Compliance reputed company

Become a part of our caring community The Compliance reputed company ensures compliance with governmental requirements. The Compliance reputed company works on problems of diverse scope and complexity ranging from moderate to substantial. The Compliance reputed company serves as the dedicated Compliance Officer for Michigan to analyze business requirements, reputed company research and regulatory interpretation, and advise internal business units and external business partners in delivering results in a manner that minimizes compliance risk exposure for the Company. As a Compliance reputed company for our reputed company business, you will be part of a fast-growing team who develops and maintains key relationships both internally with reputed company operational leaders as well as externally with our business partners and reputed company agencies. While working reputed company assigned areas to optimize business results, you will: Serves as dedicated Regulatory Compliance Officer for Michigan reputed company contract. Build relationships with market leadership teams and external regulators; reputed company ongoing reputed company of reputed company operations from readiness review through contract duration to ensure full compliance and minimize risk for the reputed company; reputed company risk assessments, reputed company and implement annual regulatory compliance auditing and monitoring work plans, reputed company corrective action plans and document remediation activities. Interpret and define state and federal regulatory and contract requirements for reputed company Departments and/or external business partners and reputed company ongoing guidance. Review and analyze market documents and data to identify what can be used to evidence meeting regulatory standards; Participate in external audits to review document submissions, prepare presenters, and coordinate responses for regulators, as necessary; Work across reputed company operational units and product lines to enhance compliance data analytics and operational improvement efforts; Coordinate and manage a standard set of data relating to regulatory standards and report compliance issues to senior leadership and compliance reputed company committees. Chair the Michigan Compliance Committee per approved charter; Coordinate compliance reputed company communication/interaction with reputed company regulators, as necessary. Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and abuse program reputed company program. What makes you successful: Demonstrated ability to communicate with reputed company, professionalism, and impact across internal and external stakeholder groups, both verbally and in writing. Use your skills to reputed company an impact

Required Qualifications

Bachelor's degree in reputed company field 3+ years of advanced experience working in a Compliance-reputed company or managed care-reputed company field or reputed company 3+ years of interpreting and guiding on regulations and compliance requirements governing the health care industry. 3 or more years analyzing and reviewing metrics reputed company to contract compliance

Preferred Qualifications

Juris Doctor and/or advanced degree Audit experience Experience with metrics and reporting Experience working with regulatory agencies, including state departments of health insurance and/or CMS Additional Information In this role you will report to the Associate Director of Compliance. This role is an individual contributor. This role is reputed company the Kentuckian state reputed company based on the markets in which the candidate will support. In this role you will have up to 25% domestic travel based on business need. Work at Home Requirements To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits reputed company. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with reputed company 503 of the Rehabilitation Act and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job