We have other current jobs related to this field that you can find below
-
Senior Tax Compliance Manager
6 days ago
Montgomery, Alabama, United States Wipfli Full timeAbout Wipfli:At Wipfli, we value individuality and foster an inclusive environment where every voice matters. Our commitment to diversity, equity, and inclusion is reflected in our various resource groups that promote awareness and celebrate differences.Work-Life Balance:We prioritize your success while ensuring a healthy work-life balance. Our flexible work...
-
Lead Revenue Compliance Auditor
6 days ago
Montgomery, Alabama, United States Montgomerypersonnel Full timeSalary InformationCompensation structures are established through a multi-tiered progression framework. The salary range indicates both the entry-level and maximum earning potential within the designated pay grade. Initial salary negotiations may occur and will be reflective of educational background, training, and relevant experience, adhering to pay...
-
Lead Revenue Compliance Auditor
6 days ago
Montgomery, Alabama, United States Montgomerypersonnel Full timeSalary InformationCompensation structures are determined by a multi-tiered progression framework. The salary range indicates both the entry-level and maximum earning potential within the designated pay grade. Initial salary negotiations are possible and will be reflective of the candidate's education, training, and experience in accordance with pay...
-
Senior Appeals Specialist
2 days ago
Montgomery, Alabama, United States MAXIMUS Full timeAbout the RoleMaximus is seeking a highly skilled and experienced Senior Appeals Specialist to join our team. As a key member of our appeals team, you will be responsible for evaluating complex customer issues, researching laws and regulations, and providing complaint resolution to customers.Key ResponsibilitiesSubject Matter Expertise: Serve as a subject...
-
Senior Tax Strategist
14 hours ago
Montgomery, Alabama, United States Jobot Full timeDrive Financial Success with Expert Tax Management This opportunity is hosted by Jobot. About Us: We are a distinguished full-service certified public accounting firm dedicated to providing tailored solutions in tax compliance, auditing, bookkeeping, strategic planning, valuation, and IT consulting. Our team consists of seasoned professionals who have...
-
Nutritional Services Supervisor
6 days ago
Montgomery, Alabama, United States Tutera Senior Living & Health Care Full timePosition OverviewRole: Nutritional Services SupervisorCompany: Tutera Senior Living & Health CareAre you a passionate and dedicated Nutritional Services Supervisor looking for a fulfilling career opportunity? At Tutera Senior Living & Health Care, we are in search of exceptional individuals to enhance our team. If you possess a commitment to quality care and...
-
Lead Revenue Compliance Auditor
6 days ago
Montgomery, Alabama, United States Montgomerypersonnel Full timeSalary InformationCompensation structures are determined through a multi-tiered progression framework. The salary range indicates both the entry-level and the maximum earning potential within the designated pay grade. Initial salary offers may be negotiable and will reflect the candidate's educational background, training, and relevant experience in...
-
Regulatory Compliance Advisor
6 days ago
Montgomery, Alabama, United States LADGOV CORPORATION Full timeKey Responsibilities: As a Compliance Specialist at LADGOV CORPORATION, you will play a crucial role in assisting clients with their professional aspirations. Your primary duties will include: Guiding individuals in recognizing their career, educational, and employment objectives.Providing valuable advice and resources related to entrepreneurship and...
-
Senior financial analyst
3 weeks ago
Montgomery, United States Ryder Full timeThe Senior Financial Analyst will report under the Supply Chain Solutions organization for the Retail, Tech & Health group. This individual will provide financial and analytical support to Financial Management and Logistics Management. Responsibilities include variance analysis to budget, identifying and quantifying cost-saving opportunities, monthly...
-
Regulatory Compliance Advisor
21 hours ago
Montgomery, Alabama, United States LADGOV CORPORATION Full timeKey Responsibilities: As a Compliance Specialist at LADGOV CORPORATION, you will play a crucial role in assisting clients to achieve their professional aspirations. Your primary duties will include: Guiding individuals in defining their employment, educational, and career objectives.Providing expert advice and resources related to self-employment,...
-
Regulatory Compliance Advisor
15 hours ago
Montgomery, Alabama, United States LADGOV CORPORATION Full timeKey Responsibilities: As a Compliance Specialist at LADGOV CORPORATION, you will play a crucial role in guiding individuals towards their professional aspirations. Your responsibilities will include: Assisting clients in clarifying their career, educational, and employment objectives.Providing expert advice and resources for entrepreneurship and...
-
Senior Financial Manager
3 days ago
Montgomery, Alabama, United States XcelHR Full timeSenior Financial Manager Role at XcelHRThe Senior Financial Manager is crucial to the finance department, responsible for directing the company's financial activities and reporting frameworks. This role includes managing financial records, assessing risks, ensuring compliance with regulations, generating financial statements, overseeing accounting functions,...
-
International Tax Senior Analyst
6 days ago
Montgomery, Alabama, United States Rocket Software Full timePosition Overview:The Senior Analyst for International Tax plays a crucial role in managing tax compliance, reporting, and strategic planning for the Company's global operations.This role is tailored for a driven tax professional eager to experience diverse challenges and advance within a dynamic tax environment at a rapidly expanding organization.Key...
