USA
12 days ago
Medicare Compliance Consultant
Our Client, a Health Insurance company, is looking for a Medicare Compliance Consultant for their Remote location. Responsibilities: + 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. + Compliance training tracking + Auditing and monitoring compliance program + Monthly exclusion check monitoring + Updating policies and procedures + Drafting sops + Compliance hotline monitoring + Compliance program communications + Compliance committee meetings + SharePoint folder + Compliance program workplan + Hpms memo review and analysis + Compliance program liaison with fep + Medicare compliance shared mailbox owner + Attend monthly mapd plan calls + Part cd listserv owner + Assist with compliance program audit readiness Requirements: + 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. Why Should You Apply? + Health Benefits + Referral Program + Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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