Rhsc
Compliance Specialist
Okemos, MI
Sponsorship not specifiedDetected 5 days ago
ComplianceAuditingPublic HealthCommunicationAdaptabilityOrganizational Skills
About the role
- We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
- At Delta Dental, we celebrate our All In culture.
- It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.
Responsibilities
- Monitors and evaluates documents to determine the relevance of regulatory updates that may affect member materials.
- Responsible for monitoring document revision processes, ensuring that changes are implemented from initial request through approval by internal and external parties and verifying the accuracy of final production.
- Provides consistent updates to management and relevant stakeholders on the status of document implementation and highlights any risks related to timely and accurate implementation.
- Advises organization and support Compliance Officer in communicating regulatory changes and implementation of compliance strategies to meet them.
- Facilitates and manages coordination between compliance department and operations on new compliance efforts and initiatives.
- Maintains and analyzes company's monitored compliance efforts and identify and assess gaps.
- Manages and maintains a document repository of member and provider documents, to ensure that forms are consistent with company standards, and legal, contractual and regulatory requirements.
- Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
Requirements
- Position requires the capability to process substantial amounts of detailed information with a high degree of accuracy
- strong organizational skills and proficiency in handling competing demands
- and the ability to work independently and collaboratively within a fast-paced team environment.
- Responsible for working with internal and external stakeholders to ensure work is prioritized and implemented by the required deadline.
Nice to have
- Compliance experience within the Medicare or Medicaid industry preferred.
- A compliance certification is preferred.
Compensation
- Plays a key role in the annual compliance risk assessment and collaborate to ensure proper auditing is conducted and management of identified risks is appropriate.
Benefits
- To provide support for the day-to-day operations and management of the Compliance Program with respect to Delta Dental of Michigan and its affiliates and/or subsidiaries.
- Implements initiatives to raise awareness of Company's Compliance Program including planning, developing and conducting education and training activities related to compliance.
Company info
- Coordinates various committees and task forces related to company's compliance, including management of assignments.
Visa & Work Authorization
- out regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, he
This listing is sourced directly from Rhsc's careers page and normalized into a canonical job model.