Health Care Service Corporation
10,000+ employees
Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.
Manager, Government Program Compliance – Risk Adjustment
🕒 April 24
🌽 Illinois, New Mexico, +1 more states – Remote
💵 $92.7k - $167.5k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🚔 Compliance
🦅 H1B Visa Sponsor
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Health Care Service Corporation
10,000+ employees
Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.
📋 Description
• Evaluate Government Program (Medicare and Medicaid) regulations, guidance and contracts. • Assess the risk these items present with respect to HCSC government contracts. • Manage direct reports and provide oversight of operational compliance. • Ensure adherence to federal/state/local laws, regulations, and contractual obligations. • Develop policies, conduct monitoring, manage risk, and liaise with regulatory agencies. • Identify risks and issues of noncompliance and develop mitigation strategies. • Collaborate with Corporate Compliance and business personnel, as well as HCSC management and governmental agencies to implement controls and processes.
🎯 Requirements
• Bachelor’s Degree and five (5) years’ experience in healthcare compliance OR nine (9) years’ experience in health plan, regulatory compliance or risk management. • One year of leadership/supervisory experience. • Experience communicating and building relationships with internal business units and/or various external governmental agencies. • Strong critical thinking, risk assessment, and mitigation abilities. • Ability to influence processes to achieve results. • Excellent verbal and written communication skills. • Ability to work independently and be a self-starter. • Organizational, project management, analytical and decision-making skills. • PC proficiency to include MS Teams, Word, PowerPoint and Excel as well as Workday.
🏖️ Benefits
• health and wellness benefits • 401(k) savings plan • pension plan • paid time off • paid parental leave • disability insurance • supplemental life insurance • employee assistance program • paid holidays • tuition reimbursement • annual incentive bonus plan
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