Medicaid Compliance Officer
Horizon Blue Cross Blue Shield of New Jersey · Newark, New Jersey, US
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solution...
Job description
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role: Accountable for the oversight, implementation, and execution of the Medicaid regulatory compliance program. Leads the design, execution, and continuous improvement of a comprehensive compliance program, with responsibility for regulatory interpretation, implementation, audit readiness, risk identification, controls oversight, and issue remediation. Partners cross-functionally with internal stakeholders and senior leadership to promote compliance, strengthen governance, and ensure timely escalation and reporting of key risks....