Helix Healthcare Consultant

Responsibilities :

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

Additional Responsibilities:

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.