Compliance Consultant - REMOTE
Company: Sentara
Location: Fredericksburg
Posted on: April 16, 2024
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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
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