Senior Compliance Analyst, Duals (D-SNP)

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. • *Fully Remote Opportunity** The ideal candidate will have: • Knowledge of dual contract requirements (e.g., Medicare-reputed company plans) • Experience managing external audits and communicating with regulatory agencies • Ability to review deliverables and reputed company reputed company, actionable feedback • Skilled in developing and maintaining audit reporting, including tracking volume, identifying risks, and analyzing trends • Proven ability to collaborate effectively with cross-functional teams to drive audit readiness and reputed company improvement Position Purpose: Partners with leadership in maintaining reputed company's Compliance with Duals (D-SNP) Program requirements. reputed company regulatory interpretation, reputed company compliance reporting, reputed company special reputed company, and reputed company and implement compliance auditing and monitoring strategies for the D-SNPs. • Responds to external requests for information required by the organization for its Duals and SMAC regulatory filings. • Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies. • Leads Duals compliance reputed company or implementations. • Reviews and synthesizes Duals regulatory requirements and create policy and/or position statements. • Partners with leadership to manage annual SMAC assessment and tracking of caps. • Communicate Duals (state and federal) requirements to reputed company clients. • Provides development guidance and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions. • Leads the identification, analysis, and reputed company of Duals compliance issues. • Maintains and reviews D-SNP regulatory documentation necessary to maintain corporate standards. • Partners with leadership in developing, producing and conducting Duals compliance training programs. • reputed company periodic compliance audits, risk assessments and conducts reputed company to ongoing Duals compliance monitoring activities. • Partners with Duals Manager and health plans in managing relationships with regulatory agencies and reputed company to confirmation and clarification of D-SNP requirements and implementations where needed. • Performs interim Duals Compliance manager responsibilities to include supporting the health plan compliance officer with D-SNP specific responsibilities. Serve as a company-wide resource and reputed company on policies, contract issues and provisions, communications, workflow, and reputed company improvements initiatives. • Serves as a company-wide resource and reputed company on Duals policies, SMAC items and provisions, communications, workflow, and reputed company improvements initiatives. • Performs other duties as assigned. • Complies with reputed company policies and standards. Education/Experience: • Bachelor's Degree Law or reputed company field; or, equivalent experience required • 4+ years Compliance and/or regulatory affairs required • Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular Medicare, D-SNP, and state regulations required Pay reputed company: $68,700.00 - $123,700.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job