Medicare Advantage Compliance Director
6 days ago
Job Summary:
The French Group is seeking a seasoned Compliance Executive Leader to build and lead the Compliance division within our growing Medicare Advantage health plan. As a key member of our Executive Leadership team, you will be responsible for the strategic growth, oversight, and operational leadership of our Compliance program.
Key Responsibilities:
- Implement and continually refine the Compliance Program, developing and maintaining compliance-monitoring tools as regulatory/contractual obligations change.
- Oversee and maintain compliance with contractual and regulatory obligations, as well as State and Federal requirements.
- Develop strategic relationships with government agencies, serving as a primary liaison for all matters related to compliance, including audits.
- Ensure compliance with regulations and controls by examining and analyzing records, reports, operating practices, and documentation.
- Develop internal audit plans, conduct and document internal audits, and identify areas of non-compliance.
- Establish a culture of compliance throughout the organization, developing training and education programs.
- Manage external regulatory audits, organizing, documenting, and participating in all external audits.
- Develop, implement, and document a master compliance auditing log, disseminating written policies and procedures related to compliance activities.
- Communicate audit progress and findings to executive leadership and the Board of Directors.
Requirements:
- Bachelor's degree required, Master's degree and/or Law degree preferred.
- 8+ years of experience in managed care with Medicare regulatory compliance experience, plus a minimum of 3 years in a senior management position.
- ISNP experience strongly preferred.
-
Compliance Program Director
1 week ago
Columbus, Ohio, United States The French Group Full timeChief Compliance OfficerThe French Group is seeking a seasoned Chief Compliance Officer to lead the development and implementation of a comprehensive compliance program for our growing multi-state health plan.This is a critical role that requires a strong understanding of regulatory requirements and a proven track record of driving compliance initiatives.Key...
-
Medicare Sales Representative
6 days ago
Columbus, Ohio, United States Centene Corporation Full timeJob SummaryWe are seeking a highly motivated and results-driven Sales and Marketing Representative to join our team at Centene Corporation. As a Medicare Sales Representative, you will play a critical role in promoting our Medicare Advantage products to individuals and providing education and assistance to help them make informed decisions about their health...
-
Director, Compliance
1 month ago
Columbus, Ohio, United States Beam Benefits Full timeAbout Beam:Beam was founded in 2012 by three engineers who saw the opportunity to modernize the dental benefits industry using technology. Today, Beam Benefits is a digitally-led employee benefits company that offers dental, vision, life, disability, and supplemental health coverage. The company simplifies and modernizes the $100+ billion ancillary benefits...
-
Chief Compliance Officer
1 week ago
Columbus, Ohio, United States The French Group Full timeChief Compliance OfficerThe French Group is seeking a seasoned Compliance Professional to lead the development and implementation of a comprehensive compliance program for our growing multi-state health plan.This is a critical role that requires a strong understanding of regulatory requirements and a proven track record of driving compliance initiatives.Key...
-
Director of Business Development and Growth
4 days ago
Columbus, Ohio, United States Delphi Technologies Full timeJob DescriptionJob Title: Director of Business Development and GrowthCompany: Delphi TechnologiesJob Type: Full-timeLocation: RemoteJob Category: Sales and MarketingJob SummaryWe are seeking a highly motivated and experienced Director of Business Development and Growth to join our team at Delphi Technologies. The successful candidate will be responsible for...
-
Regional Director Assessment Coordinator
1 week ago
Columbus, Ohio, United States West Jefferson Opco LLC Full timeJob SummaryWest Jefferson Opco LLC is seeking a highly skilled and dedicated Registered Nurse to join our team as a Regional Director Assessment Coordinator. This is an exciting opportunity to work with a seasoned regional team and make a meaningful difference in the lives of our residents.Key Responsibilities:Provide support, education, and training to...
-
Lead Marketing Strategist
2 weeks ago
Columbus, Ohio, United States Morgan Stephens Full timeJob Title: Lead Marketing Strategist, Medicare ProgramsPosition: 100% RemoteCompensation: $30-$34/hrContract-to-Permanent preferredTime Zone Requirements: NoneWork Hours: 8am – 5pm or 9am – 6pmEquipment Provided: Laptop, keyboard, mouse, headset, dual monitors, docking stationEssential Qualifications:Experience in developing Medicare communication...
-
Medicare Broker Sales Manager
1 month ago
Columbus, Ohio, United States Cigna Full timeLocation - Remote, Middle & West Tennessee (must be located in/or near area) Excited to grow your Sales and Leadership career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position, you see is right for you, we...
-
Director of Financial Planning and Analysis
2 weeks ago
Columbus, Ohio, United States Creative Financial Staffing Full timeAbout the Role:Creative Financial Staffing is seeking a highly skilled Budget Director of Analytics to join our team. As a key member of our organization, you will be responsible for leading and managing our Workday ERP system, ensuring that expenditures align with budgets, and providing expert analysis to support budgeting decisions.Key...
