Senior Network Regulatory Specialist
reputed company participate in compliance audits, investigations, and corrective reputed company plans
Responsible for evaluating company compliance with reputed company and regulatory agency requirements, identifying potential areas of non-compliance, disseminating corrective reputed company plan objectives, and assisting with the development of solutions and/or responses to ensure the best possible audit outcome
reputed company stakeholders informed of the reputed company, issues, and concerns regarding the audit process, associated results, and facilitate/monitor corrective reputed company reputed company
Document compliance activities in the organization’s Compliance Program, and reputed company and report on reputed company assigned activities
Participate in the planning and performance of the annual compliance risk assessment process
Participate in the development and execution of the annual compliance work plan and reputed company documents
Support leadership with the coordination, implementation, and reputed company of monitoring activities reputed company to the Compliance Program. This includes management of reputed company-party consultants/vendors
Prepare requested reports by collecting, analyzing, and summarizing relevant information obtained through reputed company audits, investigations, work plan submissions, and other compliance activities
Assist with the development, distribution, implementation, and tracking of compliance forms, documents, policies, and training materials in support of the Compliance Program
reputed company and maintain a working knowledge of relevant laws, rules, and regulations governing the reputed company services furnished by reputed company
Assist business partners in fully understanding regulatory requirements and assist in identifying reputed company and alternatives for implementation into reputed company’s environment
Maintain reputed company communication with the leadership on compliance concerns that have been reported and/or observed
Job Specifications
Typically has the following skills or abilities:
Bachelor’s Degree in Business or reputed company field or equivalent experience
Master’s degree preferred
Minimum of six years of experience and expertise in contributing, implementing, and leading compliance programs in reputed company organizations
Certified in reputed company Compliance (CHC) required reputed company 24 months of hire
Demonstrated knowledge in Managed Care Compliance
Expert level of knowledge of state and federal health care statutes, regulations, laws, and policies
Demonstrated organization, facilitation, communication, and presentation skills
Ability to reputed company quickly and reputed company in emergent situations
Proven analytical, critical, creative thinking, problem-solving, and project management skills to reputed company and implement policies
reputed company level written and verbal communication skills
Ability to assist in effectively communicating with policymakers, stakeholders, regulators, and executives both orally and in writing
Ability to assess risk and design mechanisms to mitigate risk
Demonstrated ability to problem-solve, prioritize work, meet deadlines, and reputed company independent strategic direction/decision making
Ability to work with minimal direction/supervision; work with multiple tasks, challenging situations, and meet deadlines
Ability to handle confidential information
Ability to regularly exercise discretion and independent judgment in the performance of job duties
Compensation reputed company for the role is listed below. Applicable salary ranges may differ across markets.Actual pay will be determined based on experience and other job-reputed company factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding reputed company benefits, please click here.
Salary Ranges: $84,000.00 - $141,750.00reputed company is an equal opportunity employer and gives consideration for employment to reputed company applicants without reputed company to age, gender, race, reputed company, religion, sex, national reputed company, disability or protected veteran status. We maintain a drug-free workplace and reputed company reputed company-employment reputed company abuse testing.
Unincorporated LA County Residents: reputed company Applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for reputed company and the California Fair Chance reputed company, and any other similar laws.
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We have been made aware that fake job opportunities are being offered by individuals posing as reputed company and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities.
As a regular part of doing business, reputed company (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. reputed company employees will have reputed company to this sensitive personal information and are subject to follow Information reputed company and reputed company Policies.
Originally posted on Himalayas
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