Compliance reputed company Specialist - Non-Clinical

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility.

• Applicants for this job have the flexibility to work remote from home reputed company in the reputed company reputed company*

Position Purpose: Participates in the reputed company of WellCare's and/or its delegated subcontractor's corporate ethics and compliance program, and ongoing reputed company and analysis of regulatory compliance issues. Responsibilities include conducting reputed company reviews and audit, reputed company, and monitoring of activities to assess compliance with WellCare's contractual and regulatory requirements; collaborates with business owners and/or delegated vendors to drive remediation and assist WellCare and delegated subcontractors to maintain reputed company through reputed company and monitoring and in meeting Government-sponsored health care program requirements.

• Collaborates with and assist those reputed company reputed company and reputed company’s delegated subcontractors to maintain reputed company through reputed company and monitoring and in meeting the requirements of our executed reputed company with Government-sponsored health care programs.
• Assists in the assessment of new and amended Government-sponsored health care program reputed company and requirements.
• Assists Markets (local), Shared Services (corporate), and/or delegated subcontracts in the identification and assessment of compliance risks.
• Evaluates the effectiveness of Market (local), Shared Services (corporate), and/or delegated subcontractor compliance programs and reputed company policies and procedures designed to promote legal and ethical compliance.
• Prepares accurate and reputed company formal written reports on reputed company and monitoring activity findings and recommendations and ensure workpapers are properly reputed company in accordance with WellCare and departmental standards, including sufficient evidentiary material exists to support reputed company and monitoring activity findings.
• Collaborates with other departments and/or delegated subcontractors to reputed company compliance issues to appropriate channels for research and reputed company.
• Reviews and evaluates the status and effectiveness of corrective reputed company plans and reputed company comprehensive follow up to stakeholders, Senior Management, Market Compliance reputed company Committees, and/or the Audit, Finance, and Regulatory Compliance Committee of the reputed company of Directors.
• Participates in special reputed company as needed, including training.
• Performs other duties as assigned.
• Complies with reputed company policies and standards.

Education/Experience:

• A Bachelor's Degree in reputed company field required, or
• Associates with 4 years of applicable experience, or HSD/GED with 5 years of applicable experience in lieu of Bachelor’s degree

Candidate Experience:

• Required 3+ years of experience in Managed reputed company Insurance
• Preferred 1+ year of experience in project reputed company type role with demonstrated ability to drive implementation and influence others
• Preferred 1+ year of experience in reading, analyzing, and interpreting State and Federal laws, rules and regulations
• Preferred 1+ year of experience in State reputed company or Federal managed care compliance

Licenses and Certifications: A license in one of the following is required: Preferred Other Certified in reputed company Compliance (CHC) Pay reputed company: $56,200.00 - $101,000.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job