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CommonSpirit Health · 3 days ago

Medicare Compliance Officer

Phoenix, AZ

Full-time

Onsite

Senior Level

$43.10/hr - $64.11/hr

5+ years exp

CommonSpirit Health is a leading healthcare organization, and they are seeking a Medicare Compliance Officer to develop and administer the regulatory compliance program for Medicare Advantage and Part-D plan activities. The role involves monitoring compliance with Medicare policies, reporting to the board on compliance status, and ensuring training programs are in place for staff involved in the Medicare program.

Health CareMedicalNon Profit

Responsibilities

Develops and monitors the implementation of and compliance with Medicare policies and procedures through the creation and implementation of a work plan

Reports, at least on a quarterly basis, or more frequently as necessary, to the board of directors, president and/or CEO, and compliance committee, on the status of Mercy Care Plan's Medicare compliance program implementation, the identification and resolution of potential or actual instances of noncompliance, and the Plan's oversight and audit activities

Creates and coordinates, or appropriately delegates, educational training programs to ensure that the Plan's officers, directors, managers, employees, and other individuals working on the Medicare program are knowledgeable of Mercy Care Plan's compliance program; its written standards of conduct, policies, and procedures; and the applicable statutory, regulatory, and other requirements

Ensures that first tier entities, downstream entities, and related entities, particularly those involved in sales and marketing activities, are aware of and follow the requirements for Medicare sales and marketing activities

Briefs the compliance committee and governing body on the status of compliance training

Qualification

Medicare compliance programRegulatory complianceEducational training programsAudit activitiesRegistered Nurse certification

Required

Bachelors Other or an equivalent combination of directly related work experience and/or education

Five (5) years of experience that demonstrates solid Medicare compliance program development, operation and administration responsibilities, upon hire

Preferred

Registered Nurse: AZ, upon hire

Company

CommonSpirit Health

Glassdoor3.6

Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.

Founded in 2019

Chicago, Illinois, USA

10001+ employees