This position will require being on-site 1 day a week, in either the Chicago or Washington, DC office. This position will support the Part D Medicare Compliance Officer. Preference will be given to candidates with experience in Medicare Programs. Designs and documents business process requirements for all related business, financial, and operational systems critical to core business functions within FEP for support of the Medicare Prescription Drug Program, and other Medicare programs. This may require the Business Analyst to research and analyze data in support of business functions, process knowledge, and systems requirements. Recommends new or improvements to existing business and operational processes and procedures. Manages projects to build a Medicare Compliance Program. Manages compliance program auditing and monitoring activities. Assists with audit readiness. This person should have 7 years’ experience in the health payer industry – Blues or FEHBP experience desirable. Experience in Medicare Program Audits or Medicare CPE Audits is desirable. Experience with Compliance Programs is preferred. Key Responsibilities Auditing and monitoring compliance program Monthly exclusion check monitoring Updating policies and procedures Compliance program communications Compliance committee meetings Compliance program workplan HPMS memo review and analysis Compliance program liaison with FEP Medicare Compliance shared mailbox owner Attend monthly MAPD Plan calls Assist with Compliance Program audit readiness Seniority Level Mid-Senior level Employment Type Contract Job Function Legal Industries Software Development #J-18808-Ljbffr Adroitts
...recommended. Referral Program: Referral bonus reward of $500 (offered for all positions company-wide). Payout: $250 will be paid on the next paycheck after the 45-day mark for the referred candidates tenure, and $250 will be paid on the next paycheck after the...
...of 1-year experience in the janitorial, cleaning or warehouse industry Have the ability to read and communicate in English Have... ...time Pay: $13.00 per hour Physical Setting: Office Outdoor work Schedule: Morning shift Monday to Friday...
Job Description Job Description Salary: $31.50 - $35 hourly We have an immediate opening for a Driller to help us grow our operation serving southern New England. In this position you will operate a geotechnical and environmental test boring rig based at our Riverside...
...Job Description Part time interventional pain management physician needed in Newport, Jersey City, NJ in a multispecialty practice. Flexible days/hours for consults and basic procedure. Must be either board certified or board eligible and carry own malpractice....
...Connecticut based private equity firm is looking for a Chief Compliance Officer to oversee their compliance program. Ideal candidate holds a juris doctor and has held previous leadership positions at alternative asset management firms. Oversee timely and accurate...