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REGULATORY COMPLIANCE MANAGER- CHICAGO

  • Job type: Permanent
  • Location: Chicago, Illinois
  • Salary: US$80000 - US$100000 per annum
  • Job reference: 167931/001_1528901530
  • Sector: Compliance, Selby Jennings
  • Date posted: 13/06/2018

REGULATORY COMPLIANCE MANAGER- CHICAGO

Job Category: Legal - Regulatory / Compliance Law

Seniority Level - Senior

This position is located in Chicago, Illinois

Description:

My Client is one of the leading Specialty benefit management companies located in Chicago Illinois and they are currently looking for Regulatory Compliance Manager to join their growing team. The Regulatory Compliance Manager will be responsible for managing the regulatory compliance functions across the enterprise, including corrective action plan (CAP) monitoring/coordination and operations audit oversight.

Primary duties may include, but are not limited to:

  • Manages timely completion of all client required deliverables and responses, maintaining open communication with the client on a daily basis to keep abreast of client activities.

  • Performs and/or request required research to support client compliance activities.

  • Demonstrates understanding of compliance aspects of client contract provisions, Health Plan specific rules, governmental and agency regulations, laws, and rules associated with delegated support of client.

  • Develops implements and maintains formal CAP and operations audit oversight structure and materials.

  • Creates the structure and processes necessary to manage internal oversight activities.

  • Assists with internal risk assessment and accreditation activities.

Qualifications:

  • Requires BA/BS degree in a related field

  • 5-7 years related regulatory or contract compliance with ability to analyze, write and integrate highly technical information into action plans; or any combination of education and experience which would provide an equivalent background

  • Also requires strong interpersonal and organization skills.

  • Previous healthcare, CAP management, regulatory and accreditation experience (URAC/NCQA) preferred.

Our pioneering spirit and dedication to improve health care continues to produce significant industry-first advancements, quality recognition achievements, and high satisfaction rates. This firm is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the Utilization Review Accreditation Commission (URAC.)