Executive Director leading firm - wide Compliance Risk Assessment program for SMBC Group in financial services. Managing CRA process and collaborating with regulatory stakeholders.
About the role
- Compliance Coordinator at MTM ensuring contractual compliance and monitoring Fraud, Waste, and Abuse. Collaborating with various departments and overseeing performance improvement plans.
Responsibilities
- The Compliance Coordinator plays a vital role in ensuring MTM’s overall contractual compliance
- Responsible for monitoring potential Fraud, Waste, and Abuse (FWA) by performing investigations
- Facilitating member appeals and transportation provider appeals
- Overseeing the performance improvement plan (PIP) process for transportation providers
- Acts as a liaison and provides support to auditors during reviews
- Help oversee Quality Improvement Plans, audits, and provider assessment reviews
- Compiling records, reports, investigation results, and audit findings for external clients
- Proactively identify, prevent, and report potential FWA to Leadership and external clients
- Collaborate with other departments and provide education of protocols, processes and procedures
Requirements
- High School Diploma or G.E.D.
- Bachelor’s Degree or equivalent relevant experience
- Experience managing multiple priorities and initiatives with stringent deadlines
- Detail-oriented, thorough, and systematic/methodical approach to projects
- Strong analytical and problem-solving skills
- Strong project management and organizational skills
- Basic to intermediate understanding of data base/system concepts and/or design
- Ability to complete basic to intermediate data analysis and trending
- Proficient in Microsoft applications (Word, Excel, Outlook, PowerPoint and SharePoint)
Benefits
- Health and Life Insurance Plans
- Dental and Vision Plans
- 401(k) with a company match
- Paid Time Off and Holiday Pay
- Maternity/Paternity Leave
- Casual Dress Environment
- Tuition Reimbursement
- MTM Perks Discount Program
- Leadership Mentoring Opportunities
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