Senior Regulatory Compliance Specialist at VSP Vision

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Senior Regulatory Compliance Specialist at VSP Vision. Location Information: Remote CA - R1, United States. The Sr. Regulatory Compliance Specialist is responsible for assisting with the implementation and managing of the organization’s Compliance Program. This position will assist in the development and implementation of all facets of the Compliance Program, including but not limited to problem identification, monitoring and oversight of activities in support of the Compliance Program, and investigation of compliance concerns. Supports the execution and development of the Annual Compliance Work Plan, may also lead special projects, in addition to the day-to-day responsibilities of researching and staying abreast of specific regulatory requirements. Research, analyze and interpret applicable regulations relevant to Federal, State and local laws and recommend deliverables, enhancements to processes, policies, procedures and contracts for all business areas. Facilitate the implementation of regulatory policies, working closely with legal and all impacted business areas.. Actively participate in compliance audits, investigations, and corrective action plans. Responsible for evaluating company compliance with client and regulatory agency requirements, identifying potential areas of non-compliance, disseminating corrective action plan objectives, and assisting with the development of solutions and/or responses to ensure the best possible audit outcome. Keep stakeholders informed of the outcomes, issues, and concerns regarding the audit process, associated results, and facilitate/monitor corrective action progress. Document compliance activities in the organization’s Compliance Program, and track and report on all assigned activities. Participate in the planning and performance of the annual compliance risk assessment process. Participate in the development and execution of the annual compliance work plan and related documents. Support leadership with the coordination, implementation, and oversight of monitoring activities related to the Compliance Program, this includes management of third-party consultants/vendor. Prepare requested reports by collecting, analyzing, and summarizing relevant information obtained through internal and external audits, investigations, work plan submissions, and other compliance activities. Assist with the development, distribution, implementation, and tracking of compliance forms, documents, policies, and training materials in support of the Compliance Program. Develop and maintain a working knowledge of relevant laws, rules, and regulations governing the healthcare services furnished by the company. Assist business partners in fully understanding regulatory requirements and assist in identifying methods and alternatives for implementation into the company’s environment. Maintain timely communication with the leadership on compliance concerns that have been reported and/or observed. Job Specifications. Typically has the following skills or abilities:. Bachelor’s Degree in Business or related field or equivalent experience. Master’s degree preferred. Minimum of six years of experience and expertise in contributing, implementing and leading compliance programs in healthcare organizations. Certified in Healthcare Compliance (CHC) required within 24 months of hire. Demonstrated knowledge in Managed Care Compliance. Expert level of knowledge of state and federal health care statutes, regulations, laws, and policies. Demonstrated organization, facilitation, communication, and presentation skills. Ability to act quickly and efficiently in emergent situations. Proven analytical, critical, creative thinking, problem-solving, and project management skills to develop, and implement policies. Professional level written and verbal communication skills. Ability to assist in effectively communicating with policymakers, stakeholders, regulators, and executives both orally and in writing. Ability to assess risk and design mechanisms to mitigate risk. Demonstrated ability to problem-solve, prioritize work, meet deadlines, and provide independent strategic direction/decision-making. Ability to work with minimal direction/supervision; work with multiple tasks, challenging situations, and meet deadlines. Ability to handle confidential information. Ability to regularly exercise discretion and independent judgment in the performance of job duties. Preferred Skills. DSNP, Medicare, Medicaid Government Program Expertise. #LI-VISIONCARE. Compensation range for the role is listed below. Applicable . salary. ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding VSP Vision benefits, please . click here. . . Salary Ranges: $84,000.00 - $141,750.00. VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing. . Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information. . We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. . Click here . to learn about our application process and what to watch for regarding false job opportunities. . As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies. . .