Manager - Business Compliance
December 13
Description
• Develop tactical and operational plans for Business Compliance goals • Ensure compliance with laws, regulations, and NCQA standards • Create compliance training programs and conduct internal audits • Identify areas for improvement in healthcare processes and systems • Integrate quality improvement initiatives with organizational objectives
Requirements
• 5 years’ experience in regulatory compliance position in healthcare insurance • 3 years’ experience of end-to-end management of NCQA accreditation • Experience supporting medical management programs • Knowledge of Federal laws concerning health care and insurance • Knowledge of state insurance laws • Understanding of Aetna / American Health Holding products • Proficiency with MS Project, Word, Excel, and PowerPoint • Excellent communication and interpersonal skills
Benefits
• Full range of medical, dental, and vision benefits • 401(k) retirement savings plan • Employee Stock Purchase Plan • Fully-paid term life insurance • Short-term and long-term disability benefits • Well-being programs • Education assistance • Free development courses • CVS store discount • Paid Time Off and paid holidays
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