Job Attributes

Work Schedule/Shift

Day

Job ID

5000476952906

Req. No

70037435

Job Title

Compliance Consultant I

Region

CHRISTUS System Office

Category

Healthcare

Division

Not Defined

Company

CHRISTUS Health

Travel

None

Facility

Corp USFHP-55100

Address

909 Hidden Ridge
Irving, TX  75038
US

Type

Full Time

Apply Now Compliance Consultant I Job in Irving

The role of the Network Compliance Coordinator is to support the Network Management team by providing oversight of regulatory requirements and coordinating the completion of regulatory reporting within regulatory specifications and timelines.

MAJOR RESPONSIBILITIES 
  • Identifies and prioritizes key risk areas.
  • Document and monitor legal and regulatory requirements related to subject matter pertaining to the Network Management team.
  • Develops and implements a tracking system and timelines for legal and regulatory submissions related to the Network Management team.
  • Utilizes industry groups and research technology sources for retrieving legal and regulatory provider requirements.
  • Delivers accurate, detailed and timely analysis of new laws and regulations impacting the health plan operations to build and maintain compliance and avoid the potential for risk exposure.
  • Consults with Compliance/Quality teams to support continuous operational improvements into daily business practice.
  • Monitors and reports to the Manager the progress with the objectives given to the Network Management team.
  • Coordinates and manage regulatory audits and submissions on behalf of Network Mangement team.
  • Provides ongoing technical guidance on potential regulatory impacts to ensure compliance processes are maintained.
  • Has the ability to learn reporting tools and assists in maintaining compliance reporting.
  • Participates in health plan compliance reviews.
A. Education/Skills
  • Bachelor's degree.
  • Strong written and oral communication skills.
  • Proven ability to maintain confidential communications.
  • Strong organizational and technical skills. 
B. Experience

Minimum of 3 years in healthcare compliance with health plan compliance preferred. Preferred experience in Medicare Advantage and Health Exchange product lines.

 B. Licenses, Registrations, or Certifications

Apply Now
Not ready to apply? Join our Talent Pool