Medicare Compliance Manager

We are...

We are a global collective of innovators applying the New every day to improve the way the world works and lives. New doesn't mean being ahead of the curve; new is pushing forward the curve, riding the edge where the impossible meets the transformational and making it reality where it matters. Help us show the world what's possible as you partner with clients to unlock hidden value and deliver innovative solutions. Empowered with innovative tools, continuous learning and a global community of diverse talent and perspectives, we drive success in a new business architecture that disrupts conventional practices. Our expertise spans 40 industries across 120 countries and impacts millions of lives every day. We turn ideas into reality.

You are...

As a member of Accenture's healthcare team, you'll be part of a team of health advisory professionals. From rapid deployments to entire transformations, you'll deliver leading edge Medicare strategy and operations capabilities to our clients.

As a Medicare Operations Compliance Manager , your primary responsibilities may include :

• Compliance Program Development :
• Create, maintain, and enhance the compliance program for Medicare Advantage Plans, including the development of policies, procedures, and controls.
• Develop a compliance roadmap that aligns with regulatory requirements and business objectives.
• Regulatory Analysis :
• Stay up-to-date with changes in Medicare Advantage regulations and industry standards.
• Conduct regulatory assessments and provide guidance on compliance implications.
• Auditing and Monitoring :
• Establish a robust auditing and monitoring program to assess compliance with regulatory requirements.
• Conduct regular internal audits and risk assessments.
• Compliance Training :
• Develop and deliver compliance training programs for employees and stakeholders within the Medicare Advantage Plan division.
• Promote a culture of compliance awareness and accountability.
• Reporting and Documentation :
• Prepare and submit required compliance reports to regulatory authorities as necessary.
• Maintain comprehensive records and documentation of compliance activities.
• Issue Resolution :
• Investigate compliance issues, violations, and complaints.
• Develop and implement corrective action plans and monitor their effectiveness.
• Cross-functional Collaboration :
• Collaborate with cross-functional teams, including legal, operations, and quality assurance, to ensure alignment on compliance initiatives.
• Serve as a subject matter expert on compliance matters.

Why should I join the Accenture Health team?

Who will be successful at Accenture?

It's not just what you know or where you've been that propels success at Accenture : It's who you are, fundamentally, as a person. We prize diversity in backgrounds and perspectives. Whatever your unique qualities, a few key traits should apply : You're passionate about technology and motivated to apply the latest technology trends. You're proactive and collaborative; a leader with effective communication skills. You're driven by new challenges and are motivated to improve. You're a creative problem solver with the flexibility to navigate uncertainty. You're focused on the future with a desire to develop inclusive, responsible and sustainable solutions to complex challenges.

Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements.

Here's what you need :

Bonus points if :

Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired in California, Colorado, New York or Washington as set forth below.

We accept applications on an on-going basis and there is no fixed deadline to apply.

Information on benefits is here.

Role Location Annual Salary Range

California $93,400 to $258,500

Colorado $93,400 to $223,300

New York $86,500 to $258,500

Washington $99,500 to $237,800

What We Believe

We have an unwavering commitment to diversity with the aim that every one of our people has a full sense of belonging within our organization. As a business imperative, every person at Accenture has the responsibility to create and sustain an inclusive environment.

Inclusion and diversity are fundamental to our culture and core values. Our rich diversity makes us more innovative and more creative, which helps us better serve our clients and our communities. Read more here

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Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion, or sexual orientation.

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For details, view a copy of the Accenture Equal Employment Opportunity and Affirmative Action Policy Statement

Requesting An Accommodation

Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.

If you would like to be considered for employment opportunities with Accenture and have accommodation needs for a disability or religious observance, please call us toll free at [redacted], send us an email or speak with your recruiter.

Other Employment Statements

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.

Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.

Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.

The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.

Salary : $93,400 - $258,500