Oversee all compliance functions for the Mississippi health plan including communication and coordination of policy development
Oversee the accurate and timely submission of over-contract deliverables for all lines of business and service delivery areas
Oversee the accurate and timely submission of all CMS Medicare SNP requirements
Serve as senior leadership and single point of contact in all State compliance meetings and interactions
Manage direct correspondence and daily interaction with all state regulators
Serve as senior leadership in all Department of Insurance and HHSC audit processes
Managing all facets of the audit and communications
Serve as senior leadership in Enterprise Risk Management process working directly with corporate ERM and Executive Management team to ensure current evaluation and documentation of business risks
Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements
Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight
Performs other duties as assigned.
Comply with all policies and standards.

Bachelor's Degree in related field, or equivalent experience required
Master's Degree in related field preferred
7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required
5+ years Health care regulatory agencies in development of compliance and fraud programs required
5+ years Overseeing implementation of contract requirements required
10+ years Compliance/Enterprise Risk Management preferred

Compliance Officer

Key skills