Compliance Director for Medicare Operations
5 days ago
We are seeking a seasoned Compliance Director to oversee our Medicare operations, ensuring seamless compliance with federal regulations.
About UsCentral Mass Health LLC is a leading health care provider in Worcester, MA, affiliated with the largest health care system in Central Massachusetts, UMass Memorial Health.
Responsibilities- Develop and implement an annual compliance program schedule
- Collaborate with internal departments and external vendors on compliance activities and programs
- Design and deliver compliance training programs for employees, sales staff, and contractors
- Update compliance policies and procedures to ensure adherence to Federal regulations
- Manage HPMS submissions, CMS audits, and corrective action plans
- Ensure compliance with program requirements and regulations governing service area expansions and Plan Benefit Packages
- Bachelor's degree in Health Care Administration or related field; Master's degree preferred
- A minimum of four years' experience in regulatory agency compliance; five years with Medicare Managed Care programs required
- Knowledge of CMS and Medicare Advantage Prescription Drug Plans; Health Care Compliance Certification a plus
$120,000 - $150,000 per year, depending on experience.
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