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Medicare Compliance Analyst
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$40,600 - $85,100 a year
Full-time
- In partnership with and under the direction of the health plan Medicare Compliance Officer and other team members, this position will help develop and maintain systems and processes that demonstrate the principles of an effective Compliance program and promote compliant and ethical behavior in our Medicare Advantage health plans.
- Maintain an in-depth working knowledge of the health plan’s contractual, regulatory, and program policy related obligations as a Medicare Advantage organization
- Provide support for the elements and compliance department responsibilities required under the Medicare Compliance Program, which include but are not limited to meeting attendance, capturing meeting minutes, OIG/GSA screening of Board Members, monitoring Compliance mailbox, tracking and assisting in responding to compliance inquiries and serving as a resource to health plan staff
- Maintain the systems and tools used to track, monitor, review, communicate Medicare Advantage Part C and D contract deliverables
- 2+ years regulatory compliance position in Medicare Advantage Managed Care
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