A company is looking for a Director of Compliance to oversee compliance operations related to First Tier, Downstream, and Related Entities in the Medicare sector.
Key ResponsibilitiesManage processes related to First Tier, Downstream, and Related Entities, ensuring compliance with regulatory requirementsConduct internal audits and develop audit tools to track compliance issues and oversee corrective actionsSupport regulatory communications and assist with Federal and State audits as neededRequired Qualifications7-10 years of relevant business or compliance experience, with at least 5 years focused on CMS Medicare regulationsExperience in managing compliance programs within the Medicare Advantage sectorAuditing experience with internal business areas and external vendorsAbility to develop and implement compliance objectives and processesCertification in Healthcare Compliance (CHC) is preferred
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