Mgr, Compliance (Arkansas or surrounding states)

Job Summary:The Manager, Compliance is responsible for supporting the establishment of a baseline compliance risk, identification of areas of potential exposure, development and alignment of compliance risk management strategies with CareSource goals and objectives, and execution of the compliance program ensuring consistency. Must be located in Arkansas or surrounding states.Essential Functions:Partner with Business Units and internal support functions to help ensure that all compliance requirements have been met; risk is monitored and remediated through testing/ development/ implementation and useRemain current in federal/state laws and regulations regarding Medicaid, Medicare and Marketplace requirements as applicable as well as general compliance and delegation oversight best practices and industry standardsAssist with the creation and execution of the annual compliance work plan, risk assessment activitiesManage and drive usage for the compliance tracking systemsAssist in management of applicable compliance oversight functions such as Corrective Action Plan Management, Ongoing Monitoring, and Annual AuditsReport key statistics and trends of core compliance and oversight functions, identifying risk mitigation and performance improvement opportunities to the Delegation Oversight and Compliance Committees as well as to Compliance and Company LeadershipPerform data analysis and reporting activities. Provide and maintain oversight reporting mechanisms, and track and report outcomes from compliance activities. Collect, organize, and distribute reports and documents and recommend enhancements to reporting compliance toolsTrack and trend issues to identify compliance risk and performance improvement opportunities; provide input for executive compliance reportingAssist with regulatory audits and support audit readiness activityCollaborate with internal resources on the production and communication of compliance related alerts, newsletters and educational materials for all company workforceEstablish effective working relationships and build creditability within the organization to support a culture of compliance based on the Company's core valuesReport potential risks, non-compliance or alleged violations to Compliance leadership and plan leadershipMay provide management and oversight of professional staffPerform any other job duties as requestedEducation and Experience:Bachelor of Science/Arts degree or equivalent years of relevant work experience is requiredMinimum of five (5) years of healthcare compliance, vendor oversight, internal audit or equivalent experience is requiredManaged care or other healthcare related experience is requiredPrior management experience is preferredDirect Centers for Medicare & Medicaid program experience and qualified health plan (i.e. marketplace) experience is required depending on the assigned programCompetencies, Knowledge and Skills:Advanced capabilities in Microsoft Word, Excel and PowerPointSkilled in collaborative management of professional staffKnowledge of contracting, standards or controls management, preferably from a Managed Care OrganizationKnowledge of Medicaid, Federal Marketplace and Medicare Regulatory environment as applicableProven success in developing and implementing new practices and controls (with specific improvements)Experience in a high-growth business environmentWorking knowledge of health plan environment is preferredStrong analytical and statistical skills and attention to detailAbility to work in a fast-past environment and reprioritizeEffective problem solving skills with attention to detailAbility to develop, prioritize and accomplish goalsStrong communication skills (both written and verbal)Strong interpersonal skills & high level of professionalismAbility to work independently and within a team environmentEffective active listening and critical thinking skillsDisplay a customer service, member-focused orientationLicensure and Certification:NoneWorking Conditions:General office environment; may be required to sit or stand for extended periods of timeCompensation Range:$84,690.00 - $148,320.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.Compensation Type:SalaryCompetencies:- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-SD1