The Compliance Manager will report to the VP Compliance and assist with developing, managing, implementing, auditing and monitoring activities. Will provide training to AbleTo staff to assure compliance, as described in the annual compliance work plan. Strong analytical and communication skills required to ensure service lines and business areas have processes and guidelines in place to comply with applicable State and Federal laws and regulations for Medicare and Medicaid, and other third party insurers. Business areas will include, but are not limited to: eligibility, engagement and service centers, marketing, billing, clinical, and provider network. Independent monitoring in analyzing risk assessments, overseeing third parties in assessments, performing audits, creating reports and scorecards, educating and following up with agencies to ensure processes exist that demonstrate compliance with applicable laws, regulations, accreditations, and client contractual commitments.
*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
AbleTo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. AbleTo is an E-Verify company.
Upon the acceptance of an offer to enter into this agreement, AbleTo requires the satisfactory completion of reference and background checks and successful completion of drug testing in accordance with local, state and federal laws.