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Company

VSP Vision Care · 4 hours ago

Compliance Specialist

United States

Full-time

Remote

Entry, Mid Level

$51K/yr - $86K/yr

2+ years exp

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Responsibilities

Research, analyze and interpret regulations relevant to Federal and State programs, and recommend enhancements to processes, policies, procedures and contracts for all business areas.

Facilitate the implementation of regulatory policies for all populations, working closely with legal and all impacted business areas.

Research, analyze, and respond to client, regulatory agency, and internal requests for compliance information

Review new and revised regulations applicable to Medicaid and Medicare programs; compile data from reference material and use of various resources including Lexis/Nexis and the Internet; analyze the information and make recommendations regarding applicability to the enterprise and the company’s compliance status

Act as a resource to other departments regarding Medicare/Medicaid, HIPAA, and ERISA regulations

Work with business partners in fully understanding regulatory requirements and assist in identifying methods and alternatives for implementation into the enterprise environment

Develop, recommend, and document company-wide compliance policies, which include plan design and departmental procedures

Review and update provider communication relevant to regulatory issues

Qualification

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Regulatory complianceProject managementWord processing applicationsSpreadsheet applicationsManaged care experience

Required

Bachelor’s degree in Finance, Accounting, or Business Administration or related field; or equivalent experience

2+ years demonstrated knowledge of regulatory compliance policies and procedures in a managed care environment

Proven analytical and problem-solving skills

Excellent verbal and written communication skills

Excellent organizational and project input skills

Proficient with word processing and spreadsheet applications

Clean credit history as reported by credit report (for Finance division only)

Regularly exercises discretion and independent judgment in the performance of his/her job duties

Company

VSP Vision Care

Glassdoor

3.9

We help people see by delivering what matters most to our members—quality care, personalized attention, and the best choices in eyewear at the lowest out-of-pocket cost.

Founded in 1955

Rancho Cordova, CA

1,001-5,000 employees