CASY-MSCCN Jobs

Description A National Healthcare Company needs a Healthcare Compliance Specialist is responsible for supporting all compliance functions at the organizations. The Healthcare Compliance Specialist is responsible for the day-to-day administrative activities, coordination and communication between company auditors and delegated entities and reviewing and tracking all marketing materials.

Job Responsibilities Day to day coordination of all compliance administrative activities including but not limited to scheduling committee meetings, maintaining committee meeting minutes, following up on action items, maintaining Compliance Share Point, coordinating Compliance Week functions, other duties as assigned by Compliance Officer. Organize and maintain the compliance SharePoint site and filing system, compliance policies, audit tools, and work plan. Lead all communication between delegated entities and compliance auditors regarding audit engagement, progress, deliverable submission, and corrective action plan (CAP) implementation. Initial reviewer of all audit submission to ensure documents align with document request list. Ingest, file, and track HIPAA privacy concerns. Annual audit scheduling and tracking HPMS regulatory memo maintenance and follow up. Ingestion of all marketing material and assignment of material ID for tracking purposes. Support compliance marketing review and submit to CMS for file and use. Monitor, analyze, aggregate and report on data reported to the Plan. Understanding of basic audit and oversight procedures Administrative filing, scheduling, and organizing procedures. Clear client communication skills to provide customers, internal and external, with detail oriented service. Maintain an up-to-date knowledge of CMS requirements and HPMS portal. Collaborate with other departments and delegate entities on issues, audits, and corrective actions. Consult with Compliance Officer, as needed, to identify and resolve compliance and legal issues and concerns. Perform functions according to established policies and procedures, regulatory requirements, and applicable detail oriented standards. Requirements · Associate or bachelor’s degree in healthcare or equivalent preferred. · One (1) to three (3) years of Medicare Audit or Compliance experience. · Knowledge of Medicare Advantage CMS and California DMHC regulations. · Knowledge of HIPAA regulations required. · Valid driver’s license and vehicle, or other approved means of transportation, and an acceptable driving record will be required for onsite audit work.

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