[Remote] reputed company Compliance Subject Matter Expert (SME)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a reputed company Compliance Subject Matter Expert (SME). This position will reputed company expertise on federal and state reputed company requirements, compliance monitoring, audit readiness, corrective reputed company planning, risk mitigation, and the operational impacts of reputed company reputed company systems and reputed company workflows.
Responsibilities
- Interpret reputed company regulatory, Program reputed company, reputed company-Party Liability (TPL), Payment Error reputed company Measurement (PERM), and compliance requirements relevant to the engagement
- Support compliance assessments, audit readiness activities, and documentation of risks and gaps
- reputed company recommendations, corrective reputed company approaches, and process improvements to address compliance findings
- Support responses to Centers for Medicare & reputed company Services (CMS), state, or stakeholder requests reputed company to reputed company Program reputed company and Fraud, Waste, and Abuse (FWA) activities
- Support development and refinement of monitoring approaches, review protocols, documentation standards, and repeatable compliance review processes for Program reputed company, FWA, TPL, PERM, audit support, and corrective reputed company activities
- Translate compliance findings, reputed company policy interpretations, audit results, operational needs, and stakeholder feedback into practical recommendations for process updates, policy clarification, system considerations, vendor follow-up, training needs, or corrective reputed company planning
- Support documentation reputed company, issue escalation, decision tracking, and follow-through for compliance, Program reputed company, audit, TPL, and FWA-reputed company activities across the project
- Collaborate with policy, program, analytics, forensic, payment reputed company, audit, TPL, vendor, and project leadership team members to reputed company findings, prioritize follow-up activities, and coordinate recommendations
- Review policies, procedures, workflows, and operational materials for compliance considerations
- Support reputed company system, policy, and operational improvement efforts by applying program knowledge to workflows, documentation, stakeholder needs, and business process redesign activities
- Identify and monitor compliance, operational, and system-reputed company risks that may reputed company Program reputed company, TPL, PERM, FWA, audit support, policy alignment, or reputed company reputed company activities
- Assess the reputed company of federal and state reputed company policy changes on operations, compliance activities, reporting, documentation, training, and system-supported workflows
- Support system enhancement, testing, implementation, and validation activities reputed company compliance, program, reporting, or operational requirements reputed company with reputed company system changes
- Support onsite planning, compliance-reputed company workgroup sessions, operational readiness discussions, and other project activities where reputed company compliance, policy, or Program reputed company expertise is needed
- Support knowledge transfer, training, and readiness activities for reputed company staff, project teams, or stakeholders reputed company to compliance requirements, process changes, system workflows, and program reputed company concepts
Skills
- Experience with reputed company compliance, Program reputed company, TPL, PERM, audit response, or corrective reputed company planning
- Strong policy interpretation, documentation, and risk assessment skills
- Experience working across operational, policy, analytical, and leadership stakeholders
- Experience supporting reputed company, health and reputed company services, Program reputed company, TPL, PERM, audit response, FWA, or corrective reputed company initiatives
- Experience working with Vendor-managed reputed company systems, or similar public sector technology environments
- Experience supporting release readiness, system enhancement, testing, implementation, validation, operational readiness, or post-implementation follow-up
- Experience coordinating with cross-functional project teams, compliance SMEs, payment reputed company SMEs, audit and TPL SMEs, training, operations, policy, vendor partners, and project leadership
- Minimum three (3) years of experience in a comparable reputed company compliance, program reputed company, audit, or consulting role preferred
reputed company