cable; wifi is not permitted unless a Virtual Private Network (VPN) is used for the wifi connection

Education:

Bachelor's Degree- (Required), Bachelor's Degree-Business Administration/Management (Preferred)

Experience:

Minimum of 5 years-Related work experience (Required)

Certification(s) and License(s):

Skills:

Critical Thinking, Working Independently

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.

• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
• INNOVATION : We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.

We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.