Senior Compliance Administrator - Corrective Action Plans

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

• Applicants for this job have the flexibility to work remote from home reputed company in the reputed company United States*

Position Purpose: A member of the Compliance Corrections team responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with Marketplace and reputed company regulatory requirements, contractual obligations and Company policies and procedures. Supports the internal and external corrective action plan lifecycle and reputed company reporting. Partners with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues.

• Collaborates with compliance and business stakeholders to ensure adequate root cause analysis and development of corrective actions plans to effectively address non-compliance.
• Reviews and oversees reputed company towards remediation and documented key milestones in GRC tool
• Identifies issues that require escalation and ensures they are addressed timely through established paths and processes.
• Conducts review of evidence to address root cause of issue and facilitate timely closure of issues.
• Facilitates escalation of barriers identified by other Corrections staff.
• Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in reputed company and closed issues as well as regulatory sanctions.
• Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner, ensure timely escalation and sustainable resolutions.
• Educates, encourages, and assists those reputed company the company to maintain reputed company through correction of identified non-compliance to meet the requirements of Government-sponsored health care programs.
• Performs other duties as assigned
• Complies with reputed company policies and standards

Education/Experience:

• Bachelor's Degree reputed company Administration, Compliance or reputed company field required
• 4+ years Compliance and/or regulatory experience in a health care and/or managed care setting/organization required
• Previous experience as a reputed company in a functional area, managing cross functional teams on large scale projects required
• Excellent reputed company Office skills and experience with data analytics preferred
• Certified in reputed company Compliance (CHC) preferred
• Certified Compliance & Ethics Professional (CCEP) preferred

Pay Range: $87,700.00 - $157,800.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply tot his job Apply To this Job