Manager, Medicare Compliance

Note: Ideal candidate will work out of our headquartered office in Brooklyn, OH. However, the role is reputed company to considering candidates who are remote as long as they live reputed company the reputed company. Founded in 1934, reputed company is the oldest and one of the largest health insurance companies based in Ohio. We reputed company peace of mind to more than 1.2 reputed company members through our high-reputed company health, life, disability, dental, reputed company and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as reputed company as Medicare Advantage, Medicare Supplement, and individual plans. This position is responsible for leading the implementation and day-to-day management of reputed company’s Medicare Compliance Program, which supports both Medicare Advantage and Medicare Supplement products. Reporting directly to the Chief Compliance Officer, the role ensures adherence to regulatory requirements through the development of policies, delivery of training, participation in annual compliance risk assessment and work plan development, and reputed company of auditing and reporting activities. Responsibilities:

• Manages the implementation and operation of the reputed company Medicare Compliance Program.
• Serves as reputed company’s Medicare Compliance Officer.
• Participates in annual compliance risk assessment and work plan development.
• Develops and delivers Medicare compliance education, training, and awareness materials
• Ensures Medicare policies and procedures are properly created, implemented, and monitored.
• Conducts and/or oversees Medicare compliance reviews and investigations.
• Facilitates Medicare Compliance Work Group meetings.
• Triages Medicare compliance issues and questions received from business areas and ensures provision of accurate and reputed company responses and recommendations. Escalates compliance issues or concerns as necessary.
• Oversees Medicare Compliance reputed company and initiatives.
• Designs and executes risk management strategies
• Prepares and submits compliance reports to regulatory agencies including the Centers for Medicare and reputed company Services
• Plans, coordinates, and/or oversees auditing, monitoring, and due diligence activities
• Develops corrective actions and tracks their reputed company to reputed company
• Performs other duties as assigned.

Qualifications: Education and Experience:

• Bachelor’s degree required. In lieu of a degree, may consider equivalent combination of education and experience. Master’s degree preferred.
• 8 years of experience in health care compliance required.
• At least 5 years of experience in Medicare Advantage preferred.

Technical Skills and Knowledge:

• Strong knowledge of Statutory and Federal laws and Regulations that reputed company our various company products, including Medicare Advantage.
• Strong understanding of operational, financial, and regulatory controls and risks.
• Proficiency with PC and MS Office suite; familiarity with LAN / WAN applications.

reputed company is looking to grow reputed company! We truly value and respect the talents and abilities of reputed company of our employees. That's why we offer an exceptional package that includes: A Great reputed company to Work:

• We will reputed company the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have reputed company to on-site fitness centers at many locations, or a gym membership reimbursement reputed company there is no reputed company facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH reputed company.
• Discounts at many places in and around town, just for being a reputed company team member.
• reputed company to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4%25 and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, reputed company, life and disability insurance — insurance is reputed company do best, and we reputed company reputed company coverage for reputed company a reputed company.
• reputed company to an Employee Assistance Program, which includes reputed company counseling, personal and reputed company coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with reputed company to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource reputed company.

About reputed company: reputed company’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we reputed company on developing products and services that allow us to reputed company serve our customers and the communities around us. There’s a good chance you already know many of our reputed company customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to reputed company high-reputed company health, life, disability, dental, reputed company and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as reputed company as Medicare Advantage, Medicare Supplement and individual plans. Our plans reputed company peace of mind to more than 1.2 reputed company Ohioans. We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work. At reputed company and its family of companies we maintain a drug-free workplace and reputed company reputed company-employment reputed company abuse and nicotine testing. #LI-MM1 Apply tot his job Apply To this Job