Health Care

applicants

Director, Compliance & Regulatory Affairs-MedicareNewly created role will provide compliance oversight with requirements of all types across all plans.  Serve as senior leadership and main contact between key companies. Acquire information and requirements from company, translate into business relevant terms, and disseminate as needed through the organization. Manage local Medicare Compliance Directors and determine correct staffing levels based on size and needs of market. Provide plans with advice and expertise about Medicare compliance. Conduct internal compliance audits, write corrective action plans and work with Compliance Directors to ensure timely completion and compliance with federal, state and local regulatory requirements.  Communicate proactively with about program status and courses of action being planned. Oversee responses to all inquiries and audits. Oversee and audit national vendors with regard to compliance. Monitor and manage the Complaint Tracking Module and disseminate relevant information to the plan Compliance Directors. Assists Plans in maintaining relationships with state and local governing bodies with regard to Medicare. Support business development processes in evaluating and ensuring regulatory authority and compliance with new business regulations. ________________________________________Knowledge/Experience: Bachelor’s degree in related field. 5-7 years of compliance and contract experience with Federal Medicare programs including internal and audits. 2+ years of experience with health care regulatory agencies in development of compliance and fraud programs; 2+ years experience with overseeing implementation of contract requirements.ABOUT THE COMPANY:Our client is one of America's premiere managed medicaid companies.  They have operations in 10 states and over $900 million in revenue.  You'll enjoy a comprehensive benefits program, very competitive salary and generous bonuses.  ABOUT OUR FIRM:Health Career Professionals, LLC is a health care executive search and talent management firm who provides professional services to health care professionals and companies.  Our clients are national and regional health care plans who seek the services clinical and operational professionals in contract, interim, and permanent positions.By applying to this position you are agreeing to receive additional information from our firm and our periodic email newsletter about new opportunities and career information.  Your personal information is NEVER released to any third parties.