Compliance Specialist

3 weeks ago


St Louis, Missouri, United States Medical Transportation Management Inc. Full time
Compliance Coordinator Job Description

At Medical Transportation Management Inc., we are seeking a highly skilled Compliance Coordinator to join our team. The Compliance Coordinator plays a vital role in ensuring our company's overall contractual compliance by partnering with various departments to develop and implement long-term compliance solutions.

Key Responsibilities:

  • Monitor potential Fraud, Waste, and Abuse (FWA) by performing investigations, facilitating member appeals and transportation provider appeals, and overseeing the performance improvement plan (PIP) process for transportation providers.
  • Act as a liaison and provide support to auditors as they review operational processes, policies and procedures, and contract management functions.
  • Help oversee Quality Improvement Plans, audits, provider assessment reviews, and assesses liquidated damages.
  • Create contractual compliance monitoring tools and matrixes to ensure compliance metrics are sustained, follow best practices, and ensure all validation and quality requirements are met and documented.
  • Utilize large datasets to identify potential compliance deficiencies and monitor and maintain audits to reduce or define deficiencies.
  • Develop project plans, tracking and trending mechanisms to correct any identified deficiencies as well as identify focus areas for improvement to strengthen MTMs Compliance Program.
  • Read, comprehend, and apply contract document requirements, including application of contract verbiage and requirements for the operational processes of the organization.
  • Ownership and creation of PIPs for transportation providers by monitoring the dissemination of PIPs to transportation providers, including the progress made by transportation providers while actively on PIPs.
  • Facilitate internal audits including, conduct process reviews, conduct transportation provider focus audits, and document and report audit findings.
  • Own quality improvement plans and monitor progress to ensure compliance is achieved.
  • Communicate information to Quality and Compliance Committee, Department heads and Executive Leadership; Monitor operational SLAs for Executive Leadership Team and identify risks for consideration.
  • Manage net promoter scores and satisfaction surveys for internal and external clients.
  • Provide recommendations for systematic internal controls and process changes to ensure ongoing compliance for corrected deficiencies; includes assisting in implementation of remediation to address compliance concerns.
  • Proactively identify, prevent, and report potential FWA to Leadership and external clients, make determinations for cases involving fraud, appeals, denials and LDs, and make recommendations for improvement based on findings.
  • Facilitate the pre-assessment and liquidated damage process by investigating an making determinations to pre-assessment review requests and liquidated damage appeals using contractual documents to determine accuracy.
  • Manage and/or assist with other internal and external special projects and tasks as needed.

Requirements:

  • Bachelors Degree or equivalent relevant experience.
  • Detail-oriented, thorough, and systematic/methodical approach to projects.
  • Strong project management and organizational skills.
  • Basic to intermediate understanding of data base/system concepts and/or design.
  • Ability to complete basic to intermediate data analysis and trending.
  • Proficient in Microsoft applications (Word, Excel, Outlook, PowerPoint and SharePoint).
  • Previous experience in contract compliance and/or operational auditing role preferred.
  • Basic understanding of SQL and/or XML preferred.

Benefits:

  • Dental and Vision Plans.
  • Paid Time Off and Holiday Pay.
  • Casual Dress Environment.
  • Tuition Reimbursement.

MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law.

Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity



  • St Louis, Missouri, United States 7G Environmental Compliance Management Full time

    Job Overview7G Environmental Compliance Management is seeking a highly motivated and detail-oriented Environmental Compliance Specialist to join our team. As a key member of our compliance team, you will be responsible for conducting visual inspections of petroleum storage tank systems and associate facilities, ensuring compliance with state and federal...

  • Compliance Specialist

    3 weeks ago


    St Louis, Missouri, United States Vaco Full time

    Compliance SpecialistVaco Boston has partnered with our client to hire a Compliance Specialist to support their team in a fully remote setting. The ideal candidate will have a strong background in regulatory compliance in the food industry and experience with FDA labeling regulations as published in 21 CFR Parts 1-199.Key Responsibilities:• Review and...


  • St Louis, Missouri, United States U.S. Bank Full time

    Job Title: SOX Compliance SpecialistJob Summary:The SOX Compliance Specialist is responsible for ensuring the effectiveness of internal controls and processes within the Finance Risk Management department at U.S. Bank. This role involves assessing the control environment, identifying gaps, and implementing solutions to minimize financial reporting errors.Key...


  • St Louis, Missouri, United States Vaco Full time

    Vaco is seeking a highly skilled Compliance Specialist to join their team in the food industry. The ideal candidate will have a strong background in regulatory compliance and experience with U.S. FDA labeling regulations.Key Responsibilities:Review and approve formulas and ingredients for complianceAnalyze product formulationsCreate final Label Content,...


  • St Louis, Missouri, United States Schaeffer Manufacturing-Schaeffer's Oil Full time

    Job SummaryAt Schaeffer Manufacturing, we are seeking a highly skilled Regulatory Specialist to join our team. As a key member of our regulatory compliance team, you will be responsible for ensuring the accuracy and compliance of our Safety Data Sheets (SDS), Technical Data Sheets (TDS), and product labeling.Key Responsibilities:Author and maintain SDS and...


