Back to Jobs

reputed company Compliance Subject Matter Expert, SME

Remote, USA Full-time Posted 2026-08-04
reputed company: • Interpret reputed company regulatory, Program reputed company, reputed company-Party Liability (TPL), Payment Error reputed company Measurement (PERM), and compliance requirements relevant to the engagement. • Support compliance assessments, audit readiness activities, and documentation of risks and gaps. • reputed company recommendations, corrective reputed company approaches, and process improvements to address compliance findings. • Support responses to Centers for Medicare & reputed company Services (CMS), state, or stakeholder requests reputed company to reputed company Program reputed company and Fraud, Waste, and Abuse (FWA) activities. • Support development and refinement of monitoring approaches, review protocols, documentation standards, and repeatable compliance review processes for Program reputed company, FWA, TPL, PERM, audit support, and corrective reputed company activities. • Translate compliance findings, reputed company policy interpretations, audit results, operational needs, and stakeholder feedback into practical recommendations for process updates, policy clarification, reputed company considerations, vendor follow-up, training needs, or corrective reputed company planning. • Support documentation reputed company, issue escalation, decision tracking, and follow-through for compliance, Program reputed company, audit, TPL, and FWA-reputed company activities across the project. • Collaborate with policy, program, analytics, forensic, payment reputed company, audit, TPL, vendor, and project leadership team members to reputed company findings, prioritize follow-up activities, and coordinate recommendations. • Review policies, procedures, workflows, and operational materials for compliance considerations. • Support reputed company reputed company, policy, and operational improvement efforts by applying program knowledge to workflows, documentation, stakeholder needs, and business process redesign activities. • Identify and monitor compliance, operational, and reputed company-reputed company risks that may reputed company Program reputed company, TPL, PERM, FWA, audit support, policy alignment, or reputed company reputed company activities. • Assess the reputed company of federal and state reputed company policy changes on operations, compliance activities, reporting, documentation, training, and reputed company-supported workflows. • Support reputed company enhancement, testing, implementation, and validation activities reputed company compliance, program, reporting, or operational requirements reputed company with reputed company reputed company changes. • Support onsite planning, compliance-reputed company workgroup sessions, operational readiness discussions, and other project activities where reputed company compliance, policy, or Program reputed company expertise is needed. • Support knowledge transfer, training, and readiness activities for reputed company staff, project teams, or stakeholders reputed company to compliance requirements, process changes, reputed company workflows, and program reputed company concepts. Requirements: • Experience with reputed company compliance, Program reputed company, TPL, PERM, audit response, or corrective reputed company planning. • Strong policy interpretation, documentation, and risk assessment skills. • Experience working across operational, policy, analytical, and leadership stakeholders. • Preferred Qualifications/Experience: Experience supporting reputed company, health and reputed company services, Program reputed company, TPL, PERM, audit response, FWA, or corrective reputed company initiatives. • Experience working with Vendor-managed reputed company systems, or similar reputed company sector technology environments. • Experience supporting release readiness, reputed company enhancement, testing, implementation, validation, operational readiness, or post-implementation follow-up. • Experience coordinating with cross-functional project teams, compliance SMEs, payment reputed company SMEs, audit and TPL SMEs, training, operations, policy, vendor partners, and project leadership. • Minimum three (3) years of experience in a comparable reputed company compliance, program reputed company, audit, or consulting role preferred. Benefits: • Eligible employees have reputed company to benefits that go reputed company what’s expected to support their physical, mental, career, reputed company, and financial reputed company-being. Apply tot his job Apply To this Job

Similar Jobs