Remote Compliance Specialist

Company: VirtualVocations
Location: Albuquerque
Posted on: June 25, 2022

Job Description:

A managed care organization has a current position open for a Remote Compliance Specialist.

Individual must be able to fulfill the following responsibilities:
Write client bulletins, policies, desktop procedures, and corrective action plan responses
Support the investigations of reported issues of suspected non-compliance or fraud, waste and abuse
Participate in the review and revision of various areas of program training as needed
Must meet the following requirements for consideration:

Minimum three years of experience with a Pharmacy Benefit Manager (PBM) in compliance related area
Bachelor's Degree or a minimum of four (4) years of relevant experience required
Minimum two years of professional work experience in regulatory compliance, internal audit, and/or investigation required
Professional work experience at a Medicaid MCO/Medicare health plan
Strong PC skills, including experience with MS Project, MS Office, MS Outlook or equivalent
Ability to exercise professional judgment in analyzing and resolving issues

Keywords: VirtualVocations, Albuquerque , Remote Compliance Specialist, Other , Albuquerque, New Mexico