Senior Consultant, Compliance

at  Gallagher

About Us:
Discover a world of endless possibilities at Gallagher Benefit Services, where you’ll have the power to shape the future of workplaces across industries. As a member of our team, you become the driving force behind positive change, helping clients build environments where employees thrive. Embrace the opportunity to impact lives, unlock potential, and create a legacy of remarkable transformation.
We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply.
Overview:
BluePeak ADVISORS (www.bluepeakadvisors.com),a Gallagher Company, provides Consulting in PBM and Medicare Advantage (MA) and Medicare Advantage Prescription Drug Plan (MA-PD) health plan operations, Medicare compliance consulting, STAR rating improvements, CMS advocacy and support, pharmaceutical manufacturer marketing, and payer strategies for reimbursement. BluePeak also has expertise in operational and clinical program strategies, data analytics, and Medicaid managed care, Special Needs Plans (SNP), Program of All-Inclusive Care for the Elderly (PACE) Plan audit and compliance.
Responsibilities:

JOB SUMMARY:

Responsible for providing subject matter expertise on Compliance in order to effectively support our clients.

Required: Bachelor’s degree and 5 years related experience required.

• Bachelor’s degree and a minimum of ten (10) years government, health care, pharmacy benefit management, compliance or quality profession (equivalent combination of education and experience considered.)
• Must have strong Microsoft Office Suite skills. Advanced skills in Word, Excel, Access and PowerPoint required
• Experience with Medicare and/or Medicaid standards required
• Advanced degree or certification in audit, pharmacy or compliance discipline preferred
• Must have strong verbal and written communication skills.
• Individual should be detail oriented with strong organization, prioritization and analytical skills with the ability to work independently.
• Must work well under tight timelines and adapt quickly to change in a fast-paced, team-oriented, and high-growth environment

• Subject matter expertise in an operational function of Compliance
• Ability to review, interpret and implement state and federal guidance
• Perform CMS mock audits in Compliance Program Effectiveness to confirm compliance with guidance.
• Monitors the implementation of the corrective action plans and ensures that the result of the action plans are compliant.
• Mentor and drive work product based on the project
• Oversee and administer ongoing monitoring program(s) based on guidance
• Updates policies, procedures and Audit Work Plan based as needed.
• Adhere to established corporate policies and procedures
• Perform other duties, as necessary, to meet corporate objectives
• Travel as required
  Qualifications:

Required: Bachelor’s degree and 5 years related experience required.

• Bachelor’s degree and a minimum of ten (10) years government, health care, pharmacy benefit management, compliance or quality profession (equivalent combination of education and experience considered.)
• Must have strong Microsoft Office Suite skills. Advanced skills in Word, Excel, Access and PowerPoint required
• Experience with Medicare and/or Medicaid standards required
• Advanced degree or certification in audit, pharmacy or compliance discipline preferred
• Must have strong verbal and written communication skills.
• Individual should be detail oriented with strong organization, prioritization and analytical skills with the ability to work independently.
• Must work well under tight timelines and adapt quickly to change in a fast-paced, team-oriented, and high-growth environment.

Compensation and Benefits:
On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave