Talent.com
South Carolina Compliance Officer

South Carolina Compliance Officer

VirtualVocationsRaleigh, North Carolina, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Compliance Officer in South Carolina.

Key Responsibilities

Oversee compliance functions for the South Carolina health plan and ensure timely submission of CMS Medicare SNP requirements

Serve as the senior leadership contact for state compliance meetings and manage interactions with state regulators

Conduct internal compliance audits and manage compliance for health plan subcontractors

Required Qualifications

Bachelor's degree in a related field; Master's degree preferred

7+ years of compliance program management and contract experience with State Medicaid programs

5-7 years of experience with health care regulatory agencies in compliance and fraud program development

5+ years of experience overseeing implementation of contract requirements

serp_jobs.job_alerts.create_a_job

South Carolina • Raleigh, North Carolina, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Medicaid Compliance Assistant

Medicaid Compliance Assistant

VirtualVocationsRaleigh, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Medicaid Pending Compliance Assistant.Key Responsibilities : Assist with tracking and maintaining Medicaid Pending reports for assigned Skilled Nursing Facilities Follo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Risk Prevention Analyst

Risk Prevention Analyst

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Risk Prevention Analyst responsible for operational risk assessments and fraud mitigation strategies. Key Responsibilities Develop and implement fraud strategies using t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Delaware Compliance Officer

Delaware Compliance Officer

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer in Delaware.Key Responsibilities Oversee compliance functions for the Delaware health plan and ensure timely submission of CMS Medicare SNP requireme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
State Licensed Privacy Counsel

State Licensed Privacy Counsel

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for an In-House Privacy Counsel to lead data privacy and protection efforts.Key Responsibilities Provide strategic legal counsel on data privacy and protection matters Lead ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Regulatory CMC Strategist

Regulatory CMC Strategist

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Regulatory CMC Strategist.Key Responsibilities Define and implement global CMC regulatory strategies for product development and lifecycle activities Provide strategic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Indiana Compliance Officer

Indiana Compliance Officer

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer in Indiana.Key Responsibilities Oversee compliance functions for the Indiana health plan and manage submission of CMS Medicare SNP requirements Serv...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
State Licensed Financial Crimes Specialist

State Licensed Financial Crimes Specialist

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Financial Crimes Specialist.Key Responsibilities Investigate AML and fraud alerts to detect potentially suspicious activity Draft comprehensive investigative narrative...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Regulatory Operations Analyst

Regulatory Operations Analyst

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Regulatory Operations Analyst (Non-Financial Regulatory Reporting).Key Responsibilities Produce, validate, and submit non-financial regulatory reports Collaborate with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Risk Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for an Individual & Family Plans (IFP) Risk Adjustment Program Management Advisor.Key Responsibilities Manage multiple interrelated projects for the IFP Risk Adjustment team,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Regulatory Compliance Analyst

Senior Regulatory Compliance Analyst

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Regulatory Compliance Analyst to advance its Corporate Compliance Program.Key Responsibilities Lead internal audits, operational reviews, and risk assessments M...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Risk Manager

Risk Manager

Duke Clinical Research InstituteDurham, NC, United States
serp_jobs.job_card.full_time
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Title Express Auditor

Title Express Auditor

VirtualVocationsRaleigh, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Title Express Auditor.Key Responsibilities Perform comprehensive audits of open and closed assignments from various TE teams Conduct full-lot reviews, including call a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Internal Investigations Specialist

Internal Investigations Specialist

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Specialty Investigator - Internal Investigations.Key Responsibilities Investigate suspected internal fraud and financial crimes, documenting findings in a case manageme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Regulatory Counsel

Regulatory Counsel

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Regulatory Counsel to join their legal team remotely.Key Responsibilities Research, interpret, and summarize state-specific regulations related to litigation support D...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Bill of Materials Analyst

Bill of Materials Analyst

VirtualVocationsRaleigh, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Materials Analyst to support the Maintenance, Repair, and Operations (MRO) department.Key Responsibilities Analyze historical data on equipment wear and failure to cate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
GMP Compliance Investigator

GMP Compliance Investigator

Duke Clinical Research InstituteDurham, NC, United States
serp_jobs.job_card.full_time
Established in 1930, Duke University School of Medicine is the youngest of the nation's top medical schools.Ranked sixth among medical schools in the nation, the School takes pride in being an incl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
eDiscovery Forensic Consultant

eDiscovery Forensic Consultant

VirtualVocationsDurham, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for an eDiscovery Forensic Consultant to support litigation matters and compliance investigations remotely. Key Responsibilities : Execute defensible collections of electronica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Risk Adjustment Coordinator

Risk Adjustment Coordinator

VirtualVocationsRaleigh, North Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Member Risk Adjustment Coordinator I.Key Responsibilities Schedule appointments and assist members in booking visits with primary care providers Gather medical histori...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day