Compliance Consultant - REMOTE

Company: Sentara
Location: Fredericksburg
Posted on: April 16, 2024

Job Description:

City/StateFredericksburg, VAOverviewWork ShiftFirst (Days) (United States of America)Sentara Healthcare is hiring a remote Compliance Consultant with experience in HPMS Systems and submission of Medicare Marketing materials.Job Responsibilities: The Regulatory Compliance Consultant is responsible for developing, executing and maintaining an effective compliance program to prevent and detect violations of law and other misconduct. Promotes ethical practices and a commitment to compliance with applicable rules, regulations and internal policies and procedures. Provides regulatory guidance to our operational areas and communicates effectively with leadership at various levels, sharing opportunities for operational improvements. Partner with sales to provide regulatory guidance and ensure agents and brokers adhere to all State and Federal regulatory requirements and Sentara health plan guidelines.Documents regulatory requirements. Assists as necessary with the distribution and tracking of regulatory guidance from the Centers for Medicare & Medicaid Services (CMS) via HPMS memos to ensure timeliness and applicable deadlines are met. Respond to Complaints Tracking Module (CTM) requests. Responsible for maintaining Regulatory Compliance Medicare policies and procedures. Maintains annual regulatory calendar. Requirements:Bachelor's degree and 5 years combined compliance/healthcare experience required or 10 years' experience in lieu of degree. Required to manage multiple projects simultaneously, must be self-motivated, organized and possess excellent verbal and written communication skills. Candidate should possess strong interpersonal skills. Requires proficient experience with computer software such as Work, Excel, PowerPoint, Visio, etc. Healthcare Compliance Cert. (CHC) or Certified Internal Auditor or master's level in a health-related field preferred. Previous experience in accounting (analytical) preferred.SentaraOverviewFor more than a decade, Modern Healthcare magazine has ranked Sentara Healthcare as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.Our Benefits:Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-beingin mind. Ourbenefits packages are designed to change with you by meeting yourneeds now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.For applicants within Washington State, the following hiring range will be applied: $67,791.36 - $101,687.04.Candidates must have a current residence in one of the follow states or being willing to relocate:Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington State, West Virginia, Wisconsin, WyomingJob SummaryThe Regulatory Compliance Consultant is responsible for developing, executing and maintaining an effective compliance program to prevent and detect violations of law and other misconduct. Promotes ethical practices and a commitment to compliance with applicable rules, regulations and internal policies and procedures. Provides regulatory guidance to our operational areas and communicates effectively with leadership at various levels, sharing opportunities for operational improvements. Partner with sales to provide regulatory guidance and ensure agents and brokers adhere to all State and Federal regulatory requirements and Sentara health plan guidelines.Qualifications:BLD - Bachelor's Level Degree (Required)Certified Health Care Compliance (CHC) - Certification - Other/National, Certified Internal Auditor (CIA) - Certification - Other/NationalCompliance, Healthcare, Internal/External Audit, Project ManagementSkillsActive Learning, Active Listening, Complex Problem Solving, Critical Thinking, Judgment and Decision Making, Mathematics, Microsoft Office, Reading Comprehension, Social Perceptiveness, Speaking, Technology/Computer, Time Management, WritingSentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.In support of our mission "to improve health every day," this is a tobacco-free environment.

Keywords: Sentara, Dale City , Compliance Consultant - REMOTE, Professions , Fredericksburg, Virginia