Manager, Ethics & Compliance

Job Summary

A company is looking for a Manager of Ethics & Compliance - Financial Examinations.

Key Responsibilities

• Manage strategies for timely responses to inquiries from state insurance financial examiners
• Serve as a subject matter expert on financial examinations and maintain an archive of prior examination responses
• Develop and implement production and quality standards for the compliance program focused on financial examinations

Required Qualifications

• Bachelor's Degree in Business Administration, Healthcare Administration, Compliance, Law, or related field; Master's or Juris Doctorate preferred
• 4+ years of compliance experience, preferably in a healthcare environment; 2+ years in Medicaid, Medicare, or Commercial Managed Care preferred
• Experience interacting with federal and state regulatory agencies in managed care or insurance environments preferred
• Prior experience with financial examinations conducted by state departments of insurance is preferred
• Familiarity with National Association of Insurance Commissioners standards and procedures for financial examinations preferred