Manager Compliance

Description

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The Manager of Compliance is responsible for managing all aspects of the organization’s compliance program, including supporting business units in creating and implementing controls that ensure compliance with federal and state law and program requirements. Responsibilities also include planning, directing, and completing regulatory and client audits; managing corrective action plans (CAPs); and training and mentoring team members. This role requires adherence to the strictest degree of professional standards, and a strong working knowledge of HIPAA and Commercial, Medicaid and Medicare Advantage and Managed Care requirements (DMHC, DHCS, CMS, etc.).

Job Summary Details

• Managing all audit and corrective action activity, including maintaining the organization’s audit calendar, and reporting on audit and CAP outcomes.

• Working across the organization to identify risk, remediation planning, and report accordingly.

• Responsible for timely audit submission and maintaining audit files.

• Communicating effectively with stakeholders to manage expectations and ensure deadlines are met.

• Promoting the satisfaction, development and productivity of Compliance staff.
• Support the business in operationalizing laws and program requirements.

• Working collaboratively, as part of the organization’s management team, to ensure the success of organizational goals and strategic initiatives.

• Perform other duties as assigned.

Qualifications

Education/Experience

• 4 Year / Bachelor Degree required
• Healthcare Compliance Certification preferred
• 6 years' progressive experience developing and managing compliance activities within a managed care setting
• Previous direct experience with Medicaid/Medicare Advantage programs including experience with internal and regulatory audits

Specific Skills/Knowledge

• Knowledge of Medicaid, Medicare Advantage, and Exchange lines of business.
• Versed in HIPAA and other federal and state laws that pertain to managed care.

• Knowledge of dental benefits is a plus.

• Proficiency in Microsoft Office applications, specifically Word, Excel and PowerPoint.
  • Please be prepared to complete online skill assessments for this role, as part of the Application process.

• Strong project management and interpersonal skills.

• Excellent organizational and follow-up skills.

• Ability to interact effectively across all organizational levels, and in a fast-paced environment.

• Excellent written and verbal communication skills.

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That’s why Liberty offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

• Our first-class benefit package supports our employees and their dependents with:

• Competitive pay structure and saving options that help you reach your financial goals

• Excellent 401k retirement benefits available which includes employer match and ability to save via a Roth IRA, plus immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!

• Medical insurance offered with low-cost premium for employee only coverage and Liberty subsidizes 50% of dependent coverage for eligible enrolled dependents.

• 100% employer paid dental coverage for employees and eligible dependents.

• 100% employer paid vision coverage for employee only coverage, low-cost premium for dependents!

• Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.

• Long Term Disability coverage

• Expansive wellness program including companywide Get Active challenges and Burn-A-Long with option for gym discounts.

• Employee Assistance Program

• Generous vacation and sick leave with the ability to roll time over.

• 10 paid company holidays

• Tuition Reimbursement

• Remote or Hybrid options for various positions

• And so much more...

Compensation

In the spirit of pay transparency, we are excited to share the base salary for this position is $100,000 - $130,000, exclusive of fringe benefits or potential bonuses. If you are hired at Liberty, your final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. 

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. 

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.

Salary : $100,000 - $130,000