Senior Consultant, Compliance

1 week ago

Richmond, Virginia, United States Arthur J. Gallagher & Co. Full time


Discover a world of endless possibilities at Gallagher Benefit Services, where you'll have the power to shape the future of workplaces across industries.

As a member of our team, you become the driving force behind positive change, helping clients build environments where employees thrive.

Embrace the opportunity to impact lives, unlock potential, and create a legacy of remarkable transformation.

We believe that every candidate brings something special to the table, including you So, even if you feel that you're close but not an exact match, we encourage you to apply.

Overview

BluePeak ADVISORS ( ),a Gallagher Company, provides Consulting in


PBM and Medicare Advantage (MA) and Medicare Advantage Prescription Drug Plan (MA-PD) health plan operations, Medicare compliance consulting, STAR rating improvements, CMS advocacy and support, pharmaceutical manufacturer marketing, and payer strategies for reimbursement.

BluePeak also has expertise in operational and clinical program strategies, data analytics, and Medicaid managed care, Special Needs Plans (SNP), Program of All-Inclusive Care for the Elderly (PACE) Plan audit and compliance.

How you'll make an impact

Job Summary:
Responsible for providing subject matter expertise on Compliance in order to effectively support our clients.

Essential Functions:
Subject matter expertise in an operational function of Compliance
Ability to review, interpret and implement state and federal guidance
Perform CMS mock audits in Compliance Program Effectiveness to confirm compliance with guidance.
Monitors the implementation of the corrective action plans and ensures that the result of the action plans are compliant.
Mentor and drive work product based on the project
Oversee and administer ongoing monitoring program(s) based on guidance
Updates policies, procedures and Audit Work Plan based as needed.
Adhere to established corporate policies and procedures
Perform other duties, as necessary, to meet corporate objectives
Travel as required

About You

Required:
Bachelor's degree and 5 years related experience required.

Bachelor's degree and a minimum of ten (10) years government, health care, pharmacy benefit management, compliance or quality profession (equivalent combination of education and experience considered.)


Must have strong Microsoft Office Suite skills. Advanced skills in Word, Excel, Access and PowerPoint required
Experience with Medicare and/or Medicaid standards required
Advanced degree or certification in audit, pharmacy or compliance discipline preferred
Must have strong verbal and written communication skills.
Individual should be detail oriented with strong organization, prioritization and analytical skills with the ability to work independently.
Must work well under tight timelines and adapt quickly to change in a fast-paced, team-oriented, and high-growth environment.

Compensation and benefits


On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the

minimum core benefits

you'll get, depending on your job level these benefits may improve:
Medical/dental/vision plans, which start from day one
Life and accident insurance
401(K) and Roth options
Tax-advantaged accounts (HSA, FSA)
Educational expense reimbursement
Paid parental leave

Other benefits include:
Digital mental health services (Talkspace)
Flexible work hours (availability varies by office and job function)
Training programs
Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
Charitable matching gift program
And more...
We value inclusion and diversity
Click Here

to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization.

For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as "protected characteristics") by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination.

In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

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