Talent.com
South Carolina Compliance Officer

South Carolina Compliance Officer

VirtualVocationsErie, Pennsylvania, United States
2 days ago
Job type
  • Full-time
Job description

A company is looking for a Compliance Officer in South Carolina.

Key Responsibilities

Oversee compliance functions for the South Carolina health plan and ensure timely submission of CMS Medicare SNP requirements

Serve as the senior leadership contact for state compliance meetings and manage interactions with state regulators

Conduct internal compliance audits and manage compliance for health plan subcontractors

Required Qualifications

Bachelor's degree in a related field; Master's degree preferred

7+ years of compliance program management and contract experience with State Medicaid programs

5-7 years of experience with health care regulatory agencies in compliance and fraud program development

5+ years of experience overseeing implementation of contract requirements

Create a job alert for this search

South Carolina • Erie, Pennsylvania, United States

Related jobs
  • Promoted
eDiscovery Forensic Consultant

eDiscovery Forensic Consultant

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for an eDiscovery Forensic Consultant to support litigation matters and compliance investigations remotely. Key Responsibilities : Execute defensible collections of electronica...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Compliance Underwriter II

Compliance Underwriter II

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a TE Compliance Underwriter II to perform compliance reviews and ensure regulatory requirements are met. Key Responsibilities Review and capture loan data from various mor...Show moreLast updated: 13 hours ago
  • Promoted
Medicaid Compliance Assistant

Medicaid Compliance Assistant

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Medicaid Pending Compliance Assistant.Key Responsibilities : Assist with tracking and maintaining Medicaid Pending reports for assigned Skilled Nursing Facilities Follo...Show moreLast updated: 30+ days ago
  • Promoted
Clearance Specialist

Clearance Specialist

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Clearance Specialist to support their Specialty Infusion Pharmacy remotely.Key Responsibilities Process new referrals, including verifying patient eligibility and coord...Show moreLast updated: 30+ days ago
  • Promoted
Title Express Auditor

Title Express Auditor

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Title Express Auditor.Key Responsibilities Perform comprehensive audits of open and closed assignments from various TE teams Conduct full-lot reviews, including call a...Show moreLast updated: 2 days ago
  • Promoted
Disaster Recovery Project Lead

Disaster Recovery Project Lead

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Business Continuity Project Lead - Disaster Recovery.Key Responsibilities Lead the development and maintenance of a comprehensive Business Continuity / Disaster Recovery ...Show moreLast updated: 1 day ago
  • Promoted
State Licensed Privacy Counsel

State Licensed Privacy Counsel

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for an In-House Privacy Counsel to lead data privacy and protection efforts.Key Responsibilities Provide strategic legal counsel on data privacy and protection matters Lead ...Show moreLast updated: 30+ days ago
  • Promoted
Specialty Investigator - Ohio

Specialty Investigator - Ohio

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Specialty Investigator to investigate suspected external fraud and financial crimes.Key Responsibilities Investigates suspected external fraud and financial crimes Doc...Show moreLast updated: 1 day ago
  • Promoted
Regulatory Counsel

Regulatory Counsel

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Regulatory Counsel to join their legal team remotely.Key Responsibilities Research, interpret, and summarize state-specific regulations related to litigation support D...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Regulatory Coordinator - MA Licensed

Regulatory Coordinator - MA Licensed

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Regulatory Coordinator for Thoracic Oncology.Key Responsibilities Manage compliance and documentation for clinical trials, including IRB submissions and regulatory fili...Show moreLast updated: 7 hours ago
  • Promoted
Delaware Compliance Officer

Delaware Compliance Officer

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Compliance Officer in Delaware.Key Responsibilities Oversee compliance functions for the Delaware health plan and ensure timely submission of CMS Medicare SNP requireme...Show moreLast updated: 2 days ago
  • Promoted
Bill of Materials Analyst

Bill of Materials Analyst

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Materials Analyst to support the Maintenance, Repair, and Operations (MRO) department.Key Responsibilities Analyze historical data on equipment wear and failure to cate...Show moreLast updated: 2 days ago
  • Promoted
Risk Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for an Individual & Family Plans (IFP) Risk Adjustment Program Management Advisor.Key Responsibilities Manage multiple interrelated projects for the IFP Risk Adjustment team,...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Compliance Administrator

Compliance Administrator

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Compliance Administrator to ensure the integrity and compliance of its national Field Service Partner network. Key Responsibilities Request and collect updated insurance...Show moreLast updated: 3 hours ago
  • Promoted
Indiana Compliance Officer

Indiana Compliance Officer

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Compliance Officer in Indiana.Key Responsibilities Oversee compliance functions for the Indiana health plan and manage submission of CMS Medicare SNP requirements Serv...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Compliance Officer I

Compliance Officer I

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Compliance Officer I - Vendor Management Oversight.Key Responsibilities Analyze laws and regulations, and assist in developing and revising compliance policies and proc...Show moreLast updated: 9 hours ago
  • Promoted
  • New!
California Licensed Regulatory Specialist

California Licensed Regulatory Specialist

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Regulatory Specialist (Health Care).Key Responsibilities Support compliance efforts related to state insurance and clinical licensure Develop processes and lead custom...Show moreLast updated: 11 hours ago
  • Promoted
Risk Prevention Analyst

Risk Prevention Analyst

VirtualVocationsErie, Pennsylvania, United States
Full-time
A company is looking for a Risk Prevention Analyst responsible for operational risk assessments and fraud mitigation strategies. Key Responsibilities Develop and implement fraud strategies using t...Show moreLast updated: 1 day ago