Compliance Specialist 4

Peak Performers has partnered with a managed care organization to assist in their search for a remote Compliance Specialist 4 . In this contract position, you will be responsible for ensuring compliance with contractual requirements and federal and state government reporting and regulations.

Major duties

• Ensure compliance with contract provisions with various agencies and applicable State and Federal laws
• The person in this role will serve as a liaison with Medicare and Medicaid Regulatory teams.
• Facilitate the submission of DXE digital experiences (ranging from Public site to Secure Portal and Mobile App content) to Medicare and Medicaid Regulatory teams for Regulatory approval.
• Serve as compliance resource for day–to-day processes
• Analyze and determine the best course of action for each inquiry/problem
• Act as primary contact for initiating and coordinating compliance projects
• Develop and update plan policies and procedures to ensure compliance with federal and state requirements
• Conduct periodic assessments and audits to ensure compliance with contractual and regulatory requirements and timeliness of submission
• Oversee the day-to-day health plan policies and procedures to ensure federal and state regulatory compliance
  
  

What are we looking for?

• Bachelor’s degree in related field or equivalent experience.
• 5 years of compliance or regulatory experience.
• Advanced experience with Microsoft Office applications.
• Knowledge of business operations related to managed care preferred.
• Healthcare experience highly preferred
  
  

Exciting Opportunity Details

• Rate: $43.03/hour
• W2 Contract
• Worksite Location: Remote
• 6 month contract with opportunty for extension
  
  

The Peak Performers difference

• Excellent medical health, dental & vision insurance at 60 days
• Our employees may choose to participate in a 403(b) retirement plan
• Qualified applicants with chronic medical conditions and/or disabilities receive priority placement
• We pay weekly through direct deposit
• In business since 1994 and thousands of job placements
  
  

All employment offers are contingent on the successful completion of a pre-employment criminal background check, in compliance with all applicable federal and state laws.

Applicants for employment with Peak Performers must possess work authorization that does not require sponsorship for a visa now or in the future.

Peak Performers is an equal opportunity employer and will consider all applicants without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. Peak Performers does not accept unsolicited resumes from headhunters, recruitment agencies or fee-based recruitment services.