Regulatory Audits Monitoring Specialist

Location: Remote
Compensation: Salary
Staff Reviewed: Fri, Feb 02, 2024
This job expires in: 8 days

Job Summary

A company is looking for a Regulatory Audits & Monitoring Specialist.

Key Responsibilities:
  • Assist with all regulatory audits (state & federal)
  • Coordinate year-round audit readiness activities, pre-audit deliverables, onsite scheduling and auditor requests, post-audit reviews and deliverables, post validation reviews, and audit project plans and calendars
  • Contribute to the development of policies and procedures for the plan's audit process, repository, and readiness activities

Required Qualifications:
  • Bachelor's Degree or equivalent work experience
  • At least five (5) years' experience in managed health care
  • 3+ years compliance experience
  • Demonstrated knowledge of the Medicare Advantage Program and its governing regulations
  • Proven ability to interact effectively with staff from all levels of the plan

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