Philadelphia, Pennsylvania, United States of America
3 years managed care operations experience
Knowledge of cms and dhs compliance standards
Experience with regulatory submission tracking
This position supports the administration and oversight of Health Partners Plans' Compliance Program to ensure ongoing compliance with state and federal requirements
Job Summary
This position supports the administration and oversight of Health Partners Plans' Compliance Program to ensure ongoing compliance with state and federal requirements.
The role involves researching regulatory issues, maintaining full compliance for Medicare Advantage, Pennsylvania Medicaid, and CHIP lines of business, and assisting in audit investigations.
Jefferson Health offers a comprehensive benefits package including medical, dental, vision, retirement plans, and tuition assistance at Thomas Jefferson University.
Matching Summary
This position supports the administration and oversight of Health Partners Plans' Compliance Program to ensure ongoing compliance with state and federal requirements.
Skills & Requirements
Must-have
3 years managed care operations experience
Knowledge of CMS and DHS compliance standards
Experience with regulatory submission tracking
Nice-to-have
Strong written and verbal communication skills
Ability to work independently and collaboratively
Experience developing job aids for compliance
Key Requirements
Bachelor's Degree preferred
3 years firm managed care operations or compliance experience required
1 year demonstrated experience with Compliance program management preferred