Senior Director - Risk Adjustment Compliance Oversight
November 23
Description
• Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment • Oversees the development of risk assessments oversight • Partners with business areas to ensure effective prevention, detection and correction of compliance issues • Conducts compliance reviews and manages team that conducts compliance reviews • Performs risk assessments and report emerging trends, deficiencies and variances • Develops and monitors metrics and other oversight tools that indicate business area compliance • Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations
Requirements
• Bachelor's Degree in Business Administration, Public Policy, Public Health, or Health Administration or related field, or equivalent experience required • Master's Degree, CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred • 7+ years compliance experience, preferably in a healthcare environment required • 4+ years management experience preferred • 4+ years experience with risk adjustment processes, procedures, and oversight of same preferred • HCCA certification (CHC) or equivalent preferred
Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
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