  • St Louis, Missouri, United States G2 Secure Staff Full time

    Job OverviewG2 Secure Staff is seeking a highly skilled Airport Compliance Specialist to join our Operations team at St. Louis Lambert International Airport - STL.The ideal candidate will be responsible for ensuring company compliance with airport authority regulations, company, and client rules, regulations, policies, and procedures related to the business...


  • St Louis, Missouri, United States Spectrum Full time

    Spectrum, a leading telecommunications company serving over 32 million customers in 41 states, is seeking a highly skilled Tax Compliance Specialist to join its Corporate Tax team.This role is a critical part of our team, responsible for preparing and reviewing federal, state, and local tax compliance for multiple entities.The ideal candidate will have 3-5...

  • Tax Specialist

    3 weeks ago


    St Louis, Missouri, United States Aston Carter Full time

    Job SummaryAston Carter is seeking a skilled Tax Specialist to join our team. As a Tax Specialist, you will be responsible for preparing and filing tax returns, submitting payments on time for both federal and state returns, and ensuring compliance with internal controls and regulations.Key ResponsibilitiesPrepare and file tax returns in a timely and...


  • St Louis, Missouri, United States Nidec Corporation Full time

    Job SummaryWe are seeking a highly skilled Quality Assurance Supervisor/Compliance Specialist to join our team at Nidec Corporation. This role will be responsible for driving quality and process improvement initiatives across all business units.The ideal candidate will possess strong Six-Sigma and Lean enterprise tools, with a proven track record of driving...


  • St Louis, Missouri, United States STL Company Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Construction Compliance Administrator to support our office staff in ensuring compliance with safety regulations, insurance, project submittals, and business license renewals. The ideal candidate will have excellent organizational skills, proficiency in Microsoft Office, and knowledge of the...


  • St Louis, Missouri, United States Consumer Product Partners Full time

    **Job Summary**This position is responsible for communicating and tracking customer specific and state agency related Regulatory Compliance information for products manufactured at all facilities including contract facilities.The candidate is also responsible for maintaining the Regulatory reporting calendar for submissions.**Key Responsibilities**•...


  • St Louis, Missouri, United States Kindthread Full time

    Job Summary:Kindthread is seeking a highly skilled Tax Accountant to join our team. As a Tax Accountant, you will be responsible for overseeing sales and use tax filings, managing personal property tax filings, and collaborating with retail, real estate, and accounting teams to ensure compliance and accuracy in tax reporting.Key Responsibilities:~ Oversee...


  • St Louis, Missouri, United States Certara USA, Inc. Full time

    Job SummaryCertara USA, Inc. is seeking a highly skilled Compliance Internal Auditor to join our team. As a key member of our Compliance Standards & Data Privacy organization, you will play a critical role in ensuring the effective implementation and verification of our compliance program(s).Key ResponsibilitiesWork with business and technology delivery...


  • St Louis, Missouri, United States Post Holdings Full time

    Job Title: Senior HR Compliance AnalystPost Holdings, Inc. is a leading consumer packaged goods company with a rich history of innovation and growth. We are seeking a highly skilled Senior HR Compliance Analyst to join our team in St. Louis, MO.Job Summary:The Senior HR Compliance Analyst will be responsible for leading and implementing HR compliance...


  • St Louis, Missouri, United States Post Holdings Full time

    Job Title: Senior HR Compliance AnalystPost Holdings, Inc. is a leading consumer packaged goods company that is committed to driving growth and innovation. We are seeking a highly skilled Senior HR Compliance Analyst to join our team.Responsibilities:Investigate compliance issues and escalate non-compliance to managementMonitor legislative and regulatory...


  • St Louis, Missouri, United States Edward Jones Full time

    Make a meaningful impact in your careerAt Edward Jones, we're committed to serving our clients and building a better future for our communities. As a Branch Auditor, you'll play a critical role in ensuring our firm's compliance with industry regulations and firm policies. As a Branch Auditor, you'll conduct risk-based reviews of business practices,...


  • St Louis, Missouri, United States Stifel Full time

    OverviewThe Principal Compliance Analyst – Regulatory Affairs is responsible for conducting thorough assessments related to regulatory inquiries and examinations. This role involves collecting and verifying data to formulate responses for regulatory requests and examinations. The Principal Compliance Analyst plays a key role in resolving business issues...


  • St Louis, Missouri, United States People's Family of Corporations Full time

    At People’s Family of Corporations, we are committed to providing comprehensive primary healthcare services to the community. As a key member of our team, the Procurement Specialist will play a vital role in ensuring the availability of essential items and services within budget and in compliance with regulatory requirements.The Procurement Specialist will...


  • St Louis, Missouri, United States gpac Full time

    Job Description: Tax Manager Job DescriptionWe are seeking a highly skilled and experienced Tax Manager to join our team at gpac, a 30-year recruitment company partnered with a well-established Public Accounting firm.Key Responsibilities:Oversee the Tax Planning and Compliance process for a portfolio of clientsProvide guidance and mentorship to a team of tax...

  • Security Specialist

    4 weeks ago


    St Louis, Missouri, United States Collabera Full time

    Job Title: Security SpecialistCollabera is seeking a highly skilled Security Specialist to join our team. As a Security Specialist, you will be responsible for ensuring the security and integrity of our clients' assets and data.Key Responsibilities:Conduct risk assessments and develop mitigation strategies to protect against security threatsImplement and...