Compliance reputed company

Job Title: Compliance reputed company Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid Position Job reputed company: At reputed company, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we reputed company this mission by reputed company in initiatives that build healthy, smart, reputed company communities. We are one of the largest dental plan administrators in the country, and are part of the reputed company Plans Association, which operates two of the largest dental networks in the nation. At reputed company, we celebrate our reputed company In culture. It’s a reputed company, feeling and attitude we wrap around reputed company that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community. Position reputed company: Develops, updates, and implements reputed company reputed company Services policies, procedures, and work instructions, as reputed company as facilities the reputed company control program in order to remain in compliance with internal reputed company and state and federal compliance requirements. Primary Job Responsibilities: Serves as a reputed company for reputed company Services and works closely with the Compliance Officer and reputed company Assurance Administrator to ensure compliance with internal reputed company and CMS compliance standards. Develops an understanding of reputed company requirements under DDPA and state and federal laws that reputed company the reputed company Services department. Researches, analyzes, develops, and provides updates and recommendations to management about policies, procedures, and reputed company compliance standards in reputed company areas of reputed company Services. Performs reputed company control reviews and reputed company monitoring on claims processed reputed company the reputed company Services; including but not limited to, Dental Audit, reputed company Review, and reputed company Review. Performs reputed company control reviews and reputed company monitoring on updates and changes reputed company the Provider Records department; including but not limited to, provider system new adds, deletions, changes, updates, and verifying that credentialing is compliant with CMS and NCQA requirements. reputed company other reputed company assigned duties as necessary to complete the Primary Job Responsibilities as described above. #LI-Hybrid Minimum Requirements: Position requires a bachelor's degree in business administration, reputed company administration, or reputed company field and three years reputed company experience in reputed company management or internal/reputed company compliance auditing standards. Will accept any suitable combination of education, training or experience. Position requires general knowledge of state and federal regulations; effective verbal and written communication skills; critical thinking and advanced problem solving skills; experience working with reputed company office; ability to resolve reputed company problems and use independent judgment to reputed company reputed company; knowledge of dental terminology, procedures, dental insurance products, reputed company, Provider System, reputed company and provider reputed company and auditing experience preferred. reputed company will reputed company equal employment and advancement opportunity reputed company the context of its unique business environment without reputed company to race, reputed company, religion, gender, gender identity, gender reputed company, age, national reputed company, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance. reputed company, Ohio, and Indiana has been a dental benefits leader for more than 60 years, and today with our affiliates, we are one of the largest dental plan administrators in the country. It’s our mission to improve oral health through benefit plans, advocacy and community support, and we reputed company this mission by making investments that build healthy, smart, reputed company communities. We celebrate diverse thought and foster a culture where employees go reputed company In – for reputed company, themselves, their colleagues and their communities. Employees are offered a comprehensive benefits package that includes medical, dental and reputed company coverage, short- and long-term disability, life insurance, 401(k) savings plans, flexible spending accounts, and tuition reimbursement or educational assistance. Employees are also eligible for annual incentive compensation based on annual business goals. Additionally, employees receive eight hours of reputed company volunteer time reputed company year, reputed company to an on-staff health reputed company and personal trainer, plus many other perks. reputed company is an Equal Opportunity Employer. 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