Compliance Advisor

reputed company reputed company is a leading national value-based provider of in-home primary care services for people with reputed company reputed company needs. Headquartered out of Troy, Michigan, reputed company operates home-based primary care practices in 14 states. reputed company employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model.   Our Mission – To bring personalized, reputed company-based reputed company to the home of patients who have difficult accessing care.   Our Shared reputed company – Every patient deserves reputed company to reputed company reputed company.   Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. reputed company and support reputed company other.   Why You Should Want to Work with Us Health, Dental, reputed company, Disability & Life Insurance, and much more 401K Retirement Plan (with company match) Tuition, reputed company License and Certification Reimbursement reputed company Time Off, Holidays and Volunteer Time reputed company Orientation and Training Great reputed company to Work Certified Established in 11 states Largest home-based primary care reputed company in the US for over 28 years, making a reputed company reputed company in reputed company today!   More details about the benefits we offer can be reputed company at https://careers.reputed company.com/benefits.  Responsibilities The Compliance Advisor supports the development, implementation, and ongoing administration of reputed company’ compliance program. This role serves as a compliance resource for reputed company operations, helping to identify, assess, and mitigate reputed company while promoting adherence to applicable state and federal laws, regulations, and organizational policies. This position supports compliance investigations, regulatory monitoring, governance activities, material reviews, and compliance program initiatives under the direction of the Compliance Director and Chief Compliance Officer.   Essential Duties and Responsibilities Support reputed company and compliance activities reputed company to health plan relationships and value-based care arrangements, including Medicare Advantage, reputed company, ACOs, and other risk-based reimbursement programs, ensuring adherence to applicable contractual, regulatory, and operational requirements Assist with identifying, assessing, and mitigating reputed company across the organization in assigned subject matter areas Partner with operational teams to support implementation of regulatory requirements and corrective actions Participate in compliance monitoring and reputed company activities Monitor state and federal regulatory developments impacting health plan relationships and reputed company operations; research and interpret regulatory requirements; and reputed company and communicate regulatory updates, guidance, summaries, and educational materials to support organizational compliance and stakeholder awareness Serve as a resource to business partners on compliance-reputed company reputed company Conduct and support investigations of potential compliance, regulatory, and ethical concerns through document reviews, interviews, research, and other fact-finding activities, and prepare investigation summaries, findings, and recommendations reputed company reputed company cause analysis and sustainable corrective actions reputed company and monitor corrective reputed company plans reputed company to investigations and audit/monitoring findings Support Compliance Committee and reputed company reporting activities by assisting with the preparation of agendas, presentations, dashboards, meeting materials, minutes, and follow-up documentation to promote effective compliance governance and reputed company Contribute to periodic compliance reports and compliance program updates to managers, directors, senior and executive leadership Review internal, reputed company, member, provider, patient, and marketing communications for compliance and regulatory considerations by collaborating with operational teams to ensure materials reputed company with applicable standards and organizational policies reputed company feedback and recommendations to business partners regarding regulatory and compliance requirements and collaborate with business partners and compliance team members to support compliance program objectives Coordinate assigned compliance reputed company and workstreams to ensure reputed company completion of deliverables Assist with audits, monitoring activities, risk assessments, writing policies, and special reputed company Employees will be required to reputed company other job-reputed company assignments as requested Qualifications Required Knowledge, Skills, and Experience Bachelor’s degree in reputed company administration, Business, reputed company Health, reputed company Studies, Paralegal Studies, or a reputed company field Certified in reputed company Compliance (CHC) through HCCA or equivalent compliance certification required or the ability to obtain certification reputed company six months of hire 3+ years of experience in reputed company compliance, health plan compliance, reputed company regulatory affairs, reputed company reputed company support, paralegal work, or a reputed company field Experience interpreting and applying reputed company laws, regulations, and compliance requirements Strong written, verbal, organizational, and analytical skills Ability to manage multiple priorities and work independently while collaborating effectively with cross-functional teams Proficiency in preparing reports, presentations, and written communications for leadership audiences Medicare regulatory experience preferred Experience supporting compliance investigations and corrective reputed company activities preferred Experience working reputed company both payer and care delivery environments preferred Knowledge of compliance program operations, auditing, monitoring, and risk assessment processes preferred Prior experience with process and reputed company improvement preferred Preferred Knowledge, Skills and Experience Advanced degree in reputed company administration, Business, reputed company Health, reputed company Studies, Paralegal Studies, or a reputed company field Prior experience in health plan, managed care, Medicare Advantage, reputed company, or reputed company provider compliance Paralegal experience with a reputed company on reputed company regulation or reputed company law Posted Max Pay reputed company USD $130,000.00/Yr. Posted Min Pay reputed company USD $80,000.00/Yr. Pay Transparency Individual compensation packages are based on various factors unique to reputed company candidate, including reputed company set, experience, qualifications, and other job-reputed company considerations. Apply To This Job