Govt Progs Compliance Consultant

at  Health Care Service Corporation

Albuquerque, New Mexico, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate07 Feb, 2025Not Specified08 Nov, 2024N/AGovernment Agencies,Risk Assessment,Critical Thinking,Regulations,Powerpoint,Communication Skills,Regulatory Compliance,Mitigation,Business Units,Excel,GovernmentNoNo
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Description:

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This position is responsible for supporting evaluation of government programs (Medicaid) regulations, guidance and contracts, assessing the risk that those items present with respect to HCSC government contracts. Supporting the compliance department oversight of the business* operational compliance with the requirements through multiple mechanisms such as review of reports, attendance at operational meetings, and targeted monitoring of areas of concern. Assisting in identification of risks and issues of noncompliance, development of strategies to mitigate and remediation of those risks and issues and work with compliance and business personnel, all levels of HCSC management and governmental agencies in order to implement controls and processes and report on results.

REQUIRED JOB QUALIFICATIONS:

  • Bachelor Degree and 3 years experience in health plan, regulatory compliance or risk management OR 6 years experience in health plan, regulatory compliance or risk management
  • Ability to communicate with and build relationships with internal business units and/or various external government agencies.
  • Critical thinking, risk assessment and mitigation.
  • Verbal and written communication skills.
  • Ability to work with minimal supervision.
  • Organizational, analytical and decision-making skills.
  • PC proficiency to include Word, PowerPoint and Excel.

PREFERRED JOB QUALIFICATIONS:

  • Government Programs Healthcare Compliance experience. Equivalent experience will be considered.
  • Knowledge of Medicaid contracts and regulations,
  • Government programs operational experience
  • Bachelor’s Degree or higher preferred.
    Please note that this role is HYBRID with an in-office requirement of 3 days a week

    LI-Hybrid

Responsibilities:

Please refer the Job description for details


REQUIREMENT SUMMARY

Min:N/AMax:5.0 year(s)

Financial Services

Accounts / Finance / Tax / CS / Audit

Finance

Graduate

Health plan regulatory compliance or risk management

Proficient

1

Albuquerque, NM, USA