15 Apr
Sr. Compliance Specialist
Maryland, Catonsville , 21228 Catonsville USA

Vacancy expired!

Sr. Compliance Specialist in Catonsville, MD Location : Catonsville, MD Job Full Time Location/Interview: Would prefer candidates in the DC, Maryland, Virginia area, but for the right candidate willing to look at remote Job Description:Seeking full time Senior Compliance Specialist to provide assistance in the design and development of the compliance strategy, monitoring and auditing plan, risk framework and remedial action plan across multiple models.
  • 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
Requirements
  • 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!

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