Responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with DSNP regulatory requirements, contractual obligations and Company policies and procedures
Supports the internal and external corrective action plan lifecycle and related reporting
Partners with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues
Collaborates with compliance and business stakeholders to ensure adequate root cause analysis and development of corrective actions plans
Reviews and oversees progress towards remediation and documents key milestones in GRC tool
Identifies issues that require escalation and ensures they are addressed timely through established paths and processes
Conducts review of evidence to address root cause of issue and facilitate timely closure of issues
Facilitates escalation of barriers identified by other Corrections staff
Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions
Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner

Bachelor's Degree in Healthcare Administration, Compliance or related field required
4+ years Compliance and/or regulatory experience in a health care and/or managed care setting/organization required
Previous experience as a lead in a functional area, managing cross functional teams on large scale projects required
2+ years Compliance experience with DSNP products
Excellent Microsoft Office skills and experience with data analytics preferred
Certified in HealthCare Compliance (CHC) preferred
Certified Compliance & Ethics Professional (CCEP) preferred

Senior Compliance Administrator – DSNP

Key skills