Compliance Specialist

Job Description

Title: Compliance Specialist

Location: Baton Rouge, LA

Duration: 12+ Months (Possible extension)

Responsibilities:

· The Compliance Specialist position is responsible for compliance program activities related to federal and state regulations and industry standards.

· This includes tracking, reviewing and analyzing Medicare policies, regulations and compliance requirements that could impact Medicaid products; responding to internal requests for regulatory interpretation.

· The incumbent will serve as a subject matter expert within the Company’s regarding Medicaid compliance issues and will work with individual departments to research, identify and address areas of vulnerability related to Compliance and prepare a work plan that describes the activities to control against the identified risks.

· This individual is also responsible for implementing processes to ensure regulatory compliance, including performing monitoring activities and validating departmental audits.

· Minimum of two (2) years healthcare industry, pharmacy benefit management, or health plan experience.

· Bachelor’s Degree or relevant experience.

· JD Preferred.

· Previous compliance experience preferred or related field.

If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry. We do offer a referral bonus that I’d be happy to extend to you if they turn out to be a great fit for my client.

Qualifications

n/a

Additional Information

Kind Regards

Sumit Agarwal

732-902-2125