Job Summary

is searching for a person to fill their position for a Telecommute Fraud Compliance Manager.

Candidates will be responsible for the following:

• Overseeing projects, initiatives, regulatory audits or exams
• Establishing project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates
• Conducting complex investigations, document findings, and ensure corrective actions are made

Qualifications for this position include:

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