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Account Compliance Officer

Date:  Aug 5, 2022
Location: 

Any city, TX, US, 99999

Req ID:  13393

Requisition ID: 13393

Summary

 

This position will develop and manage account compliance program and act as a client point of contact for compliance issues.

Your role in our mission

 

Develop and administer account compliance program and risk assessments.

•Develop and update account-specific compliance policies, procedures, guidance, and training for employees.

•Monitor and provide updates regarding federal and state regulations related to account compliance program, including healthcare, pharmaceutical, and/or pharmacy benefit manager requirements.

•Monitor and assess staff member compliance with policies, procedures, and laws and regulations.

•Develop, oversee, and provide reports regarding account compliance program, including compliance activities, risk assessments, audits, and compliance with regulatory and contractual requirements.

Develop preventative and corrective strategies and action plans, as needed, to support the account compliance program, risk assessments, and contractual and regulatory requirements.

•Maintain documentation supporting the Corporate and/or account compliance program, including compliance policies and procedures, manuals, risk management plan, fraud, waste, and abuse plan, etc.

•Communicate with leadership and client regarding account compliance program, activities, risk assessments, audits, etc.

•Lead internal and external compliance-related discussions, presentations, and activities.

•Assist with audits by clients and government agencies.

•Conduct or assist with investigations, as needed

What we're looking for

 

•7+ years’ experience in corporate healthcare, pharmaceutical, and/or pharmacy benefit manager compliance and ethics experience is required. State or federal agency experience highly desired.

•Bachelors or other undergraduate degree or equivalent diploma, or combination of education, certifications, and relevant experience.

•Certification in healthcare compliance or privacy (e.g., CHC, CHPC, CHPSE, etc.).

•Experience with healthcare compliance program planning and implementation.

•Experience with risk management analysis and strategies, and ability to link risk management practices to business needs and activities.

•Knowledge of and experience with regulatory compliance requirements related to Medicare and Medicaid reimbursement, fraud, waste, and abuse laws, and HIPAA.

 

What you should expect in this role

 

  • Remote (Occasional Travel)

DIVERSITY COMMITMENT

To harness the power of innovation, we invest in the development of diverse employees. We aspire to leverage the qualities and appreciate the unique competencies that each person brings to our company.

Our company is committed to the principles of Equal Employment Opportunity and to providing reasonable accommodations to applicants with physical and/or mental disabilities. If you are interested in applying for employment with us and are in need of accommodation or special assistance to navigate our website or to complete your application, please contact us.  Requests for reasonable accommodation will be considered on a case-by-case basis.

EOE AA M/F/Vet/Disability:

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, gender, sexual orientation, gender identity, protected veteran status or disability.

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