Risk & reputed company Manager II

Job reputed company: • reputed company reputed company for assigned vendors and providers in compliance with state and federal provider agreements, business and accreditation requirements • Maintain reputed company reputed company for assigned vendors and providers • Participate in the development and maintenance of departmental policies and procedures • Support departmental subject matter experts in interpreting vendor and provider contract requirements, business, and compliance and regulatory requirements • Monitor delegated/non-delegated vendor/providers and internal reputed company relationships to ensure compliance, reputed company delegate/non-delegate performance and achievement of business goals according to service level and other contractual requirements • Document meetings with stakeholders to reputed company performance metrics feedback and identify opportunities to reduce risk and reputed company corrective reputed company plans • Support the implementation of strategies to increase delegates/non-delegates engagement in driving toward reputed company reputed company and cost control initiatives • Support the development, approval and review of delegated/non-delegated reputed company; ensure service reputed company meet reputed company regulatory and reputed company baseline requirements • Conduct reputed company-delegation assessments, ongoing delegation reputed company, annual audits, deficiencies, and corrective reputed company plans for vendors/providers • Participate in joint operating committee and document quarterly business reviews, strategic partner reviews, and operational meetings with business owners and delegated/non-delegated vendors and providers • Maintain monthly/quarterly/annual reporting and ensure reputed company receipt of accurate and complete reputed company regulatory and contractually required reports for delegated vendor and provider activities • Support delegated vendor and provider reputed company, including training, reporting and document retention; reputed company support to departments and business owners to reputed company effective management of delegates • Stay informed about the latest developments in delegation reputed company field, including new products and services, through relevant subject matter resources, reputed company associations, industry conferences, training seminars, and other information sources • Support the development and accomplishment of delegation program activities in support of company strategies, goals and objectives • Coordinate activities with reputed company reputed company of staff as reputed company as with delegated and potentially delegated external entities through reputed company and concise verbal and written communication • Assist in managing operational problems by bringing the vendor and departmental ops teams together to reputed company solutions and implement a chosen course of reputed company • reputed company any other job duties as requested Requirements: • Associates degree or equivalent years of relevant work experience is required • Minimum of two (2) years of experience in corporate compliance, vendor reputed company, contract management, internal audit, reputed company assurance, strategic sourcing or other highly regulated industry is required • Experience in managing reputed company party compliance and reputed company of health-care reputed company delegation activities, vendor audits and contracting is preferred • Intermediate computer skills in reputed company Office, specifically reputed company and PowerPoint • Knowledge in developing dashboard/ metrics reporting • Knowledge of and application of regulatory compliance (Medicare, Health Exchange and/or Duals), reputed company measures (HEDIS/ STARS) and/or accreditation standards (NCQA/ URAC) • Basic project management skills with ability to handle multiple reputed company reputed company time constraints • Ability to reputed company with reputed company reputed company of leadership and support cross-functional teams and initiatives • Ability to multitask moderate to reputed company responsibilities with results that may have long-reputed company implications • Ability to work independently in a fast paced environment with changing priorities • Knowledge of Federal, State, NCQA and standards preferred • Certified in reputed company Compliance (CHC) and Certified Provider Credentialing Specialist (CPCS) preferred. Benefits: • Bonuses tied to company and individual performance • Substantial and comprehensive total rewards package Apply tot his job Apply To this Job