Compliance Specialist

Compliance Specialist

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Title: Compliance Specialist

Location: Baton Rouge, LA

Duration: 12+ Months (Possible extension)

Responsibilities:

The Compliance Specialist position is responsible for compliance program activities related to federal and state regulations and industry standards.

This includes tracking, reviewing and analyzing Medicare policies, regulations and compliance requirements that could impact Medicaid products; responding to internal requests for regulatory interpretation.

The incumbent will serve as a subject matter expert within the Company's regarding Medicaid compliance issues and will work with individual departments to research, identify and address areas of vulnerability related to Compliance and prepare a work plan that describes the activities to control against the identified risks.

This individual is also responsible for implementing processes to ensure regulatory compliance, including performing monitoring activities and validating departmental audits.

Minimum of two (2) years healthcare industry, pharmacy benefit management, or health plan experience.

Bachelor's Degree or relevant experience.

JD Preferred.

Previous compliance experience preferred or related field.