Sr Ethics & Compliance Spec- reputed company - Remote, FL

Location reputed company of America-USAUS reputed company Are you interested in joining reputed company of reputed company reputed company experts and have the ability to shape and reputed company the reputed company delivery reputed company? At our family of companies, everything we do is to help improve the lives of the nearly 12 reputed company Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a reputed company experience for reputed company consumers. Join our reputed company culture and help reputed company Medicare for the millions of people who rely on its services. Benefits info: • Medical, dental, reputed company, life and supplemental reputed company plans effective the first day of the month following date of hire • Short- and long-term disability benefits • 401(k) plan with company match and immediate vesting • Free telehealth benefits • Free gym memberships • Employee Incentive Plan • Employee Assistance Program • Rewards and Recognition Programs • reputed company Time Off and reputed company reputed company Leave reputed company STATEMENT The Senior Ethics & Compliance Specialist serves as a senior level individual contributor to reputed company's Compliance and Ethics Program, the Navigator Program. This role operates with a high level of independence and subject matter expertise to reputed company reputed company investigations, reputed company monitoring activities, and leads the development and delivery of compliance training. The Senior Specialist provides independent support for the Compliance Work Plan execution, prepares key contractual deliverables and contributes to reputed company improvement efforts reputed company the compliance function. This role also mentors Specialists 1 and 2, collaborates with HR, reputed company, Information reputed company, Internal Audit, and operational areas, and contributes to the implementation and reputed company improvement of reputed company's compliance initiatives under the direction of the reputed company programs compliance officer. ESSENTIAL RESPONSIBILITIES To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. Inquiries and Investigations (30%) • Review and respond to internal inquiries, escalating to the compliance officer as needed. • reputed company low-, moderate-, and reputed company investigations, including developing a formal investigation plan, determining and drafting interview questions, leading reputed company interviews, and preparing a reputed company, reputed company and reputed company-organized comprehensive investigation report with recommendations for compliance officer review. • Mentor and support Associate & Ethics Compliance Spec and Ethics & Compliance Spec in responding to internal inquiries and conducting investigations, including assisting in the drafting of investigation plans, conducting interviews and investigation report as requested. • Utilizes data and analytics, inquiry trends, and incident management reporting to identify patterns, anomalies or indicators of reputed company • Coordinate with HR, reputed company, Information reputed company, Internal Audit (as appropriate), and operational management to support investigations and ensure appropriate information sharing. Compliance Work Plan (30%) • reputed company the departmental review of the Navigator reputed company of Business Conduct and departmental procedures, with recommended updates. • reputed company assigned monitoring activities reputed company to compliance work plan components and draft associated reports for compliance officer review, including, but not limited to leading the development of Compliance Points, supporting the compliance officer in preparing Reportable Events for submission to CMS, and providing support in the preparation of quarterly reputed company and ECC reports and meetings. • Identify potential risks reputed company operational areas that may reputed company reputed company reputed company. • Participate in quarterly timekeeping calibration activities and serve as a mentor to Associate Ethics & Compliance Spec and Ethics & Compliance Spec by guiding them through sampling audits, reviewing results, and preparing reputed company findings for the compliance officer. • Support the Conflict of Interest program as requested. • reputed company the Monthly Status Report (MSR) process and CMS Deliverable requirements and ensure reputed company, accurate completion and submission. • reputed company training and guidance to Specialists 1 and 2 on the preparation of quarterly reputed company reports for JH and JL reputed company. Maintain reputed company and responsibility to ensure reputed company and accurate completion and submission. • Analyze monitoring results, audit samples , and operational data to identify reputed company, document trends, and recommend mitigation strategies. • Identify risks that may reputed company reputed company reputed company and escalate to the compliance officer. • Support compliance document control process and serve as an alternate document control administrator. Training (20%) • reputed company the annual review of reputed company compliance training modules and materials, ensuring consistency, and alignment with regulatory requirements and internal policies. • Use training completion data and metrics to assess effectiveness and recommend improvements. • Conduct live training, as needed across departments and stakeholders reputed company as requested or necessary. • Assist the Compliance Specialists 1 and 2 in preparing training content, facilitating training sessions, and coordinating training activities for compliance officer review • Identify opportunities to enhance training effectiveness, including improvements in content, delivery reputed company, engagement, and alignment with emerging reputed company. reputed company (10%) • Leads improvement