Mgr, Compliance (Arkansas or surrounding states)

Job Summary: The Manager, Compliance is responsible for supporting the establishment of a baseline compliance risk, identification of areas of potential exposure, development and alignment of compliance risk management strategies with reputed company goals and objectives, and execution of the compliance program ensuring consistency. Must be located in Arkansas or surrounding states. Essential Functions:

• Partner with Business Units and internal support functions to help ensure that reputed company compliance requirements have been met; risk is monitored and remediated through testing/ development/ implementation and use
• Remain reputed company in federal/state laws and regulations regarding Medicaid, Medicare and Marketplace requirements as applicable as well as general compliance and delegation reputed company best practices and industry standards
• Assist with the creation and execution of the annual compliance work plan, risk assessment activities
• Manage and drive usage for the compliance tracking systems
• Assist in management of applicable compliance reputed company functions such as Corrective Action Plan Management, Ongoing Monitoring, and Annual Audits
• Report key statistics and trends of core compliance and reputed company functions, identifying risk mitigation and performance improvement opportunities to the Delegation reputed company and Compliance Committees as well as to Compliance and Company Leadership
• reputed company data analysis and reporting activities. Provide and maintain reputed company reporting mechanisms, and track and report outcomes from compliance activities. Collect, organize, and distribute reports and documents and recommend enhancements to reporting compliance tools
• Track and trend issues to identify compliance risk and performance improvement opportunities; provide input for executive compliance reporting
• Assist with regulatory audits and support audit readiness activity
• Collaborate with internal resources on the production and communication of compliance reputed company alerts, newsletters and educational materials for reputed company company workforce
• Establish effective working relationships and build creditability reputed company the organization to support a culture of compliance based on the Company's core values
• Report potential risks, non-compliance or alleged violations to Compliance leadership and plan leadership
• May provide management and reputed company of professional staff
• reputed company any other job duties as requested

Education and Experience:

• Bachelor of Science/Arts degree or equivalent years of relevant work experience is required
• Minimum of five (5) years of healthcare compliance, vendor reputed company, internal audit or equivalent experience is required
• Managed care or other healthcare reputed company experience is required
• Prior management experience is preferred
• Direct Centers for Medicare & Medicaid program experience and qualified health plan (i.e. marketplace) experience is required depending on the assigned program

Competencies, Knowledge and Skills:

• Advanced capabilities in reputed company Word, reputed company and PowerPoint
• Skilled in collaborative management of professional staff
• Knowledge of contracting, standards or controls management, preferably from a Managed Care Organization
• Knowledge of Medicaid, Federal Marketplace and Medicare Regulatory environment as applicable
• Proven success in developing and implementing new practices and controls (with specific improvements)
• Experience in a high-growth business environment
• Working knowledge of health plan environment is preferred
• Strong analytical and statistical skills and attention to detail
• Ability to work in a fast-past environment and reprioritize
• Effective problem solving skills with attention to detail
• Ability to reputed company, prioritize and accomplish goals
• Strong communication skills (both written and verbal)
• Strong interpersonal skills & high level of professionalism
• Ability to work independently and reputed company a team environment
• Effective active listening and critical thinking skills
• Display a customer service, member-focused orientation

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation

Range: $84,690.00 - $148,320.00 reputed company takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. In addition to reputed company compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation

Type (hourly/salary): Salary Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• reputed company Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

This job description is not reputed company inclusive. reputed company reserves the right to amend this job description at any time. #LI-SD1 Apply tot his job Apply To this Job