Health Care/Attorney/In House/Newark, Delaware
Location: Newark ! Delaware
Description: GCC Consulting is currently seeking to employ Health Care/Attorney/In House/Newark, Delaware right now, this career will be placed in Delaware. For detail informations about this career opportunity please read the description below. Compliance Director The candidate will be accountable for successful completion of the annual Medicaid compliance work plan. Will monitor plan performance standards for compliance with contractual and regulatory requirements. Operate as the project manager for coordination, collection and distribution of informational material for external and internal reviewers. Serves as the liaison to the Internal Audit Department, Employee Relations and external review groups. Perform marketing monitoring and surveilla! nce in order to ensure compliance with state and federal marke! ting requirements. Conduct proactive reviews of compliance with high risk processes or issues; initiate and oversee remediation as necessary. Coordinate with Compliance and Regulatory Affairs on investigations of potential non-compliance. Verify control process used to ensure accuracy of information submitted to government agencies. Act as a liaison to the HIPAA and Member Privacy team for investigational support. Ensure regular meetings of the Plan Compliance Committee are held to discuss identification and assessment of compliance initiatives, potential risks and current state. Attend and participate in business strategy meetings with Plan senior leadership. Ensure that contract and regulatory requirements for compliance training, including fraud/waste/abuse training are met. Perform other duties as assigned/requested.
The candidate should have a Bachelor ? ?s degree. A Master ? ?s degree or higher degree in Law, Business, Health Care preferred. Current license t! o practice law in one state, CPA or CIA preferred. Must have 5+ years of relevant experience in health care compliance or audit with 3+ years of leadership/management experience. Direct experience of working in a relevant federal agency (HHS, OIG, CMS) preferred. Compliance, legal or audit experience in a Medicaid/Medicare Managed Care Plan preferred.
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to GCC Consulting.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Tue, 18 Feb 2014 12:13:22 GMT
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