Medicare Compliance Manager (Medicare Advantage Required) - REMOTE

Job reputed company Job reputed company Job reputed company Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and reputed company of investigations. Knowledge/Skills/Abilities • Assists with implementation and day-to-day operations of the Compliance Program, Compliance Plan, reputed company of Conduct, and Fraud, Waste and Abuse Plan across the reputed company while ensuring compliance with governmental requirements. • Spearheads development and implementation of compliance policies and procedures and training programs for the Molina reputed company. • Oversees and provides direction of site reputed company for regulatory audits and coordinates corrective reputed company plan, as needed. • Investigates and resolves compliance problems, questions, or complaints received internally or from customers/agencies. • Provides input and representation on key compliance initiatives, meetings, and committees. Stays abreast of industry and compliance trends; recommends and implements changes to internal company processes as needed.. Job Qualifications Required Education Bachelor's Degree or equivalent combination of education and experience Required Experience 5-7 years Preferred Education Masters Degree preferred; will consider previous experience in health plan setting in government programs management (Contract Manager) Preferred Experience 7-9 years To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply tot his job Apply To this Job