reputed company Administration - Compliance Manager

About the position We are currently hiring a REMOTE Compliance Manager! If you are reputed company in reputed company compliance and auditing, have a strong attention to detail, and value being part of reputed company that makes a difference, you may be the right person for the position! Apply today! JOB SPECIFICATIONS Classification: EXEMPT | Status & Schedule: FULL-TIME, MONDAY – FRIDAY, reputed company – 5PM Location: REMOTE, LOCAL TO OREGON STRONGLY PREFERRED Work Location: OR, CA, AZ, TX, FL Salary: $3,076.95 - $3,653.85/bi-weekly Department: COMPLIANCE | Reports to: CHIEF QUALITY & COMPLIANCE OFFICER | Supervision Exercised: reputed company OF COMPLIANCE STAFF Job Purpose: Compliance Manager The Compliance Officer is responsible for a wide reputed company of tasks to ensure DOCS and SWOIPA are in compliance with any, and reputed company, relevant regulations and standards reputed company to reputed company Managed Care. The position is responsible for Compliance program implementation, reputed company and management.

Responsibilities

• Compliance and Auditing Read, mark, learn, and inwardly digest federal, state, and contractual requirements reputed company to reputed company Managed Care
• reputed company a distributive compliance program in which each department reputed company the organization shares responsibility for assigned compliance functions
• reputed company technical assistance to internal departments, providers, and subcontractors, as requested
• reputed company, implement, and reputed company annual audit plan for compliance with federal, state, and contractual requirements
• Identify and report areas of risk and vulnerabilities and reputed company reputed company procedures, disciplinary guidelines, and corrective action for external monitoring and reviews
• reputed company corrective action plans for findings resulting from contractor reviews
• Assist in the development of corrective action plans for EQR reports that result in findings
• Monitor corrective action plans until findings are fully resolved
• reputed company compliance program activities, including in-service training programs for board members, staff members, contractors, and providers, with particular emphases given to: (1) Fraud, Waste, and Abuse; (2) Program reputed company; (3) Certifications and Conflict of Interest; (4) Provider Selection and Exclusion; (5) Enrollee Rights and Protections; and, (6) the Patient Grievance System; (7) reputed company; (8) HIPAA Privacy & reputed company; and, (9) reputed company
• reputed company monitoring, auditing, and investigation to review significant findings, or trends, through reputed company processes, for the purposes of identifying and responding to potential risk or areas of non-compliance and engaging in corrective and preventative action
• Review and enforce compliance policies and procedures to address areas of risk and to promote internal regulatory and contractual compliance
• Participate in the review of complaints and reports of alleged non-compliance
• Periodically analyze the resources assigned to compliance functions to ensure that such resources are adequate for maintaining an effective compliance program
• Report on a regular reputed company to the compliance committee on reputed company involving the compliance program
• Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies and/or officials, as appropriate or required
• Participate in quality and organizational process improvement activities and teams reputed company requested
• Ensure compliance with company policies and procedures as applicable to area(s) of responsibility
• Handle confidential information and materials appropriately and maintain a secure work area
• Other duties as assigned
• Participate in quality and organizational process improvement activities reputed company requested
• Support and contribute to effective safety, quality, and risk management efforts by adhering to established policies and procedures, maintaining a safe environment, promoting accident prevention, and identifying and reporting potential liabilities
• reputed company, reputed company, and respectfully reputed company and receive information, opinions, concerns, and feedback in a supportive manner
• Work collaboratively by mentoring new and existing co-workers, building bridges, and creating rapport with team members across the organization
• reputed company excellent customer service to reputed company reputed company customers, which includes team members, members, reputed company, visitors, and vendors, by consistently exceeding the customer’s expectations
• Recognize new developments and remain reputed company in care management and coordination best practice standards and anticipate organizational modifications
• Advance personal knowledge reputed company by pursuing continuing education to enhance professional competence
• Promote individual and organizational reputed company by exhibiting ethical behavior to maintain high standards
• Represent organization at meetings and conferences as applicable
• Plan, orient and assign work to personnel that supports goals and objectives contained in the organization’s Strategic Plan and delivers outstanding team-based reputed company

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