[Remote] Federal Integrated Products Compliance Specialist

Note: The job is a remote job and is open to candidates in USA. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. The Federal Integrated Products Compliance Specialist will oversee regulatory compliance activities for integrated products and ensure operational compliance with state and federal regulations. This role involves conducting audits, managing compliance training, and collaborating with various departments to address compliance risks.

Responsibilities
• Contribute to the Annual Compliance Risk Assessment and Work Plan
• Work cross functionally with operational departments to ensure the implementation of new regulatory guidance, updated contractual requirements, rules and regulations. Tracks related due dates and guidance and support to business areas completing deliverables
• Conduct auditing and monitoring activities as outlined in Compliance Work Plan, and as potential risks are identified
• Contributes quality and timely data for the materials prepared for both the Internal Compliance Committee and Audit and Compliance Committee of the Board of Directors
• Plays a critical role in driving the progress for corrective actions throughout the organization. Upon identification of non-compliance, provide support to business areas in conducting a root cause analysis and developing corrective actions
• Conducts auditing and monitoring to ensure compliance with requirements
• Coordinates the support for business areas in creating and updating monitoring metrics to assess continued compliance with regulatory requirements
• Ensures proper investigation of regulatory compliance related issues
• Collaborates with other Compliance Specialists to support oversight of regulatory implementation across internal and external business areas for integrated product lines, ensuring alignment with applicable requirements
• Reviewing and contributing to compliance training updates as needed
• Assists Compliance division leadership in managing regulatory audits and audit deliverables. May be asked to take a lead role in sub-assignments ensuring timely and quality deliverables to State and Federal agencies
• Review policies and procedures for adherence to regulatory and contractual requirements

Skills
• Bachelor's degree required
• 3 years' experience in compliance, product, or operational areas
• High school diploma/GED with 8 or more years' experience in integrated and/or federal products
• A satisfactory equivalent combination of education, training, and experience
• High-level of skill in leading interdepartmental and cross-functional strategy development and project management
• Experience leading multiple projects to ensure corporate deadlines and objectives are met
• Experience in Microsoft Office suite products including Outlook, Excel, SharePoint, and MS Teams
• Certified Healthcare Compliance (CHC) or Certified Compliance & Ethics Professional (CCEP) certificates
• Advanced degree in public health, public policy, or public administration
• Experience with integrated and federal products and services
• Excellent oral, written, analytical, and critical thinking skills

Company Overview
• MetroPlusHealth provides health insurance to individuals, families, and small businesses. It was founded in 1985, and is headquartered in New York, New York, USA, with a workforce of 1001-5000 employees. Its website is https://www.metroplus.org/.

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