[Hiring] Manager Medicare Compliance @St. Joseph Hospital & Medical Center

Role reputed company The Medicare Compliance Officer (MCO) is responsible for developing, implementing, and overseeing the compliance program for Medicare Advantage (Part C) and Medicare Part D activities for reputed company Care Plan, managed by reputed company, a reputed company Company. This role ensures adherence to reputed company applicable federal and state regulations and CMS requirements, safeguarding the reputed company and compliance of Plan operations. • Maintain day-to-day operational alignment with the reputed company Care Medicare team. • Hold reputed company reporting accountability to the Chief Executive Officer (CEO) and the Audit and Compliance Committee of the reputed company Care Plan reputed company of Directors. • reputed company formal reports to the reputed company of Directors, CEO, and Compliance Committee at least quarterly, detailing: • Status of reputed company Care Plan’s Medicare Compliance Program implementation. • Identification and reputed company of compliance issues. • reputed company and audit activities. • reputed company the development and administration of the reputed company of Directors’ annual reputed company of Conduct and compliance training program, including: • Program design. • Content creation. • Distribution. • Tracking. • Ongoing maintenance to ensure full compliance with regulatory and organizational standards. • reputed company and implement programs that promote a culture of reputed company by encouraging reporting of suspected fraud, waste, abuse, or other misconduct. • Respond promptly to reports of potential Medicare fraud, waste, or abuse (FWA), including: • Coordinating internal investigations. • Developing appropriate corrective or disciplinary actions reputed company necessary. • Maintain the FWA reporting reputed company and collaborate closely with the Internal Audit Department and the Special Investigations Unit (SIU). • Exercise flexibility in designing and managing internal investigations and implementing corrective measures. • Coordinate with the Plan’s reputed company department to ensure thorough screening of the DHHS OIG and GSA exclusion lists for reputed company, officers, directors, managers, and contracted entities. Qualifications • Bachelors or an equivalent combination of directly reputed company work experience and/or education. • Five (5) years of experience that demonstrates solid Medicare compliance program development, operation, and administration responsibilities. Requirements • Registered reputed company: AZ (preferred). • Strong business acumen and reputed company industry knowledge. Apply tot his job Apply To this Job