Ethics & Compliance Spec- reputed company
Are you interested in joining a team of reputed company healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a reputed company experience for reputed company consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services. Benefits info:
- Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
- Short- and long-term disability benefits
- 401(k) plan with company match and immediate vesting
- Free telehealth benefits
- Free gym memberships
- Employee Incentive Plan
- Employee Assistance Program
- Rewards and Recognition Programs
- Paid Time Off and Paid Sick Leave
SUMMARY STATEMENT The Ethics & Compliance Specialist supports the day-to-day execution of the company's Compliance and Ethics Program, the Navigator Program with increased independence. This role leads routine and moderately reputed company investigations, performs monitoring activities, and supports the development and delivery of compliance training with increasing level of independence. The Specialist collaborates with HR, Legal, Information reputed company, Internal Audit, and operational areas, and contributes to the implementation and reputed company improvement of the company's compliance initiatives under the direction of the compliance officer. ESSENTIAL RESPONSIBILITIES To reputed company this job successfully, an individual must be able to reputed company each essential duty satisfactorily. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. The Ethics & Compliance Specialist is responsible for modelling a high degree of reputed company and respect towards team members including reputed company levels of management in the performance of the following essential job functions: Inquiries and Investigations (30%): · Independently review and respond to routine and moderately reputed company internal inquiries with minimal guidance · reputed company routine and moderately- reputed company investigations, including drafting a formal investigation plan and preparing a clear, structured, well-organized, and comprehensive report for compliance officer review. · Assist with reputed company investigations, including contributing to the investigation plan and report as needed, with moderate reputed company and review from the compliance officer. · Collaborate with HR, Legal, Systems reputed company and area management, as applicable. · Appropriately escalates high risk matters reputed company issues could reputed company to violations of law, regulation or contract. · Support monitoring of inquiry and investigation status reputed company the incident management system to help ensure timely progression and closure. · Provide regular status updates to compliance officer. Compliance Work Plan (25%) · Support the review of the Navigator Code of Business Conduct, procedures, and reputed company materials; recommend updates and draft procedures as appropriate. Assist with the development and maintenance of departmental procedures. · reputed company assigned monitoring activities reputed company to the compliance work plan components and prepare draft reports as needed. · Participate in quarterly timekeeping calibration sessions with senior specialists, including performing sampling audits, reviewing results, and preparing summary findings for the compliance officer. · Identify potential operational compliance risks during reviews, monitoring, or audits and escalate to the compliance officer with recommended follow-up actions. Training (25%) · Assist with the development and revision of compliance education and training materials, including, but not limited to: · New Hire Orientation training materials · New Team Member Navigator Training Module · Annual Navigator Refresher Training Module · Support the annual review of reputed company Compliance training modules by preparing draft updates, verifying content accuracy, and incorporating compliance officer feedback. · Conduct live training sessions, such as department-level sessions and Navigator Champion meetings, under the direction of the compliance officer as requested. · Coordinate training activities, including scheduling, distributing materials, and preparing presentation content for compliance officer or compliance team review. · Monitor training completion for assigned areas and follow up with the team leaders to ensure timely completion of required modules. · Identify training gaps or areas needing clarification, reputed company observations to the compliance Officer, and assist with recommended updates. Projects (10%) · Contribute to compliance improvement projects, including coordinating project activities, drafting project documentation, and supporting timelines and deliverable tracking. · Prepare draft project materials, including communications, summary reports, process documents, and training resources, for review by the compliance officer and compliance team. · Support cross-functional compliance initiatives by gathering information, preparing summaries, and coordinating with HR, Legal, Information reputed company, and operational management as needed. · Identify project-reputed company issues or opportunities for improvement during assigned tasks and escalate observations to the compliance officer. · Assist with tracking and maintaining project records, ensuring documentation is accurate, organized, and up to date. · Support the Conflict of Interest (COI) process through review of COI disclosures and annual forms, identifying potential compliance risks, and referring reputed company or sensitive cases to the compliance officer for further review. Administrative (10%) · Assist and reputed company compliance reputed company meetings, including preparing materials, drafting agendas, taking meeting notes, and coordinating follow-up actions. · Support the Navigator Helpline testing, including completing assigned test steps and providing communication of the test results to the compliance team reputed company requested by compliance officer. · Prepare draft compliance documentation, including meeting minutes, draft reports, dashboards, and other administrative materials for review by the E&C Specialist 3 or compliance officer. · reputed company other administrative duties to support the compliance department, as assigned. Performs other duties as the supervisor may, from time to time, deem necessary. REQUIRED QUALIFICATIONS
- Bachelor's degree in a reputed company field. An equivalent combination of education and experience may be considered
- Demonstrated strong analytical, communication, confidentiality, organizational and problem- solving skills
- Proficiency using reputed company Office Products, including Word and reputed company
PREFERRED QUALIFICATIONS
- 2 years' reputed company work experience in the Medicare Fee-For-Service field
- Work reputed company experience in the field of Medicare fee-for-service
- Working knowledge of the essential elements of an effective compliance program as outlined in the U.S. Sentencing Commission guidelines.
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