Apply on Employer Site

MetroPlusHealth · 2 weeks ago

Integrated Products Compliance Specialist

New York, NY

Full-time

Onsite

Mid Level

$93K/yr - $103K/yr

3+ years exp

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. The Federal and Integrated Products Compliance Specialist will oversee and manage regulatory compliance activities for integrated products and ensure operational compliance with state and federal regulations.

Financial ServicesHealth CareHealth InsuranceInsuranceLife Insurance

Responsibilities

Contribute to the Annual Compliance Risk Assessment and Work Plan

Work cross functionally with operational departments to ensure the implementation of new regulatory guidance, updated contractual requirements, rules and regulations. Tracks related due dates and guidance and support to business areas completing deliverables

Conduct auditing and monitoring activities as outlined in Compliance Work Plan, and as potential risks are identified

Contributes quality and timely data for the materials prepared for both the Internal Compliance Committee and Audit and Compliance Committee of the Board of Directors

Plays a critical role in driving the progress for corrective actions throughout the organization. Upon identification of non-compliance, provide support to business areas in conducting a root cause analysis and developing corrective actions

Conducts auditing and monitoring to ensure compliance with requirements

Coordinates the support for business areas in creating and updating monitoring metrics to assess continued compliance with regulatory requirements

Ensures proper investigation of regulatory compliance related issues

Collaborates with other Compliance Specialists to support oversight of regulatory implementation across internal and external business areas for integrated product lines, ensuring alignment with applicable requirements

Reviewing and contributing to compliance training updates as needed

Assists Compliance division leadership in managing regulatory audits and audit deliverables. May be asked to take a lead role in sub-assignments ensuring timely and quality deliverables to State and Federal agencies

Review policies and procedures for adherence to regulatory and contractual requirements

Qualification

Certified Healthcare Compliance (CHC)Compliance experienceIntegratedFederal productsMicrosoft Office SuiteProject managementAnalytical skillsTrustCritical thinkingCustomer focusIntegrity