What are the responsibilities and job description for the Health Plan Compliance Officer, Michigan position at McLaren Health Care?
McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Compliance Officer to join in leading the organization forward.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org
Position Summary: The Compliance Officer is responsible for overseeing all compliance activities and is responsible for development, implementation, documentation and oversight of McLaren Health Plan and its subsidiaries (MHP) compliance, program integrity, and security program. Directs and coordinates MHP’s efforts to ensure continued compliance with laws, regulations, and policies that govern all lines of business. Serves as Chair of the Compliance Committee and shall have direct access to the Market President and Board of Directors.
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Qualifications:
Required:
- Bachelor's degree in business, health care, or related field; or Associate degree and two (2) years' related experience.
- Five (5) years in a senior HMO/TPA leadership role with demonstrated knowledge of Health Maintenance Organizations/Insurance functions (marketing/sales, finance, administration, claims, business information reporting and systems, regulatory compliance).
Preferred:
- Master's degree in business, health care, or related field.
- Certified in Health Care Compliance (CHC).
- Previous experience as a Compliance Officer.