Regulatory Compliance Expert
hace 2 semanas
The Regulatory Compliance Expert will be responsible for performing ongoing risk assessments in regulatory and compliance areas associated with organizational operations and performance. This individual will oversee the creation and maintenance of a monitoring process regarding regulatory & compliance areas, liaising with key members of Management and other departments within APS.
Key Responsibilities:
• Manage and assure completion of auditing activities through effective performance, time/budget management, progress metrics, and effective report revisions.
• Provide periodic and/or requested reporting to key business leaders regarding compliance plan, schedules and status.
• Perform investigations regarding instances of non-compliance with State and Federal Laws & Regulations, healthcare utilization, corporate policies and procedures.
Requirements:
• Bachelor's Degree in Business Administration, Managed Care or a Behavioral Health Field; Master's Degree preferred.
• Minimum 3 years of experience in auditing, financial auditing, compliance, healthcare, care management or related field preferred.
• Knowledge of the healthcare industry and managed care processes.
• Knowledge regarding audit processes and work plans preferred.
• Knowledge of current Fraud, Abuse and Waste deterring techniques preferred.
• Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.
Company Overview:
Aps Health Care Pr is a leading healthcare provider dedicated to delivering high-quality services to our patients. We are committed to maintaining the highest standards of compliance and regulatory adherence, and we are seeking a highly skilled Regulatory Compliance Expert to join our team.
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