Job Summary

A managing consulting provider is filling a position for a Remote Part C and Compliance Program Effectiveness Senior Consultant.

Candidates will be responsible for the following:

• Monitoring the implementation of the corrective action plans and ensures that the result of the action plans are compliant
• Performing CMS mock audits in CPE, ODAG and SNP-MOC to confirm compliance with guidance
• Reviewing, interpreting and implementing state and federal guidance

Required Skills:

• Travel as required
• Must have strong Microsoft Office Suite skills
• Bachelor's degree and a minimum of ten (10) years government, health care, pharmacy benefit management, compliance or quality profession (equivalent combination of education and experience considered.)
• Experience with Medicare and/or Medicaid standards required