Related skills
policy development audits healthcare regulations regulatory compliance cms acaπ Description
- Ensure compliance with industry standards, regulations, and laws; review operational practices.
- Create and enforce policies and procedures; perform regulatory reviews.
- Enforce compliance across the organization and all departments.
- Provide training to teams on regulatory compliance.
- Develop and implement compliance improvement plans; delegate tasks to other departments.
- Prepare for and conduct audits with external authorities; develop reports to governing body.
π― Requirements
- Bachelor's Degree or equivalent work experience
- 1+ year experience in health plan compliance
- 2+ years with State DOI health insurance rules and CMS ACA rules and requirements
- 2+ years experience managing high-volume and complicated projects
- CHC, CCEC, or similar (bonus points)
- Fluency with State DOI audit and/or reporting obligations
π Benefits
- Medical, dental, and vision benefits
- Unlimited vacation program
- Annual performance bonuses
- 401(k) plan participation
- Paid holidays and time off
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