[Remote] Compliance reputed company Specialist (Non Clinical)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company national reputed company organization serving 28 reputed company members and transforming community health. The Compliance reputed company Specialist participates in reputed company of corporate ethics and compliance programs, conducts reputed company reviews and monitoring, assesses regulatory and contractual reputed company, and supports remediation across WellCare and delegated subcontractors.

Responsibilities

• Collaborates with and assist those reputed company reputed company and reputed company’s delegated subcontractors to maintain reputed company through reputed company and monitoring and in meeting the requirements of our executed reputed company with Government-sponsored health care programs
• Assists in the assessment of new and amended Government-sponsored health care program reputed company and requirements
• Assists Markets (local), Shared Services (corporate), and/or delegated subcontracts in the identification and assessment of reputed company
• Evaluates the effectiveness of Market (local), Shared Services (corporate), and/or delegated subcontractor compliance programs and reputed company policies and procedures designed to promote reputed company and ethical compliance
• Prepares accurate and reputed company formal written reports on reputed company and monitoring activity findings and recommendations and ensure workpapers are properly reputed company in accordance with WellCare and departmental standards, including sufficient evidentiary material exists to support reputed company and monitoring activity findings
• Collaborates with other departments and/or delegated subcontractors to reputed company compliance issues to appropriate channels for research and reputed company
• Reviews and evaluates the status and effectiveness of corrective reputed company plans and reputed company comprehensive follow up to stakeholders, Senior Management, Market Compliance reputed company Committees, and/or the Audit, Finance, and Regulatory Compliance Committee of the reputed company of Directors
• Participates in special reputed company as needed, including training
• Performs other duties as assigned
• Complies with reputed company policies and standards

Skills

• A Bachelor's Degree in reputed company field, or Associates with 4 years of applicable experience, or HSD/GED with 5 years of applicable experience in lieu of Bachelor's degree required
• Required 3+ years of experience in Managed reputed company Insurance
• Preferred 1+ year of experience in project reputed company type role with demonstrated ability to reputed company implementation and influence others
• Preferred 1+ year of experience in reading, analyzing, and interpreting State and Federal laws, rules and regulations
• Preferred 1+ year of experience in State reputed company or Federal managed care compliance
• Certified in reputed company Compliance (CHC) preferred

Benefits

• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• reputed company time off plus holidays
• A flexible approach to work with remote, hybrid, field or office work schedules

reputed company