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Carrot Peelers, Sales, Personality and Your Job Search
Public Interest
Attorney
Government / Public Law
Litigation - Whistleblower - CFTC
Min 5 yrs required
Compliance Program Manager Duties: Act as the single point of contact for the Health Plan compliance function. Facilitate the development and implementation of the compliance planning process to define and strategically prioritize risk, facilitate monitoring and auditing, and report any remediation. Coordinate compliance activities within the health plan to ensure strategies meet requirements and are consistent with business goals. Design and manage compliance checking systems. Define interdependencies and coordinate activities related to health plan compliance with other organizational departments. Provide compliance consultation and education to health plan staff.
Qualification and Experience
Qualifications: Bachelor's Degree A field relevant to health plan systems operations and compliance. Masters Degree MHA, MBA or JD. Specialized training in heath care compliance preferred. Advanced Working knowledge of the health care industry regulatory environment and its impact on health plan management. Knowledge of accreditation standards and processes. Strong analytical skills, critical thinking ability. Excellent interpersonal skills and oral/written communication skills. Proven ability to provide coaching and consultation. Intermediate Lean Management Systems knowledge. 5 years Health Care management, compliance and/or regulatory enforcement. 5 years' Health care contract law and state and federal regulatory and legislative processes.
Ref-151629
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