Job Description

Compliance Consultant Senior

Compliance Consultant Senior

Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location will not be considered for employment, unless an accommodation is granted as required by law.

PLEASE NOTE: This position is not eligible for current or future VISA sponsorship.

The Compliance Consultant Senior is responsible for delivering and executing foundational and strategic compliance responsibilities with consistent excellence that support the team and management at the most senior advanced level. This role is part of the Ohio Medicaid Market Team.

How you will make an Impact:

• Function as point of contact for member and provider complaints received by the Ohio Medicaid Regulator.
• Process regulator Ad Hoc inquiries, and coordinates and tracks collateral submissions as required by the state contract.
• Additional internal responsibilities include policy reviews, regulatory grid completion and job aid development and updates.
• At the most senior advanced level, report, communicate, research laws, regulations, requirements, regulatory audits and/or exams.
• Provide senior level analytical support to projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
• Utilize systems unique to job functions, including standard-issue software such as Microsoft products; maintain system documentation, serve as subject matter expert, train users of system, contribute to system design, oversight or maintenance.
• Apply critical thinking to formulate strategies and concepts that drive results, persuade and influence others, adapt to change, and manage conflict.

Minimum Requirements:

Requires a BA/BS and minimum of 5 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background. Travels to worksite and other locations as necessary.

Preferred Skills, Experiences and Competencies:

• Proficient utilizing MS-Office

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: FRD > Compliance

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