Compliance, Fraud, Waste and Abuse Supervisor

Job Description

Job Description

Position Title : Compliance, Fraud, Waste and Abuse Supervisor

Location : Tempus Corporate Headquarters, 600 Technology Center Drive, Stoughton, Massachusetts, United States of America

Requisition Number : Req #246

Description : Tempus Unlimited, Inc. is a nonprofit organization that provides community-based services to empower children and adults with disabilities to live as independently as possible in the least restrictive environment. The agency, through its programs and services, encourages the inclusion of people with disabilities into the mainstream of society, including social, recreational, family and work activities.

The Compliance and Quality Assurance Supervisor is responsible for all activities and personnel associated with performing tasks and work processes assigned to the group. Actively participate as a member of the department management team and the larger organization in support of business objectives.

Essential Job Functions

Fraud Oversight

• Oversee the review and documentation of potential fraud, waste, and abuse concerns (FWA).
• Ensure cases are tracked, reviewed, and closed within required timeframes.
• Assist with gathering information for reports or follow-up requests from internal teams or external agencies.
• Identify patterns and bring forward trends or issues for review.
• Handle the research of PA and MA Grievances Inboxes, providing information to Compliance Manager.
• Coordinate the MA Grievance Semi Annual spreadsheets for submission to MassHealth (Jan and July).
• Develop, measure, and report meaningful key metrics.
• Identify, design, and implement process improvements.

Records Request Management

Supervisory Responsibilities

Compliance & Reporting

Other

Requirements

Travel

Other Skills / Abilities

Required Education and Experience

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers and scanners.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk and / or hear. The employee is frequently required to sit; stand; walk; use hands and fingers and also must be able to reach with hands and arms. Must be able to lift up to 15 pounds at times.

Other Duties

Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits

Tempus Unlimited offers great benefits that foster a happy fulfilling human work experience. We also have an of growth opportunities for our employees to develop your career and enhance your experience.

Work Authorization / Security Clearance

All offers of employment made by Tempus Unlimited are contingent upon satisfactory background check results. Pre-employment background checks will be conducted on all candidates that are offered a position at the agency in compliance with program policy as well as state and federal regulations. From time to time, these checks may be conducted on current employees to ensure compliance with all state and federal regulations and contracts.

EEO Statement

Equal Employment Opportunity is a fundamental principle at Tempus Unlimited, Inc. where employment from recruiting through the end of employment is based upon professional capabilities and qualifications without discrimination because of race, color, religion, sex, age, sexual orientation, veteran status, national origin, disability or any other characteristic as established by law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Job Family : Supervisor

Job Function : Supervisory

Hiring Rate : 28 USD

Travel Required : Yes

Compensation details : 28-28

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