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 Officer overseeing health plan compliance and regulatory requirements for Illinois Medicaid programs. Managing audits and compliance functions while interacting with state regulators.
Responsibilities
- Oversee all compliance functions for the Illinois health plan including communication and coordination of policy development
- Oversee the accurate and timely submission of over-contact deliverables for all lines of business and service delivery areas
- Oversee the accurate and timely submission of all CMS Medicare SNP requirements
- Serve as senior leadership and single point of contact in all State compliance meetings and interactions
- Manage direct correspondence and daily interaction with all state regulators
- Serve as senior leadership in all Department of Insurance and HHSC audit processes
- Managing all facets of the audit and communications
- Serve as senior leadership in Enterprise Risk Management process
- Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements
- Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight
Requirements
- Bachelor’s degree in related field
- Master's degree preferred
- 7+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits
- 5-7 years of experience with health care regulatory agencies in development of compliance and fraud programs
- 5+ years experience with overseeing implementation of contract requirements
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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