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Key Responsibilities:

  • Evaluate Medicare regulatory requirements and CMS guidance to assess compliance risks for HCSC government contracts.
  • Serve as subject matter expert to ensure accurate and timely implementation of regulatory requirements.
  • Oversee operational compliance through universe and report reviews and targeted monitoring.

Collaboration and Communication:

  • Partner with stakeholders to develop, implement, and monitor mitigation and remediation strategies.
  • Liaise between Compliance and business teams, fostering strong cross-functional relationships.
  • Communicate compliance risks to leadership and business partners.

Qualifications:

  • Bachelor’s degree and 3 years in health plans, regulatory compliance, or risk management, or 6 years’ experience.
  • Critical thinking, risk assessment, and verbal/written communication skills.
  • PC proficiency in Word, PowerPoint, and Excel.

Health Care Service Corporation

HCSC expands access to high-quality, cost-effective health care and equips members with tools for better decisions. As an industry leader, they have over 80 years of experience and offer compelling careers in a collaborative, innovative environment.

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