Compliance Specialist - CGS

CGS Administrators, LLC•Nashville, TN

3d•$19 - $34•Hybrid

About The Position

CGS is seeking a Compliance Specialist to conduct internal desk audits. This will be a hybrid position reporting out of the Nashville, Tennessee office. Conducts annual vulnerability risk assessment audits for division. Assists management in preparation and conduct of management control reviews. Provides guidance to management and employees as needed. Performs detailed investigations of allegations/compliance issues and maintains tracking and quality databases. May develop, implement, and present ongoing training, and conduct periodic surveys and awareness initiatives. May be required to submit regulatory reporting data according to government schedule. Evaluates corrective action plans to ensure adequacy. Performs research and prepares reports and material as required.

Requirements

Two years health insurance, Medicare, compliance or audit, investigations or corporate-level related experience.
Bachelor's Degree.
Acts as liaison with other areas.
Analyzes information.
Conducts audits.
Microsoft Office.

Nice To Haves

Drafts contracts.
Leads negotiation sessions.

Responsibilities

Conducts internal desk audits.
Conducts annual vulnerability risk assessment audits for division.
Assists management in preparation and conduct of management control reviews.
Provides guidance to management and employees as needed.
Performs detailed investigations of allegations/compliance issues and maintains tracking and quality databases.
May develop, implement, and present ongoing training, and conduct periodic surveys and awareness initiatives.
May be required to submit regulatory reporting data according to government schedule.
Evaluates corrective action plans to ensure adequacy.
Performs research and prepares reports and material as required.