Corp Regulatory Consultant - Compliance Department

Profile

Corp Regulatory Consultant - Compliance Department

The candidate will be responsible for the development and periodic review of regulatory oversight functions within the compliance program; the development of regulatory aspects of compliance training and education programs, will communicate regulatory problems to corporate compliance officer, compliance director and other appropriate responsible parties, including executive leadership in one-on-one or group meetings and presentations. Will advise and verify when regulatory changes are made and ensure that proper changes are implemented. Will be the authority to answer and address questions from regarding federal and state regulations. Will utilize critical thinking skills as a self-starter, problem resolution, analysis, and negotiation. Establish process for regulatory oversight, monitoring and reporting regarding proposed regulatory rules and regulatory changes and updates. Assists with the development of policies and procedures as it relates to regulatory compliance requirements, Federal Programs and compliance risks areas such as, Medicare, Medicaid and other Federal or State regulatory billing compliance, Stark, Anti-Kickback and fraud, waste and abuse and participates in the development of an educational and training programs that focuses on the regulatory elements of the compliance program. Provides regulatory expertise in developing the compliance program work plan, annual auditing and monitoring plan. Builds, develops and maintains operations to support strategic direction for areas of responsibility. Maintains a current working knowledge of Federal and State regulations and policies as they affect through routine review of various coverage and payor manuals, Federal Register and states laws, rules and regulations; multiple stated Medicaid manuals, and multiple State Board of Pharmacy regulations. Monitors notices, applicable government and/or industry related internet information sites. Provides education and training about actual, proposed, or pending legislation and regulations that affect operations and identifying operational obstacles to compliance, and working with other employees to identify and implement solutions.

Additional Information

Job Number: 723752

Company info

INTEGRIS Health, Inc
3300 NW Expressway
Oklahoma City
Oklahoma
United States 73112
Website : http://integrisok.com