Compliance Lead

Job description

Become a part of our caring community The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The focus of this role is compliance and oversight of clinical UM for Medicare Part C. The Compliance Lead develops and implements compliance policies and procedures. Researches compliance issues and recommends changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates site visits for regulators, coordinates implementation and compliance with corrective action plans, as needed. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks. Works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. Key responsibilities may include: Use your skills to make an impact - Research, understand and apply laws, regulations, and regulatory guidance for HCS operations, including, but not lim...