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McLaren Health Care Mgr Compliance Officer IN in Indianapolis, Indiana

Description

MDwise, Inc. Opportunity – Manager, Compliance Officer

MDwise is your local, Indiana-based nonprofit health care company. We were founded in 1994 to help vulnerable populations needing health coverage in Indiana. Our parent organization, McLaren Health Care , is a nonprofit integrated health system who believes all Indiana families should have access to high quality health care regardless of income. Our mission is to provide high quality health care. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.

MDwise is seeking the right individual to join our team in our Legal department. As an employee of MDwise, you will be a part of a dynamic organization that considers all of our employees as leaders in driving the organization forward and delivering quality service to all our members.

Learn more about MDwise, Inc. at https://www.mdwise.org/

Position Summary:

This position is an integral part of the Compliance Team and acts as a primary liaison with the State of Indiana to facilitate communications between OMPP, CMS, the State’s contractors, and MDwise executive leadership and staff for the Plan’s Medicaid Compliance Program. This position works with both the legal and compliance departments and has a reporting relationship to the MDwise Director, Legal Affairs.

Qualifications

Required:

  • Bachelor’s Degree in business, health care or related field.

  • Two (2) years’ experience in a supervisory role leading or assisting in all phases of effective supervision (i.e. Recruitment, performance management, training)

  • Three (3) years’ progressively more complex experience in health plan compliance programs.

  • Candidate must be approved by the Indiana Medicaid agency prior to hiring and the agency may ask to interview candidate.

Preferred:

  • Certified in Health Care Compliance (CHC)

  • 2 years’ experience and knowledge of HMO, PPO, TPA, PHO and managed care functions

  • Experience working as an independent auditor or accountant responsible for evaluating internal financial records for the purpose of ensuring regulatory compliance or identifying waste, fraud, and misuse of agency funds.

  • Experience presenting information to leadership.

Job: Manager

Primary Location: Indiana-Indianapolis-MDwise Inc

Organization MDwise

Employee Status Regular

Shift Day Job

Job Type Standard

Schedule Full-time

Req ID: 21001300

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