Job Summary

A major healthcare company is searching for a person to fill their position for a Remote Healthcare Fraud Compliance Manager.

Core Responsibilities of this position include:

• Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates
• Manage/oversee projects, initiatives, regulatory audits or exams, risk assessments
• Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert

Qualifications Include:

• Ability to travel may be required
• Requires a BA/BS
• At least 6+ years of health care, regulatory, ethics, compliance or privacy experience
• Commercial Grievance and Appeal experience required
• Health Insurance experience required