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Regulatory Compliance Specialist (Medicare / Medi - Cal)
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Full-time
- Line Staffing Solutions is Hiring a Regulatory Compliance Specialist for a Managed Care Client in the Easy Bay
- Under the direction of the Manager, Regulatory Affairs & Compliance, the Regulatory Compliance Specialist supports the compliance program by coordinating implementation of new and revised healthcare rules and requirements as are communicated by state agencies.
- Read, review and summarize prospective, new and revised rules and healthcare policy from local, state and federal agencies, including but not limited to, the Department of Managed Health Care (DMHC), the Department of Health Care Services (DHCS), and Centers for Medicare & Medicaid Services (CMS).
- Distributes the Department of Managed Health Care (DMHC) and Department of Health Care Services (DHCS) All Plan Letters (APL) and other regulatory policy guidance to internal stakeholders in a timely manner.
- Complying with the organization’s Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.
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