Compliance Manager

4 weeks ago


Liberty, United States VetJobs Full time
Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post.

Medi-Cal / Medicare Compliance Experience required.

Serves as the compliance and privacy manager for assigned areas of the company or an SBU as applicable. Assists with regulatory and contract compliance for business managed by the Care Center or supported by corporate compliance. Responsible for the implementation of or support of the SBU and/or Corporate Compliance Program, Health Insurance Portability and Accountability Act (HIPAA) compliance, including audits and the preparation for state and customer audits.
  • If applicable, oversees the implementation and ongoing operation of the Compliance Program for the assigned SBU(s).
  • If applicable, develops and annually updates a formal written compliance program for the assigned Care Management Center and educates staff about compliance and the appropriate details of the compliance program.
  • Directs federal and state regulatory and compliance activities.
  • Customizes corporate policies where necessary to address state regulatory standards and/or contractual requirements and, where applicable and works with corporate compliance on any customizations that are required due to state regulatory standards.
  • Serves as a liaison for customers on legal and regulatory issues.
  • If applicable, chairs the local compliance committee meetings.
  • Coordinates activities with the Internal Audit and Special Investigations Unit (SIU) on compliance matters including fraud, waste, and abuse auditing and monitoring, as directed.
  • Ensures corrective actions are implemented for all known compliance deficiencies. Submits reports to the Quality Improvement Committee (QIC), Compliance Committee, Business Unit Manager, and the corporate Compliance Department as appropriate.
  • Maintains expertise related to authorization and non-authorization correspondence requirements from the perspective of the Employee Retirement Income Security Act of 1974 (ERISA), National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Commission (URAC), federal regulations and state law.
  • Assists in review of standard correspondence, notifying policy content experts of changes to standard policies, and working with IT regarding system changes as it relates to correspondence.
  • If applicable, attends customer meetings to report on compliance matters.
  • Serves as central contact for internal and external customers regarding certain parts of the corporate compliance program as assigned or, where applicable, security, HIPAA, and anti-fraud efforts within the assigned Care Center.
  • Assists with internal and external audits and reporting, including periodic reports documenting compliance status..
  • If applicable, oversees Care Center-delegated entities and their compliance activities and assure that compliance data from the delegated entities are reported to the Quality Improvement Committee (QIC).


Additional Qualifications/Responsibilities

Other Job Requirements

Responsibilities
Knowledge of HIPAA, federal and state regulatory processes.
Medicare Advantage and/or Medicaid managed care experience preferred but not required.
Strong interpersonal, organizational, and project management skills.

Ability to research, obtain, coordinate, and integrate feedback and directions from diverse operational groups and organizations into a written product.
Excellent verbal and written communication skills.
5-8 years compliance related experience.
Experience and thorough understanding of Microsoft Office, flow charting and other relevant software systems and applications.

General Job Information

Title
Compliance Manager

Grade
26

Work Experience - Required
Compliance

Work Experience - Preferred

Healthcare

Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelor's

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:
$70,715
Salary Maximum:
$113,145

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
  • Compliance officer

    4 days ago


    Liberty, United States Carla Schmitz Full time

    Job Description Job Description Join our team at Carla Schmitz as a Compliance Officer! We are looking for a detail-oriented individual to ensure adherence to regulatory standards and company policies. Job Requirements: - Bachelor's degree in Business Administration, Law, or related field. - Proven experience in compliance, risk management, or a similar...

  • Compliance officer

    1 month ago


    Liberty, United States Carla Schmitz Full time

    Job DescriptionJob DescriptionJoin our team at Carla Schmitz as a Compliance Officer!We are looking for a detail-oriented individual to ensure adherence to regulatory standards and company policies.Job Requirements:- Bachelor's degree in Business Administration, Law, or related field.- Proven experience in compliance, risk management, or a similar role.-...

  • Health, Safety

    4 days ago


    Liberty, United States Continental Disc Corporation Full time

    Job DescriptionJob DescriptionContinental Disc Corporation, LLC (“CDC”) designs and manufactures safety-critical products that protect pressure-containing vessels from catastrophic failure. CDC is headquartered in Liberty, Missouri (outside Kansas City), and has manufacturing operations in Houston, Texas, and Ahmedabad, India with additional sales...

  • Health, Safety

    2 days ago


    Liberty, United States Continental Disc Corporation Full time

    Continental Disc Corporation, LLC (“CDC”) designs and manufactures safety-critical products that protect pressure-containing vessels from catastrophic failure. CDC is headquartered in Liberty, Missouri (outside Kansas City), and has manufacturing operations in Houston, Texas, and Ahmedabad, India with additional sales offices in India, the Netherlands...


  • Liberty, United States Here's Help Staffing & Recruiting Full time

    Job DescriptionJob DescriptionHR Director is responsible for overseeing the administration, coordination, and evaluation of the human resources function to enhance the working environment for all employees. The position will develop and implement HR strategies and initiatives aligned with the overall business strategy, bridge management and employee...

  • Safety Manager

    5 days ago


    Liberty, United States Aerotek Full time

    **Construction Safety Manager****Location** : Liberty, NC**Experience Required:**+ Minimum of **5 years** of experience in the construction industry.+ Minimum of **5 years** of safety manager experience+ Proven track record in safety management roles.Qualifications:+ **OSHA 510 certification** is required.+ Familiarity with OSHA 30 Construction certification...

