5 дней назад
Compliance Officer, Washington (Health Insurance)
188 900 - 359 800$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Compliance Officer, Washington (Health Insurance): Ensuring regulatory compliance for Washington health plans and health insurance operations with an accent on state and federal regulations, managed care requirements, HIPAA, and contract compliance. Focus on conducting audits, implementing corrective action plans, analyzing legislative and regulatory changes, and advising senior management and policymakers.
Location: Remote within Washington state; residence in Washington is required, with travel throughout the state as needed.
Salary: $188,900–$359,800 per year
Company
provides health insurance and healthcare services designed to make care more accessible and effective.
What you will do
- Ensure compliance with Washington and federal health insurance regulations, state contracts, and business-entity requirements.
- Maintain regulatory, contract, amendment, and compliance documentation.
- Develop policies, procedures, and processes aligned with applicable laws, regulations, contracts, and standards.
- Oversee compliance programs, including fraud and abuse prevention and HIPAA compliance.
- Conduct compliance audits, create corrective action plans, and report progress to senior management and the Board of Directors.
- Advise departments and management on regulatory changes, legislative issues, contract language, and compliance implementation.
Requirements
- Must reside in Washington state and be willing to travel throughout the state as needed.
- Bachelor’s degree in Public Policy, Government Affairs, Business Administration, or a related field.
- 8+ years of compliance program management and contract experience.
- Extensive knowledge of state administrative codes, insurance regulations, and managed care regulations.
- Experience working with state and federal agencies, accreditation bodies, provider agreements, HIPAA, TPA laws, credentialing regulations, and prompt pay laws.
- Master’s degree or law degree is preferred.
Culture & Benefits
- Health insurance and comprehensive employee benefits.
- 401(k) and stock purchase plans.
- Tuition reimbursement, paid time off, and holidays.
- Flexible remote, hybrid, field, or office work schedules, subject to role requirements.
- Equal opportunity workplace committed to diversity and inclusion.
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