Compliance Manager I

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!
This position is responsible for providing support on the development, implementation and execution of the organization's compliance program efforts that establish a culture within the company promoting adherence to relevant federal and state laws, contract standards, and organization wide ethical standards.
You will...

• Facilitate communications and processes to manage these expectations in a timely manner.
• Manage processes to assist in execution of compliance plan.
• Maintain working knowledge of applicable federal and/or state fraud, waste, and abuse laws, regulations, and/or enforcement agency rules, federal, state, and commercial payor contract integrity standards and guidelines, etc. In addition, maintains familiarity with corporate resources required to respond to external requests for information.
• Maintain contact with applicable stakeholders to ensure their timeliness and accountability regarding compliance obligations.
• Manage multiple concurrent obligations.
• Interact with the compliance department at external parties to manage workflow requests.
• Work with multiple internal stakeholders to develop deliverables responsive to client information requests and audits.
• Serve as a liaison between compliance, credentialing, and transportation providers to ensure the credentialing process is accurate and complete, and that the provider completes the transportation provider compliance training.
• Conduct investigations including Fraud Waste and Abuse as part of the company's special investigations unit.
• Participate in the special investigations unit with developing data analytics to minimize fraud, waste, and abuse. Works toward digitizing compliance functions.

We are excited to speak to someone with the following...

• Bachelor's Degree preferred.
• Seven (7) plus years aggregating information responsive to regulatory or contractual obligations and interacting with external and internal senior level management
• Significant experience and success in resolving healthcare fraud, waste, and abuse matters.
• Familiarity with Medicaid, Medicare and/or Home Health experience.
• Or equivalent combination of education and/or experience.

Salary: $69,900 - 94,400
We value our team members and realize the importance of benefits for you and your family.
Modivcare offers a comprehensive benefits package to include the following:

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

• EEO is The Law - click here for more information
• Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
• We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at [email protected].
• Modivcare requires all employees to be vaccinated for COVID-19. Modivcare is an equal opportunity employer and consistent with federal, state, and local requirements, will consider requests for exemptions from this policy as required under the law.