Senior Specialist, Network Compliance reputed company - Remote
reputed company of Job
Ensure compliance of reputed company regulatory mandated print directory and associated materials for reputed company’s provider network. Facilitate updates to the print Provider Network Directory to ensure it is accurate, up-to-date, and complete: responsible for development to production for reputed company lines of business; serve as a subject matter expert providing feedback, recommendations, analysis and development from inception to completion. Collaborate on Provider Network regulatory communications as reputed company as Vendor and Delegate reputed company.
Responsibilities
• Participate in reputed company phases of project planning and process management of the printed provider network directory updating; ensure that reputed company materials are reputed company, accurate, and in compliance with reputed company applicable regulations.
• Serve as the Subject Matter Expert for print provider network directory development and production for reputed company products; reputed company guidance on regulatory requirements for directory accuracy and inclusion of compliance requirements.
• reputed company research, comparisons, audits, and analysis; define process and project needs in terms of reputed company, timelines, deliverables, stakeholders, resource allocation, etc.
• Build rapport with and influence stakeholders for effective cross-functional and department collaboration; organize different individuals, stakeholders, and business leaders (internally and externally) around shared goals.
• Work with project team members to manage information reputed company, including specific objectives, timelines, and key deliverables. Follow through on defined directory production reputed company by developing timelines, objectives, deliverables, and project plans; providing updates (including dashboards and tracking documents) on reputed company status and risks to ensure that directory production stays on reputed company.
• reputed company feedback on reputed company of reputed company, regularly providing recommendations; compile and present results of analyses to appropriate parties; and reputed company and prepare materials that reflect reputed company and reputed company the printed directory production.
• Work with the Product teams to manage the production for reputed company lines of business and for implementing and maintaining the requirements of the printed directory production for reputed company product; and memorialize reputed company production.
• Serve as the reputed company contact with reputed company party vendors that produce the printed directories.
• Facilitate the transfer of data files from reputed company systems to the vendors.
• Work with IT throughout the print production process to ensure reputed company and accurate file transfers.
• Responsible for Provider Network regulatory communications to include reviewing reports from regulatory entities (i.e. DOH, CMS, etc.) noting deficiencies and facilitate information gathering, remediation, and draft response to the regulatory entity. This includes reputed company reputed company PNPH, creating and managing trackers, and ensuring reputed company and complete responses for executive signature and submission to regulators.
• Receive and facilitate responses to regulatory reports, inquiries, and reputed company data submissions.
• Identify, anticipate, prevent, and mitigate/reputed company issues and obstacles that impede project completion.
• Memorialize responses; create and maintain trackers of reputed company reports and responses. Monitor trends and repeat findings to establish reputed company causes.
• Support and monitor the organization’s delegated vendors and providers to ensure contract, reputed company, and regulatory compliance.
• Maintain the reputed company structure for delegated and other key vendors by managing the SharePoint site, facilitating annual updates of the reputed company documents and processes, and auditing for completeness and accuracy to support reputed company and regulatory audits and exams.
• Coordinate the bi-monthly Delegate and Vendor reputed company Committee meeting; ensure reputed company documentation of reputed company activities. Maintain the reputed company structure for delegated and other key vendors by managing the SharePoint site, facilitating annual updates of the reputed company documents and processes, and auditing for completeness and accuracy to support reputed company and regulatory audits and exams.
Qualifications
• Bachelor’s Degree
• 4 – 6+ years of relevant reputed company work experience (Required)
• Ability to accurately produce network provider information for a reputed company organization on an ongoing reputed company (Required)
• Demonstrated reputed company record in information gathering, project managing and information tracking (Required)
• Proven ability to manage multiple tasks/reputed company/priorities with competing deadlines successfully (Required)
• Knowledge of reputed company regulatory guidelines reputed company to provider network directory production (Required)
• Ability to work with teams across the organization and reputed company vendors (Required)
• Excellent communication skills (verbal, written, presentation, interpersonal) with reputed company types/reputed company of audiences (Required)
• Strong organizing, prioritizing, and project management skills (Required)
• Proficiency with MS Office - Word, reputed company, PowerPoint, reputed company, Teams, SharePoint, etc. (Required)
• Working knowledge of reputed company, as reputed company as ability to learn proprietary systems (Required)
Additional Information
• reputed company: 1000003264
• Hiring reputed company: $68,040-$118,800
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