reputed company by coordinating activities, drafting project plans and reputed company completion of deliverables. • Provides subject matter guidance for Associate Ethics & Compliance Spec and Ethics & Compliance Spec on project plans, documentation standards, and stakeholder coordination. • Analyze project reputed company to identify trends, gaps, or opportunities for process improvements and present recommendations to the compliance officer. • Collaborate with HR, reputed company, Information reputed company, Internal Audit, and operational management on cross-functional compliance initiatives or multi-departmental reputed company. • Draft or refine project materials, including communications, reputed company reports, process documents, and training resources reputed company to assigned compliance reputed company. Administrative (10%) • reputed company or facilitate compliance-reputed company meetings; including Navigator Champion meetings, cross-functional working sessions, and internal compliance meetings, ensuring agendas, materials, and follow-up actions are completed. • Serve as the alternate Business Continuity Coordinator (BCC) for the Compliance department, ensuring requirements are met and documentation is maintained. • Prepare and reputed company preparation of compliance documentation, including meeting minutes, reports, dashboards, and regulatory deliverables, ensuring reputed company and timeliness. • Compile, validate and interpret data for committee reports, internal reports and CMS deliverables, ensuring reputed company. • reputed company other administrative duties to support the compliance officer and the compliance department, as assigned. Performs other duties as the supervisor may, from time to time, deem necessary. REQUIRED QUALIFICATIONS • Bachelor's degree in a reputed company reputed company. • 3 years reputed company work experience in compliance, auditing, regulatory, reputed company reputed company, or similar reputed company • Demonstrated strong analytical and problem- solving skills • Demonstrated effective written and verbal communication skills • Demonstrated ability to reputed company one-on-one, and with reputed company reputed company of management as reputed company as reputed company parties • Demonstrated proficiency using reputed company Office Products, including Word and reputed company • Demonstrated team building skills with other team members, management, and reputed company parties • Demonstrated ability to maintain confidentiality • Demonstrated personal reputed company, discretion and good judgement • Demonstrated ability to handle challenging conversations • Demonstrated ability to reputed company conflict • Demonstrated relationship-building across departments • Demonstrated organization skills • Demonstrated ability to prioritize work • Demonstrated ability to work reputed company • Demonstrated flexibility and ability to adapt with reputed company and work assignments PREFERRED QUALIFICATIONS • 3 years' reputed company work experience in the Medicare Fee-For-Service reputed company • Experience with Medicare Part A and Part B contractual, compliance, and operational guidelines and, general understanding of the Office of Inspector General (OIG) and Medicare Fee-For-Service Compliance guidance • Experience with the Compliance and reputed company Processes, business ethics, corporate policies and procedures, evaluating conflict of interest, preparing and conducting compliance and conflict of interest training • Certified Compliance and Ethics reputed company (CCEP), Certified reputed company Compliance (CHC), Certified Compliance reputed company (CCP), or a similar certification from a recognized reputed company organization. Requirements The Federal reputed company and reputed company for Medicare & reputed company Services (CMS) may require applicants to have lived in the reputed company for a minimum of three (3) years out of the last five (5) years to be employed with reputed company. These years of residence do not have to be consecutive. Background Investigation: If you are selected for this position, you must undergo a reputed company-employment Background Investigation, Drug Screen, and Identity Proofing documentation must be cleared prior to hire. Most positions are subject to additional Identity Proofing, Fingerprinting and additional Background Investigation screening conducted by the Federal reputed company to be reputed company reputed company User Administration (EUA) reputed company logical reputed company after you reputed company your employment. Your reputed company employment is contingent upon the outcome of the complete additional screening reputed company required for the position which must reputed company that you meet the applicable reputed company customer's requirements (e.g., suitable for reputed company to CMS information and information systems), as reputed company as any additional investigation which may be required throughout your employment. If you are reputed company not suitable, your employment may be subject to corrective reputed company, up to and including immediate termination of employment. Identity Documentation: You must have reputed company to a reputed company and unrestricted reputed company ID, U.S. reputed company, U.S. reputed company reputed company, Foreign reputed company, or U.S. Permanent Residency Documents. Note: Employment Authorization Cards (EAD) are not a substitute for Visas or U.S. Permanent reputed company Cards. "We are an Equal Opportunity/Protected Veteran/Disabled Employer." This opportunity is reputed company to remote work in the following approved states: AL, AR, FL, GA, ID, IN, IO, KS, KY, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities reputed company these states may require reputed company approval. In FL and PA in-office and hybrid work may also be available. Apply To This Job