Associate Vice President - Compliance, Growth & Implementation

6 days ago

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CareSource

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CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

Medicaid • MyCare Ohio • Health Insurance Marketplace • Medicare Advantage • Health Insurance

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• The Associate Vice President, Compliance - Growth and Implementation is responsible for supporting the organizations new market growth and provide compliance oversight and guidance related to significant regulatory implementations. • Assist with new market Medicaid expansions including regulatory guidance, policy and procedure drafting, readiness review and other implementation requirements. • Provide compliance assistance to the operational and implementation teams to oversee effective readiness for the expansion of Medicare and Marketplace lines of business. • Collaborate with compliance team members to keep compliance team members informed of status of implementation and readiness activities. • Draft at least quarterly status reports for the Corporate Compliance Officer/Committee and Enterprise Executive Leadership regarding implementation efforts and product expansion efforts. • Maintain positive and strategic relationships with internal and external stakeholders.

🎯 Requirements

• Bachelor’s degree in business or related field or equivalent years of relevant work experience is required. • MBA or JD strongly preferred. • Minimum of seven (7) years of healthcare operations or clinical experience or providing counsel to same, including three (3) years in Government Program products is required. • Minimum of five (5) years of Compliance Program leadership experience or five (5) years health plan quality program experience is required with focus on compliance audit/monitoring activities is required. • Minimum of three (3) years previous management experience is required, compliance oversight leadership experience within healthcare operations is preferred. • Significant regulatory implementation experience is required.

🏖️ Benefits

• You may qualify for a bonus tied to company and individual performance. • Comprehensive total rewards package.