COMPLIANCE FDR/VENDOR OVERSIGHT MANAGER
Job Details:
This position is responsible for coordinating the oversight of compliance programs of all Medicare First Tier, Downstream and Related Entities (FDRs) and identified vendors to ensure compliance with all state and federal regulations and have effective compliance programs to prevent, detect and re-mediate noncompliance. This position also assume responsibility for reviewing RFP responses for regulatory compliance, including General Compliance, Auditing, Monitoring and HIPAA.
Qualifications:
- Bachelor’s degree or equivalent work experience is required.
- Knowledge of the Federal and State regulatory environment in the health insurance industry.
- Experience with communicating the organization’s position to external entities
Culture:
We're a rapidly growing nonprofit organization providing integrated health care and social support services to people with complex medical needs. Our patients are seniors and persons with disabilities covered under Medicaid or both Medicaid and Medicare. Our innovative care model is nationally recognized for its effectiveness in improving health outcomes for these vulnerable populations.
Recommended Jobs
Fire Sprinkler Apprentice
Fire Sprinkler Install Apprentice Location: Westford, MA (Field-Based) Department: Sprinkler Division Reports To: Sprinkler Foreman / Project Manager Compensation: $21.63-$45.67 Appren…
Freight Sales
About the Job Freight Sales Executive – Build With Us at 3 Lions Logistics Location: On-Site/ U.S. Based Type: Full-Time Who We Are: At 3 Lions Logistics, we don’t just move freigh…
Internal Medicine Nurse Practitioner
Tufts Medical Center Community Care is recruiting for an exceptional colleague with previous Nurse Practitioner experience to join our busy Internal Medicine practice in Medford, MA as an Internal …
Buyer/Planner - Machining
Buyer/Planner - Machining Role Overview We have an immediate opening for a Buyer/Planner - Machining to work in our Procurement department based in our Shrewsbury, MA office . This is a…
Human Resources Internship - Hilton Boston Park Plaza
Provides the Human Resources training/education and professional development managers with administrative and clerical support including word- processing, typing, e-mailing, filing, data-entry, fax…
Dedicated Regional CDL Class-A Driver
NOW HIRING: REGIONAL CLASS-A CDL DRIVERS HAZMAT Endorsement Preferred (But not necessary) 9+ Months Experience REQUIRED Home Time You'll Love: Be home every weekend with 48 hours of …
Maintenance Specialist
LabCorp is seeking a Maintenance Specialist to join our team in Westborough, MA. **Pay Range: $29.00 - 39.50 per hour All job offers will be based on a candidate’s skills and prior relev…
CRO Regulatory Specialist (Boston, MA)
CRO Regulatory Specialist Job Description The Regulatory Specialist ensures clinical trials operate within a compliant framework while supporting sponsors and sites in meeting FDA, ICH, and GCP req…
Team Lead Network Infrastructure Group
POSITION SUMMARY : Responsible for managing the day-to-day operations of the Network Infrastructure Group, managing direct employees and consultants. Specific duties include: planning, coordina…