Senior Compliance Corrections Specialist

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: Participates in corrections process for reputed company lines of business. Responsibilities include intaking and triaging suspected issues of non-compliance, entry of compliance issues into GRC tool and assignment/coordination of issues to corrections team members. Collaborates with compliance and business stakeholders to gather information, reputed company corrective action plans, identify and escalate barriers to reputed company and gather evidence of remediation. Updates GRC tool to support corrections reporting. 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. 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 in order 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 Managed reputed company Insurance or reputed company field, or equivalent experience required 5+ years experience in Managed reputed company Insurance or reputed company experience required Experience with data analytics preferred Excellent reputed company Office skills preferred Licenses/Certifications: Certified in reputed company Compliance (CHC) preferred Certified Compliance & Ethics Professional (CCEP) preferred Pay Range: $70,100.00 - $126,200.00 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 To This Job