Medicare Compliance Officer: Medicare Part C & D

Requirements

• Ensure required elements identified within NHC’s Compliance Plan and the Federal Government Sentencing Guidelines are implemented, monitored, assessed, and adapted as needed for Medicare Parts C & D lines of service.
• Perform routine monitoring of federal and state issued documents to ensure timely communication to designated NHC parties, revision to internal work procedures, and/or implementation of new requirements with the assigned Medicare Parts C & D service lines.
• Develop, review and revise as necessary required Compliance training and education programs.
• Monitor and respond to reports received via the CTM, anonymous hotline, and any other avenue in which complaints are received related to Medicare Parts C & D service lines.
• Assist Corporate Compliance Officer & Operations in responding to allegations of fraud, waste, and abuse as well as developing & overseeing necessary corrective actions.
• Regularly review operational & clinical metric reports and participate in regularly scheduled meetings with operations and related parties for oversight of the Medicare Parts C & D lines of service.
• Provide compliance oversight of First Tier, Downstream, and Related Entities (FDRs) who provide services to NHC Advantage and/or Network Pharmacy.

Benefits

• health insurance
• dental insurance
• vision insurance
• life insurance
• disability insurance
• paid time off
• 401(k) with company match
• stock options