15 Apr
Sr. Compliance Specialist
Vacancy expired!
- Lead or coordinate the implementation of compliance and audit activities, sampling, and preparation of audit materials
- Ensure timely communication and responsiveness to issues, tracking to resolution.
- Identify and track risks and negative trends on non-compliance, and fraud, waste, and abuse activities; propose or implement necessary recommendations or remedial actions
- Participate in compliance remediation plan development and implementation
- Support audit documentations, audit preparations, audit report development
- Communicate routinely with CMS and other stakeholders across internal and external stakeholders
- BS of higher degree required- Law, accounting, economics, or related field.
- 5+ years ofexperience developing and implementing compliance programs or audit activities or leading large projects or programs
- Experience with compliance/monitoring, and auditing initiatives for the CMS Innovation Center Models, Primary Care Models, and Accountable Care organizations
- Ability to lead a multi-disciplined, cross-organizational team of subject matter experts
- Knowledge of healthcare industry and systems, claims processing, Medicare preferred
- Experienced in planning, coordinating, directing, and overseeing projects and teams
- Previous experience working with the Center for Medicare and Medicaid preferred
- Program and policy knowledge in payment models, value-based experience or understanding of compliance and monitoring preferred
- Strong analytical and problem-solving skills; critical thinking skills; strong stakeholder management and meeting management skills
- Outstanding written and verbal communication skills; ability to communicate and facilitate communication with individuals at various levels within the organization and external clients in a leadership capacity
- Significant experience using Microsoft Applications: Word, Excel, Access, and PowerPoint. Experience working with Tableau or other BI tools preferred
Vacancy expired!