In-House

Naperville, IL, United States

Attorney in Naperville, IL

Non-practicing Attorney

Min 7 yrs required

No

H1: Senior Director, Compliance Advisory (Medicare) - ****

H2: Transform the Health of Communities with ****

Title: Senior Director, Compliance Advisory (Medicare) - ****

****, a national healthcare organization, is seeking a Senior Director of Compliance Advisory for their Medicare division. This role will be responsible for ensuring regulatory compliance with federal and state legal requirements related to Medicare compliance and HPMS/CMS regulations. With a focus on transforming the health of communities, this role offers competitive benefits and a flexible work environment.

Key Responsibilities:

• Oversee and monitor cross-functional projects implemented by management
• Develop strategic relationships to influence public policy concerning federal managed care regulations and initiatives
• Represent senior management at various committees, meetings, and seminars
• Communicate with CMS to ensure timely completion of requirements and expectations
• Ensure compliance of all Medicare and Medicaid products and services with program regulations, insurance regulations, and business entity requirements
• Develop and maintain policies, procedures, and processes to comply with federal program regulations and state regulations
• Work with operational departments to ensure compliance with state regulatory standards and provide guidance on regulatory and contract language
• Oversee and implement various aspects of the Medicare Compliance program
• Identify and analyze the impact of CMS and Medicare regulatory issues and advise management on potential impact
• Report all Medicare and MMP risks in accordance with company policies
• Provide required training on ethics, compliance, risk management, fraud, waste, and abuse, privacy, and security to employees and contracted staff
• Partner with departments to ensure compliance with state and federal regulatory requirements
• Other duties as assigned

Qualifications:

• Bachelor's degree in Business Administration, Healthcare Administration, or related field required; Master's degree preferred
• 7+ years of compliance experience, preferably in a healthcare environment
• 5+ years of experience in Medicare and/or Managed Care
• 1+ years of experience overseeing contract requirements
• 1+ years of interaction and communication with federal and state regulatory agencies preferred
• Knowledge of Medicare, CMS regulations, and software application tools preferred

Salary Information:

• Pay range: $142, - $263, per year

Benefits:

• Comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, and paid time off
• Flexible work environment with options for remote, hybrid, field, or office work schedules

**** is an equal opportunity employer and is committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics under applicable law. Applicants with arrest or conviction records will be considered in accordance with local and state laws.

Key Points:

• **** is seeking a Senior Director of Compliance Advisory for their Medicare division
• This role will be responsible for ensuring regulatory compliance with federal and state legal requirements
• Competitive benefits and flexible work environment offered
• Bachelor's degree and 7+ years of compliance experience required
• Salary range: $142, - $263, per year
• **** is an equal opportunity employer committed to diversity and inclusion

H2: Join **** and Make a Difference in the Health of Communities

Title: Senior Director, Compliance Advisory (Medicare) - ****

****, a national healthcare organization, is seeking a Senior Director of Compliance Advisory for their Medicare division. This role offers the opportunity to make a difference in the health of communities by ensuring regulatory compliance with federal and state legal requirements. With a focus on diversity and inclusion, **** provides competitive benefits and a flexible work environment.

Key Responsibilities:

• Oversee and monitor cross-functional projects implemented by management
• Develop strategic relationships to influence public policy concerning federal managed care regulations and initiatives
• Represent senior management at various committees, meetings, and seminars
• Communicate with CMS to ensure timely completion of requirements and expectations
• Ensure compliance of all Medicare and Medicaid products and services with program regulations, insurance regulations, and business entity requirements
• Develop and maintain policies, procedures, and processes to comply with federal program regulations and state regulations
• Work with operational departments to ensure compliance with state regulatory standards and provide guidance on regulatory and contract language
• Oversee and implement various aspects of the Medicare Compliance program
• Identify and analyze the impact of CMS and Medicare regulatory issues and advise management on potential impact
• Report all Medicare and MMP risks in accordance with company policies
• Provide required training on ethics, compliance, risk management, fraud, waste, and abuse, privacy, and security to employees and contracted staff
• Partner with departments to ensure compliance with state and federal regulatory requirements
• Other duties as assigned

Qualifications:

• Bachelor's degree in Business Administration, Healthcare Administration, or related field required; Master's degree preferred
• 7+ years of compliance experience, preferably in a healthcare environment
• 5+ years of experience in Medicare and/or Managed Care
• 1+ years of experience overseeing contract requirements
• 1+ years of interaction and communication with federal and state regulatory agencies preferred
• Knowledge of Medicare, CMS regulations, and software application tools preferred

Salary Information:

• Pay range: $142, - $263, per year

Benefits:

• Comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, and paid time off
• Flexible work environment with options for remote, hybrid, field, or office work schedules

**** is an equal opportunity employer and is committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics under applicable law. Applicants with arrest or conviction records will be

Legal