-
Senior Loss Control Consultant York County, ME
2 weeks ago
Montgomery, United States Alexander & Schmidt Full timeSenior Loss Control Consultant Job Description At Alexander & Schmidt, a Senior Loss Control Consultant performs inspections and prepares in-depth reports for insurance underwriting purposes. Insurance companies use the reports to properly insure a commercial building or business operations for a new policy or renewal of a current policy. Required...
-
Lead Senior Accountant
6 days ago
Montgomery, Alabama, United States Jackson Hospital Full timeJackson Hospital is seeking a Senior Staff Accountant to play a crucial role in our financial operations. This position involves assisting in the preparation of monthly financial reports and statistical analyses, overseeing the management of professional fees, maintaining depreciation schedules, and ensuring the accuracy of employee quarterly tax filings....
-
Senior Appeals Specialist
2 days ago
Montgomery, Alabama, United States MAXIMUS Full timeAbout the RoleMaximus is seeking a highly skilled and experienced Senior Appeals Specialist to join our team. As a key member of our appeals team, you will be responsible for evaluating complex customer issues, researching laws and regulations, and providing complaint resolution to customers.Key ResponsibilitiesSubject Matter Expertise: Serve as a subject...
-
Senior Tax Consultant
6 days ago
Montgomery, Alabama, United States Wipfli Full timeAbout WipfliAt Wipfli, we value the unique perspectives of our team members. Our inclusive culture fosters an environment where every voice is heard, and diversity is celebrated through various DEI resource groups.Work-Life BalanceWe prioritize your success while ensuring a healthy work-life balance. Our offerings include hybrid work schedules, flexible time...
-
Lead IT Compliance Examiner
6 days ago
Montgomery, Alabama, United States Federal Deposit Insurance Corporation (FDIC) Full timePosition Overview This role is situated within the Division of Risk Management Supervision and acts as a pivotal technical expert in the domain of IT oversight, serving as a regional asset to fulfill the supervisory obligations of the Corporation. Eligibility This position is designated for current permanent employees of the FDIC with competitive status...
-
Professional House Cleaner
4 weeks ago
Montgomery, United States Two Maids & A Mop - Montgomery Full timeImmediate positions available and we would love for you to join us.Apply Today Start Tomorrow! Apply Today Start Right Away!Work for a company that puts you first because you are worth it!Why you should be a part of our team! Because You're Worth More! Because You Deserve Top Pay!No nights, No weekends, No holidays ever required so you can be home with your...
-
Senior Security Supervisor
17 hours ago
Montgomery, Alabama, United States Education & Training Resources LLC Full timeJob OverviewPosition Title: Senior Security Officer (Full-Time/Part-Time)Reports To: Safety and Security ManagerDepartment: Security ServicesClassification: Non-ExemptJob Grade: Level 5EEO-1 Classification: 09 – Service WorkersSUMMARY OF POSITION:The Senior Security Officer is accountable for ensuring the safety and protection of students, personnel, and...
Senior Compliance Professional
2 months ago
Humana Senior Compliance Professional in Montgomery, Alabama
Become a part of our caring community and help us put health first
The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Compliance Professional's primary focus will be to develop and implement a plan to monitor and audit business processes to prevent, detect, and resolve compliance issues to help ensure an effective compliance program for Claims, COB (Coordination of Benefits), Subrogation, and Provider Payment Integrity for the Medicare line of business.
The Senior Compliance Professional develops and implements compliance policies and procedures. Researches compliance issues and recommends changes that assure compliance with contract obligations. Maintains relationships with government agencies. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Key responsibilities may include:
Research, understand and apply laws, regulations, and regulatory guidance for Claims, COB (Coordination of Benefits), Subrogation, Provider Payment.
Serve as the subject matter expert on Claims, COB (Coordination of Benefits), Subrogation, Provider Payment Integrity.
Develop audit methodology and perform auditing and monitoring activity to prevent and detect issues of noncompliance and provide guidance on remedial actions to strengthen compliance controls and ensure compliance with state and federal laws and regulations.
Analyze business requirements and complex issues, conduct research, and provide regulatory guidance to business partners, Law, and Enterprise Compliance associates and leaders with regard to Claims, COB (Coordination of Benefits), Subrogation, Provider Payment Integrity.
Develop and track compliance metrics to help monitor and detect potential compliance issues.
Partner with Enterprise Compliance team members on regulatory outreach.
Serve as the Regulatory Compliance subject matter expert during CMS program audits.
Lead onsite program audit preparation and activity and perform oversight of business audit preparation to ensure timely, accurate and complete submission of required data and documentation to regulators.
Present findings of monitoring and auditing efforts to business partners and Enterprise Compliance leaders and track issue to ensure appropriate and timely remediation.
Lead and participate on committees, providing compliance guidance and direction.
Provide back-up and support to other Enterprise Compliance team members and perform other duties, as needed.
Use your skills to make an impact
Required Qualifications
5 or more years of technical experience
Knowledge/understanding of laws and regulations governed by the Department of Insurance and CMS
Preferred Qualifications
Graduate or advanced degree
Audit or consulting experience
Experience with metrics and reporting
#J-18808-Ljbffr