Sales Operations Compliance Coordinator - (US-MD-Baltimore - 21298)

Minimum Education: None
Job Type: Full Time
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Responsibilities : Establishing a process to complete government requirements in a successful and timely mannerRegulating and developing systems to report and track CMS implementationsMaintaining contact information within the CMS systemManaging receipt of CMS notifications and collection of attestationsAssist with on-boarding agent certification and recertification processes, e.g. data entry, creation of agent files, gathering of documentation required to issue Bravo Health approval of agents writing privilegesMaintain agent files to ensure compliance with organization policies and procedures, CMS requirements, and regulationsCommunicate the status of agent certification/re-certification with the fieldAssist with tracking various compliance elements, e.g. license expirations, past due field evaluations, training, etc.Tracking and reporting on all Regulatory complaints, this includes data entry into our Pivotal platformSupport the development of Compliance policies and procedures, monitoring protocols, and workflowsAssist with special projects e/g/ audit preparation, as neededOther functions and tasks as assigned.

Requirements :The right candidate will bring a can do attitude with an energetic motivational style. The candidate should have compliance, health insurance or managed care experience. Ethics, integrity and adherence to our code of conduct are a requirement of this position.Associates degree preferred 2 years experience in HMO / Managed Care industry requiredExperience with Medicare regulations, internal auditing, licensure and/or accreditation processes preferredExperience working in the insurance industry, interfacing with agents and brokers, preferredExperience working with credentialing of insurance agents, strongly preferredExperience with HPMS strongly preferred.

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