-
Compliance and Training Specialist
4 days ago
Columbus, Ohio, United States Lutheran Social Services of Central Ohio Full timeJob SummaryWe are seeking a highly skilled Compliance and Training Specialist to join our team at Lutheran Social Services of Central Ohio. As a key member of our organization, you will be responsible for developing and implementing comprehensive training programs to ensure compliance with regulatory requirements and industry standards.Key...
-
Compliance Training Coordinator
2 weeks ago
Columbus, Ohio, United States Lutheran Social Services of Central Ohio Full timeJob OverviewPosition Title: Training and Compliance SpecialistEmployment Type: Full Time | 8am-5pmCompensation: $22-$24/hourOrganization: Lutheran Social Services of Central Ohio is seeking a dedicated Training and Compliance Specialist for its program focused on supporting victims of domestic violence. This organization has been a vital resource for...
-
Lead Environmental Compliance Specialist
2 weeks ago
Columbus, Ohio, United States PTS Advance Full timePosition Overview: The Senior Environmental Scientist role at PTS Advance focuses on creating and implementing programs that monitor and enhance environmental performance. This position is crucial for identifying cost-effective compliance strategies and integrating environmental regulations into daily operations.Key Responsibilities:Establishing critical...
-
Lead Environmental Compliance Specialist
2 weeks ago
Columbus, Ohio, United States PTS Advance Full timePosition Overview: The Senior Environmental Scientist at PTS Advance plays a crucial role in formulating initiatives to monitor and evaluate environmental performance. This position emphasizes the importance of pursuing cost-effective compliance strategies and integrating environmental regulations into everyday operations.Key Responsibilities:Establishing...
-
Compliance Training Coordinator
2 weeks ago
Columbus, Ohio, United States Lutheran Social Services of Central Ohio Full timeJob OverviewPosition Title: Training and Compliance SpecialistEmployment Type: Full Time | 8am-5pmCompensation: $22-$24/hourOrganization: Lutheran Social Services of Central OhioProgram: CHOICES for Victims of Domestic ViolenceLutheran Social Services of Central Ohio is seeking a dedicated Training and Compliance Specialist to enhance our programs aimed at...
-
Regulatory Compliance Manager
2 weeks ago
Columbus, Ohio, United States Sutton Bank Full timeJob OverviewPosition Summary:The Consumer Compliance Manager plays a pivotal role in collaborating closely with the Legal department to evaluate and authorize marketing materials, regulatory disclosures, and account terms. This position also provides continuous advisory support for expanding consumer payment card operations, including prepaid and credit...
-
Registered Nurse
2 weeks ago
Columbus, Ohio, United States Premier Global Links Full timePosition OverviewJob Title: RN - Accreditation & Regulatory SpecialistCompany: Premier Global LinksLocation: Columbus, GASalary: $65,000 - $95,000 (based on experience)We are in search of a meticulous and knowledgeable Registered Nurse to fulfill the role of Accreditation & Regulatory Specialist. This position is crucial for ensuring adherence to all...
-
Environmental Compliance Analyst
2 weeks ago
Columbus, Ohio, United States abercrombie-fitch-co. Full timeCOMPANY OVERVIEWAbercrombie & Fitch Co. is a leading global retailer known for its lifestyle brands that cater to diverse customer demographics. We are committed to fostering an inclusive culture that values our associates, customers, and communities.POSITION SUMMARYThe Sustainability team at A&F Co. plays a crucial role in making a positive impact on...
-
Registered Nurse
1 week ago
Columbus, Ohio, United States Premier Global Links Full timePosition OverviewJob Title: RN - Accreditation & Regulatory SpecialistCompany: Premier Global LinksLocation: Columbus, GASalary: $65,000 - $95,000 (based on experience)We are in search of a meticulous and seasoned Registered Nurse to fulfill the role of Accreditation & Regulatory Specialist. This position is crucial for maintaining adherence to all...
-
Registered Nurse
2 weeks ago
Columbus, Ohio, United States Premier Global Links Full timePosition OverviewJob Title: RN - Accreditation & Regulatory SpecialistCompany: Premier Global LinksLocation: Columbus, GASalary: $65,000 - $95,000 (based on experience)We are looking for a meticulous and knowledgeable Registered Nurse to fulfill the role of Accreditation & Regulatory Specialist. This position is crucial for ensuring our healthcare facility...
-
Geriatric Float Nurse Practitioner
2 weeks ago
Columbus, Ohio, United States CHS Recruiting Full timeOPEN POSITION:Nurse PractitionerSkilled Nursing FacilitiesFloat PositionIn-State TravelSCHEDULE:Full-TimeMonday to FridaySchedule Mutually CoordinatedCOMPENSATION:Competitive Base Salary, negotiable based on experienceGenerous Monthly Travel BonusesTravel Expenses CoveredMalpractice InsuranceHealth / Dental / Vision InsuranceSTD / Life InsurancePaid Time Off...