Specialist 2 - Health Care Compliance

Immediate need for a talented Specialist 2 - Health Care Compliance. This is a 24+months contract opportunity with long-term potential and is located in Titusville, NJ (Hybrid). Please review the job description below and contact me ASAP if you are interested.
 
Job ID:24-51310
 
Pay Range: $40 - $45/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Drive critical data analysis through regular oversight and monitoring activities using expense data, customer master, and other fee-for-service data with an eye toward automation.
• Assist HCCOs in providing guidance and oversight on business programs, initiatives, and processes based upon insights and trends identified from monitoring activities.
• Complete special projects as identified, working across HCC and other business functions.
• Prepare and present presentations to HCC Officers highlighting monitoring trends and areas of risk.
• Contribute to Program Management oversight & monitoring efforts by serving as a liaison between HCC Officers, Compliance & Technology Integration (CTI), and Global Assessment and Consulting Services (GACS), reviewing monitoring reports, analyzing for potential issues and trends, conducting, and documenting follow-Client, recommending enhancements, and capturing insights and trends in collaboration with the HCC Officers.
• Identify and/or implement business efficiencies, technology solutions, process improvements and enhanced reporting capabilities to assist in the implementation of a sustainable HCC program.
• Assist in coordinating Risk Assessment process for the region and identifying and driving process improvements across the team.
• Develop and implement metrics, templates, and/or scorecards to support annual risk assessment and quarterly risk reviews.
• Provide transactional reviews of transfers of value to health care professionals and government officials, perform reviews of material, and engage with business partners to provide guidance on HCC-sensitive topics in alignment with HCC policies/procedures.
• Partner with HCC leadership and HCCOs to create and deliver targeted HCC communications to the HCC community or business partners.
• Assist in developing and/or revising training to support HCC program elements. Collaborate with third-party vendor to communicate training needs.
• Collaborate with HCC Officers to facilitate revisions to HCC policy manual and supporting policy documents as needed .

Key Requirements and Technology Experience:

• Key Skills:Data Analyst, Bachelors, Healthcare .
• A minimum of a Bachelors’ Degree or equivalent degree .
• Minimum of 1 year business experience .
• Excellent English verbal and written communication skills, including formal .
• Ability to collaborate in a cross-functional team environment.
• High quality standard with a strong work ethic and professionalism to co-workers and customers.
• Experience identifying and/or implementing process improvement.
• Skill analyzing large data sets.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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