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Helix Healthcare Consultant
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- Posted 21 hours ago
- Be among the first 10 applicants
Job Description
- Experience in regulatory compliance roles for US healthcare with deep expertise in Medicare Advantage programs.
- Experience participating in CMS audits for Medicare advantage
- HEDIS and STAR rating experience
- Medicare related regulations, FDR oversight and audit requirements, HIPAA
- Strong understanding of healthcare payer operations.
- Experience in compliance program administration including risk assessments, policy creation, training, monitoring and reporting, audits and investigations
- Experience in developing HIPAA compliant applications/ operational processes.
- Experience working in cloud technologies and implementing controls for BPaaS scenarios
- Excellent communication, presentation, and interpersonal skills
- Ability to influence cross functional teams without direct authority.
- Strong analytical and risk-based decision-making skills.
More Info
Key Skills
risk assessments
Medicare Advantage programs
CMS audits
policy creation
STAR rating
HIPAA compliant applications
FDR oversight
compliance program administration
Medicare related regulations
About Company
Skills:
Hipaa, Cloud Technologies, policy creation, hedis, CMS audits, BPaaS, corrective actions, compliance program administration, Monitoring, auditing, FDR oversight, Medicare Advantage regulatory compliance, STAR rating, risk assessments, Medicare related regulations