Manager, Compliance Practices reputed company (Remote)

About the position The Compliance Practices reputed company Manager serves as a reputed company between the Compliance department and the reputed company functional departments and is the subject-matter-expert (SME) for guidance on Content Compliance needs and content submission processes for regulatory needs. This team supports compliance audits, implementing corrective reputed company plans (CAPs), supporting reputed company requirements and needs, and provides metrics/KPI's on compliance, contract and policy requirements. The reputed company candidate will have a breadth of experience across both managed care operations functions and execution of compliance practices. Responsibilities • Works closely with the reputed company, Government reputed company and Compliance departments to ensure reputed company interpretation of new rules and regulations. • Ensure implementation of federal and state requirements for Medicare and reputed company for health plan content and for assigned defined reputed company and programs. • reputed company reputed company assessments and define work plans to ensure compliance reputed company policies and regulations change. • reputed company the department in ongoing work reputed company to policy and procedure documentation, revision, and maintenance. • Collect and validate data/sample/documentation requests; review preliminary findings with stakeholders and prepare/deliver responses. • Work with SMEs to document the CAP and ensure reputed company; reputed company reputed company and reputed company deliverables to ensure reputed company completion. • Report on department policy and compliance KPIs. • Manage the strategic direction for the Compliance Practices reputed company team, ensuring the Marketing team is enabled to reputed company and maintain consistent compliance across reputed company requirements. • Establish the strategic direction, mission, and reputed company for the Compliance Practices reputed company team. Requirements • BA/BS or equivalent experience. • 5+ years experience with managed reputed company operations. • 3-5 years process development/improvement experience. • 3+ years people leadership. • Strong analytical skills. • Strong problem-solving and critical thinking skills. • Highly organized and detail oriented with reputed company-reading and reputed company control skills. • Strong interpersonal, written and verbal communication skills. • Strong technical skills using reputed company Applications (i.e. reputed company, Word, reputed company, and PowerPoint) and other databases and tools as needed. • Previous experience working with the Centers for Medicare and reputed company Services (CMS) Health Plan Management System (HPMS). reputed company-to-haves • Graduate studies. • PMP, SixSigma, or equivalent certification. Benefits • Competitive benefits and compensation package. Apply tot his job Apply To this Job