Responsible for conducting investigations, preparing reports, work papers, and performing vulnerability assessments to recognize and identify potential compliance issues.
Provides guidance to management and employees as needed.
Conducts annual vulnerability risk assessment audits for division.
Assists management in preparation and conduct of management control reviews.
Performs detailed investigations of allegations/compliance issues and maintains tracking and quality databases.
May develop, implement, and present ongoing training, and conduct periodic surveys and awareness initiatives.
May be required to submit regulatory reporting data according to government schedule.
Requirements
Two years health insurance, Medicare, compliance or audit, investigations or corporate-level related experience.
Required Education: Bachelor's Degree.
Acts as liaison with other areas.
Analyzes information.
Conducts audits.
Drafts contracts.
Leads negotiation sessions.
Required Software and Other Tools: Microsoft Office.
Benefits
Subsidized health plans
Dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more