Mgr Medicare Oversight
Job Requisition: 10066895
Department: Compliance-MD Medicare
Facility: MedStar Diversified Businesses
Schedule: Full Time
Shift: Day shift
Location: Baltimore, MD
Develops or assists in the development and implementation of Medicare oversight policies and procedures. Researches compliance issues and recommends changes that assure compliance with contract obligations. Maintains positive relationships with vendors and business owners and has ability to influence. Responsible for ensuring compliance with Federal and internal requirements by completing internal operational audits. Coordinates or assists with the coordination of site visits for regulators. Coordinates or assists with the coordination, implementation and compliance with corrective action plans, as needed.
EDUCATION: Bachelor’s degree or equivalent.
EXPERIENCE: 3 years of related experience and project management experience, or equivalent. Previous state/Federal regulatory or Medicare Advantage plan compliance/investigation experience preferred.
LICENSE/CERT/REG: CHC or related certification (i.e., CIA, CFE, etc.) highly desired.
SKILLS: Strong and confident oral and written communication skills. Intimate knowledge of the Medicare Managed Care Manual, and operational areas, such as Part C, Enrollment, Customer Service, etc.