AVP, Compliance (Nebraska)
Omaha, NE Omaha, NE Full-time Full-time $106,000 - $207,000 a year $106,000 - $207,000 a year 11 hours ago 11 hours ago 11 hours ago JOB DESCRIPTION Work Location - Must reside in the state of Nebraska Job Summary The Compliance Officer is a fulltime position reporting directly to the Board of Directors and a dotted line to the Plan President.
The Compliance Officer is responsible for oversight and management of all compliance activities and serves as a resource on compliance issues.
Provides leadership and expertise to help facilitate compliance with applicable statutes, contractual requirements, policies, and procedures to ensure compliance for the health plan.
Provides leadership on training and education of compliance requirements.
Provides specialized compliance education and training when necessary.
Enforces the Compliance Plan, Code of Conduct and Anti-Fraud Plan.
Prepares written reports to inform the BOD and Compliance Committee no less than quarterly, the status of activities pertaining to overall Health Plan compliance.
KNOWLEDGE/SKILLS/ABILITIES Oversees and directs implementation and day to day operations of the Medicaid and Medicare Compliance Programs, Compliance Plan, Code of Conduct, and Fraud, Waste and Abuse Plan across the business while ensuring compliance with governmental and contractual requirements.
Provides oversight and assist in on-going facilitation and monitoring of the delegation oversight functions and responsibilities.
Develops, manages, and updates Facility (Compliance) Response Plan's.
.
Oversees and directs Compliance, Fraud, Waste and Abuse incidents response management process including investigation, mitigation, reporting, remediation, and training.
JOB QUALIFICATIONS Required Education Graduate Degree or equivalent combination of education and experience.
Required Experience 7-9 years of Compliance Program Management or other related healthcare or legal experience.
Previous management experience including responsibilities for hiring, training, assigning work and managing staff performance.
Preferred Education Master's Degree Preferred Experience 10
years Pay Range:
$106,000- $207,000 a year Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
To all current Molina employees:
If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package.
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp #LI-BEMORE.
Estimated Salary: $20 to $28 per hour based on qualifications.
The Compliance Officer is responsible for oversight and management of all compliance activities and serves as a resource on compliance issues.
Provides leadership and expertise to help facilitate compliance with applicable statutes, contractual requirements, policies, and procedures to ensure compliance for the health plan.
Provides leadership on training and education of compliance requirements.
Provides specialized compliance education and training when necessary.
Enforces the Compliance Plan, Code of Conduct and Anti-Fraud Plan.
Prepares written reports to inform the BOD and Compliance Committee no less than quarterly, the status of activities pertaining to overall Health Plan compliance.
KNOWLEDGE/SKILLS/ABILITIES Oversees and directs implementation and day to day operations of the Medicaid and Medicare Compliance Programs, Compliance Plan, Code of Conduct, and Fraud, Waste and Abuse Plan across the business while ensuring compliance with governmental and contractual requirements.
Provides oversight and assist in on-going facilitation and monitoring of the delegation oversight functions and responsibilities.
Develops, manages, and updates Facility (Compliance) Response Plan's.
.
Oversees and directs Compliance, Fraud, Waste and Abuse incidents response management process including investigation, mitigation, reporting, remediation, and training.
JOB QUALIFICATIONS Required Education Graduate Degree or equivalent combination of education and experience.
Required Experience 7-9 years of Compliance Program Management or other related healthcare or legal experience.
Previous management experience including responsibilities for hiring, training, assigning work and managing staff performance.
Preferred Education Master's Degree Preferred Experience 10
years Pay Range:
$106,000- $207,000 a year Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
To all current Molina employees:
If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package.
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJCorp #LI-BEMORE.
Estimated Salary: $20 to $28 per hour based on qualifications.
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