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Medical Compliance Specialist
Robert Half Monterey, CA
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$80k-102k (estimate)
Per Diem 2 Weeks Ago
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Robert Half is Hiring a Medical Compliance Specialist Near Monterey, CA

The Compliance Specialist is responsible for supporting all compliance functions at the Health Plan. Lead the company’s efforts to meet regulatory and compliance requirements and collaborate with internal departments and delegated entities. This position is responsible for the day-to-day administrative activities, coordination and communication between the company compliance auditors and delegated entities and reviewing and tracking all marketing materials.Functions & Job Responsibilities• Day to day coordination of all compliance administrative activities including but not limited to scheduling committee meetings, maintaining committee meeting minutes, following up on action items, maintaining Compliance Share Point, coordinating Compliance Week functions, other duties as assigned by Compliance Officer.• Organize and maintain the compliance SharePoint site and filing system, compliance policies, audit tools, and work plan.• Lead all communication between delegated entities and compliance auditors regarding audit engagement, progress, deliverable submission, and corrective action plan (CAP) implementation.• Initial reviewer of all audit submission to ensure documents align with document request list. • Ingest, file, and track HIPAA privacy concerns• Annual audit scheduling and tracking• HPMS regulatory memo maintenance and follow up• Ingestion of all marketing material and assignment of material ID for tracking purposes. Support compliance marketing review and submit to CMS for file and use. • Monitor, analyze, aggregate and report on data reported to the Plan.• Understanding of basic audit and oversight procedures• Administrative filing, scheduling, and organizing procedures• Clear client communication skills to provide customers, internal and external, with detail oriented service• Maintain an up-to-date knowledge of CMS requirements and HPMS portal.• Collaborate with other departments and delegate entities on issues, audits, and corrective actions.• Consult with Compliance Officer, as needed, to identify and resolve compliance and legal issues and concerns.• Perform functions according to established policies and procedures, regulatory requirements, and applicable detail oriented standards.

Job Summary

JOB TYPE

Per Diem

SALARY

$80k-102k (estimate)

POST DATE

05/18/2024

EXPIRATION DATE

06/14/2024

WEBSITE

roberthalf.com

HEADQUARTERS

Menlo Park, CA

SIZE

>50,000

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The following is the career advancement route for Medical Compliance Specialist positions, which can be used as a reference in future career path planning. As a Medical Compliance Specialist, it can be promoted into senior positions as a Medical Records Coding Technician that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Compliance Specialist. You can explore the career advancement for a Medical Compliance Specialist below and select your interested title to get hiring information.