Compliance Manager (Washington, DC)

Gainwell Technologies LLC • DC

80d

About The Position

As a Compliance Manager at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Your role in our mission involves participating in all phases of systems design, development, and implementation as well as the ongoing System Operations and Fiscal Agent Operations. The Compliance Manager provides proactive analysis and options for system and operations changes to implement regulatory authority from CMS. The Compliance Manager is responsible for contacting clients when CMS rules (draft and final) are released, organizing meetings to present the rules and help to provide comment to CMS and to propose solutions to implement the rules. The Compliance Manager shall focus on any rule that impacts Fiscal Agent Operations. The Compliance Manager is also responsible for assisting clients in preparing Fiscal Notes to proposed State legislation. The Compliance Manager shall be in place at the Contract effective date and shall be dedicated to the new core MMIS and supporting services project full time.

Requirements

• At least five (5) years of experience in Compliance management preferably within the health care industry.
• Demonstrated experience and knowledge of industry standard and best practices regarding large scale and enterprise level projects.
• At least three (3) years of experience in performing similar services on complex systems based on modern technology or operational systems.
• Extensive experience in technical writing.
• Preferred experience in health care related concepts.
• A strong executive presenter who communicates ideas clearly.
• Influencer that can clearly communicate project priorities and motivate direct and indirect networks and stakeholders to action.

Responsibilities

• Supports and guides assigned business units/lines of service in developing, implementing, and maintaining more complex effective compliance programs.
• Supports/performs more complex risk assessments of assigned programs. Informs management when areas require attention. Tracks and reports complex compliance trends to management.
• Oversees and performs more complex compliance testing reviews to ensure compliance with regulatory requirements. Resolves moderate to more complex problems as appropriate and follows through to ensure corrective action is taken.
• Monitors changes to more complex laws and regulations, compliance-related development, and disseminates pertinent information to the affected units to ensure compliance.
• Develops and coordinates compliance awareness programs to increase employee understanding and supports more complex business functions.
• Provides guidance to business units/groups in assessing the impact of new or amended regulatory requirements and participates in implementation of more complex regulatory requirements.
• Monitors and maintains more complex compliance related information systems to ensure compliance information and documentation are accurate and current.
• Provides guidance to less experienced personnel.

Benefits

• Generous, flexible vacation policy.
• Educational assistance.
• 401(k) employer match.
• Comprehensive health benefits.
• Leadership and technical development academies.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees