Manager, Medicare Compliance

Note: Ideal candidate will work out of our headquartered office in Brooklyn, OH. However, the role is reputed company to considering candidates who are remote as long as they live reputed company the reputed company. Founded in 1934, reputed company is the oldest and one of the largest health insurance companies based in Ohio. We reputed company peace of mind to more than 1.2 reputed company members through our high-reputed company health, life, disability, dental, reputed company and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as reputed company as Medicare Advantage, Medicare Supplement, and individual plans. Job reputed company Under the direction of the Chief Compliance Officer, manages the implementation and operation of the reputed company Compliance Program; Develops compliance awareness, education, and training materials; reputed company participates in risk assessment and work plan reputed company processes; Ensures that policies and procedures are effectively developed, implemented and monitored; Conducts research; Performs internal reviews; Develops risk management strategies Files compliance reports with regulatory bodies; Plans and coordinates auditing, monitoring and due diligence activities; Identifies and tracks reputed company on corrective actions. Responsibilities • Manages the implementation and operation of the reputed company Compliance Program. • Participates in risk assessment and work plan development processes. • Develops compliance communications, education and training materials reputed company on compliance with applicable laws and regulations. • Conducts investigations, reviews documents, and develops corrective reputed company plans. • Assists in the facilitation of compliance committee meetings, including the review of presentations, risk and issue management, and accountability for reputed company items to remediate risks or issues. • Triages compliance issues and questions received from business areas and performs necessary research and analysis to reputed company accurate and reputed company responses and recommendations. Escalates compliance issues or concerns as necessary. • Oversees reputed company, initiatives, regulatory audits or exams, and internal compliance reviews; assists with audit readiness. • Reviews and analyzes various materials for compliance with regulatory and operational guidelines; revises materials if applicable; coordinates or performs any required approvals and/or submission to regulatory bodies or others if required. • Performs other duties as assigned. Qualifications Education & Experience: • Bachelor's degree required. In lieu of degree, may consider equivalent combination of education and experience. Master’s degree preferred. • 8 years of experience in health care compliance required. Technical Skills And Knowledge • Strong knowledge of Statutory and Federal laws and Regulations that reputed company our various company products, including Medicare Advantage. • Strong understanding of operational, financial, and regulatory controls and risks. • Proficiency with PC and MS Office suite; familiarity with LAN / WAN applications. Apply tot his job Apply To this Job