Compliance Specialist
4 weeks ago
The Compliance Specialist’s primary responsibility is the assurance of Medicaid policies & procedures across all Arrow Health Solutions (AHS) services. These processes will inform and improve practices that have a direct impact on services to children, families, and compliance. This position is responsible for developing systems for routine evaluation, tracking performance, and establishing a consistent feedback loop. This position will assist program leadership in administrative and strategic tasks.
Benefits Include:
Medical, dental, vision, and supplemental insurance options, including HSA match for qualifying contributions.
Parental Paid Leave
Retirement savings plan with company match.
Paid time off and vacation pay.
Mileage reimbursement.
Tuition reimbursement available.
Company sponsored learning and development
Min:
USD $45,000.00/Yr.
Max:
USD $50,000.00/Yr.
Responsibilities:
Other duties may be assigned as necessary.
Develop, implement, and maintain system for tracking sales order, compliance with MCO contracts.
Develop tools for evaluating compliance in member, client records that mirrors state contract monitoring.
Implement and maintain a quarterly review cycle for member, client and/or account records.
Help support the development of standardized services and practices across all assigned programs.
Prepare and monitor, in partnership with the program staff, corrective action plans developed internally and externally.
Perform program audits as assigned and assist programs with pre-audit preparations.
Demonstrate knowledge, awareness of AHS product lines and equipment per MCO authorization requirements.
May assist on special projects connected to staffing, compliance, budgeting, and professional development.
Communicate and report AHS performance outcomes, indicators, and target goals.
Perform all duties within contract, state and federal regulations, company policy, and regulatory agency standards.
May be required to drive vehicles, be insurable with our auto insurance provider, and complete company vehicle training.
Qualifications:
A high school diploma and at least 3 years of Medicaid claims experience preferred.
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