COMPLIANCE FDRVENDOR OVERSIGHT MANAGER
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Job Location:
Boston, NH - USA
Monthly Salary:
Not Disclosed
Posted on:
9 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Details:
This position is responsible for coordinating the oversight of compliance programs of all Medicare First Tier Downstream and Related Entities (FDRs) and identified vendors to ensure compliance with all state and federal regulations and have effective compliance programs to prevent detect and re-mediate noncompliance. This position also assume responsibility for reviewing RFP responses for regulatory compliance including General Compliance Auditing Monitoring and HIPAA.
Qualifications:
- Bachelors degree or equivalent work experience is required.
- Knowledge of the Federal and State regulatory environment in the health insurance industry.
- Experience with communicating the organizations position to external entities
Culture:
Were a rapidly growing nonprofit organization providing integrated health care and social support services to people with complex medical needs. Our patients are seniors and persons with disabilities covered under Medicaid or both Medicaid and Medicare. Our innovative care model is nationally recognized for its effectiveness in improving health outcomes for these vulnerable populations.
Key Skills
- Presentation Skills
- Purchasing
- Procurement
- Vendor Management
- Process Improvement
- Pricing
- Project Management
- Relationship Management
- Contract Management
- Contract Negotiation
- negotiation
- Contracts