  • Electronics Manager

    4 days ago


    Liberty, United States Knowles Precision Devices Full time

    Job DescriptionJob DescriptionDescriptionThe Electronics Manager will be responsible for overseeing electronic component manufacturing processes, ensuring quality control, managing production schedules, and leading a team of electronics technicians.Key ResponsibilitiesProduction Oversight: Support the electronic component manufacturing process from start to...

  • Assistant Manager

    4 days ago


    Liberty, United States Sonic Full time

    Position:                                                         Assistant ManagerImmediate Supervisor:                          General...

  • Senior Manager

    4 days ago


    Liberty, United States American Operations Corp. Full time

    The Senior Manager addresses issues impeding the auditability of the Army's financial statements, as well as enhancing the FIP's effectiveness as a management tool for guiding, monitoring, and reporting on the Army efforts to identify and resolve its financial management weaknesses and achieve financial statement auditability. Specific responsibilities...


  • Liberty, United States Liberty Hospital Full time

    SUMMARY: This position performs a wide range of administrative, office support activities, and coordinating the day-to-day operation of the Medication Assistance Program. Office support to include but not limited to, facilitating communication to department team members from internal and external sources by coordinating telephone calls and messages. Front...

  • Senior Manager

    1 month ago


    Liberty, United States American Operations Corp. Full time

    The Senior Manager addresses issues impeding the auditability of the Army's financial statements, as well as enhancing the FIP's effectiveness as a management tool for guiding, monitoring, and reporting on the Army efforts to identify and resolve its financial management weaknesses and achieve financial statement auditability. Specific responsibilities...


  • Liberty, United States Taco Bell Full time

    Restaurant General Manager Liberty, MO DRG is looking for a Dynamic and Experienced Leader who has quick service restaurant (QSR) experience and wants to work for a fast-growing company, with tons of growth opportunities! DRG Offers: * Profit Sharing/*Monthly and Quarterly Bonuses * Salary up to $24.50 hourly DRG is looking for a Dynamic and Experienced...

  • Operations Manager

    1 month ago


    Liberty, United States CEVA Logistics Full time

    YOUR ROLEAre you known for your management skills? Are you passionate about directing inbound / outbound logistics? If so, we have an opportunity that would allow you to oversee site operations, ensuring consistent high level of service, profitability and cost efficiency, while adhering to all applicable company and regulatory requirements. WHAT ARE YOU...

  • Operations Manager

    2 months ago


    Liberty, United States CEVA Logistics Full time

    YOUR ROLEAre you known for your management skills? Are you passionate about directing inbound / outbound logistics? If so, we have an opportunity that would allow you to oversee site operations, ensuring consistent high level of service, profitability and cost efficiency, while adhering to all applicable company and regulatory requirements. WHAT ARE YOU...


  • Liberty, United States The Sherwin-Williams Company Full time

    The Sherwin-Williams Management & Sales Training Program is an accelerated, entry-level position designed to prepare you for a Store Management role in 18-24 months. With Sherwin-Williams’ promote-from-within philosophy, you will have the opportunity to progress into an Assistant Store Manager position upon successful completion of the initial 6-8-week...


  • Liberty, United States SONIC Drive-In Full time

    JOB DESCRIPTION It’s the dream job you never have to wake up from. At SONIC, you’ll whistle while you work, gaining a sense of accomplishment along the way. You’ll interact with fantastic people, earn great pay, sport a cool uniform.  As a SONIC Drive-In restaurant General Manager, you are indeed a general—leading your troops in a...

  • Restaurant Manager

    2 weeks ago


    Liberty, United States Baskin Robbins Full time

    This Dunkin' Donuts restaurant is independently owned and operated under a franchise granted by DD Franchising LLC. You are applying for work with a franchisee of Dunkin Donuts, not Dunkin Brands, Inc. or any of its affiliates. Any application or information you submit will be provided solely to the franchisee. If hired, the franchisee will be your only...

  • Service Manager

    5 days ago


    Liberty Lake, United States Bretz RV & Marine Full time

    At Bretz RV & Marine, our culture is rooted in our core values of passion, teamwork, growth, family, and profitability. As the newest addition to our network of dealerships across the Northwest, our Liberty Lake location in the heart of Washington embodies these values. Here, we are more than a team; we are a community committed to delivering exceptional...

  • Service Manager

    3 days ago


    Liberty Lake, United States Bretz RV & Marine Full time

    At Bretz RV & Marine, our culture is rooted in our core values of passion, teamwork, growth, family, and profitability. As the newest addition to our network of dealerships across the Northwest, our Liberty Lake location in the heart of Washington embodies these values. Here, we are more than a team; we are a community committed to delivering exceptional...

  • Service Manager

    5 days ago


    Liberty Lake, United States Bretz RV & Marine Full time

    At Bretz RV & Marine, our culture is rooted in our core values of passion, teamwork, growth, family, and profitability. As the newest addition to our network of dealerships across the Northwest, our Liberty Lake location in the heart of Washington embodies these values. Here, we are more than a team; we are a community committed to delivering exceptional...