Address
Form of workCompliance Analyst
Location: Southfield, MI
Duration: 1 year
Description:
Department: SB Program Oversight & Comm
As an equal opportunity employer, ICONMA prides itself on creating an employment environment that supports and encourages the abilities of all persons regardless of race, color,gender,age,sexual,orientation, citizenship, or disability.
Location: Southfield, MI
Duration: 1 year
Description:
Department: SB Program Oversight & Comm
- Ability to navigate and effectively interpret regulations and rules in accordance with the CMS Manual System and BCBSA guidelines.
- Develop and improve workflows and business processes within process area(s) to improve controls and overall quality.
- Assist with implementing and reviewing standard policies and procedures to ensure compliance with CMS regulations.
- Research, analyze, and disseminate CMS guidance and communications to MA internal and external stakeholders
- Identify, analyze, and track compliance risks and deficiencies.
- Review corrective action plans to ensure remediation leads to effective, compliant resolution.
- Review evidence submitted by vendors (FDR) to determine compliance with Medicare regulations.
- Participate in development and implementation of new procedures/controls.
- Provide recommendations for ongoing improvement of core processes.
- Assists personnel (both internal and external) by answering questions, supplying information, and training, as appropriate.
- Assists in the development, coordination, and implementation of methods and procedures to ensure that all sales, marketing, promotion, and operational documents and activities are compliant with CMS deadlines and regulations.
- Writes, revises, and maintains documents related to the sale and marketing of Medicare Advantage products and submit the materials for approval through the CMS, within the mandated deadlines.
- Facilitates CMS review of materials through research and investigation of the questions raised by and requests made by CMS.
- With general guidance and coaching, provides analytical support to a specific group of customers on business applications, infrastructure and technology related activities. Acts as a project team member, specifically on requirements definition and testing activities. Provides guidance, assistance, coordination and follow-up on complex problems and ensures resolution. Assists customers on their migration to new or revised products, applications and platforms. Works with application developers and operations personnel to support production applications and customer-specific operations. Significant creativity is required.
- Education Requirements: Associate - Bachelor's degree preferred.
As an equal opportunity employer, ICONMA prides itself on creating an employment environment that supports and encourages the abilities of all persons regardless of race, color,gender,age,sexual,orientation, citizenship, or disability.
