Hybrid Compliance Coordinator

Posted 3 weeks ago

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About the role

  • 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

Job title

Compliance Coordinator

Job type

Experience level

Mid levelSenior

Salary

$52,000 per year

Degree requirement

High School Diploma

Location requirements

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