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Government Programs Compliance Officer - job 6 of 6

Title: Government Programs Compliance Officer (HYBRID - 1 DAY ONSITE PER WEEK)Location: Jacksonville, FL OR Harrisburg/Mechanicsburg, PA (HYBRID ROLE - PROXIMITY TO 1 OF THESE CITIES)Salary: $130,000 - $150,000 + 20% Bonus (Minimum) + 6.5% SERPWe are ideally targeting someone with Medicare, Medicaid, Medicare Advantage, private insurance compliance or other government contracting experienceFounded in 2013 we are a 400+ employee government contractor whose subsidiaries focuses on medical billing and health insurance. We focus more on the government administrative services side as we provide administrative and claims processing services for state and federal healthcare programs like Medicare & Medicaid. For this Government Programs Compliance Officer we are looking for someone located in reasonable proximity to either our Jacksonville, FL or Harrisburg/Mechanicsburg, PA locations to oversee the Navigator Compliance & Ethics Program for both of our core subsidiaries. You will ensure the ethics & compliance programs are in place and running smoothly to establish a culture that prevents instances of conduct that violate federal & state laws.What You Will Be Doing• Lead companies' Navigator Program for all applicable contracts• Lead compliance oversight function that supports Medicare Fee-For-Service contracts (Medicare FFS)• Present periodic reports of Navigator Program to Audit & Compliance Committee of the Board of Directors describing nature of inquiries & allegations received, progress of Navigator Program toward meeting & exceeding its established goals and objectives• Chair the Executive Compliance Committee (ECC) incl: establishing the ECC Charter and developing appropriate agendas & reports• Oversee company's annual Conflict of Interest disclosure process & preparation of the Conflict of Interest document submissions to government customers. Address all conflict of interest questions regarding current contracts, subcontracts & potential business• Collaborate & assist management w/ understanding & compliance w/ regulatory requirements• Develop and/or implement education programs addressing ethics & compliance for team members• Develop & manage annual Compliance Work Plan• Participate as member of Policy Governance Committee• Develop & implement procedures to promote compliance w/ Medicare & Medicaid Programs• Monitor performance of companies' Navigator Program on an ongoing basis• Coordinate investigations w/ Legal, Information Security & Privacy, Internal Audit etc• Track all issues reported to Compliance Office• Collaborate w/ Director of Internal Audit on performance of independent audit/appraisals of corporate processes & internal controls• Coordinate w/ internal audit to test compliance w/ CMS Control Objectives & applicable laws• Participate in annual risk assessment process & Certification Package for Internal Controls (CPIC)What You Need For This Position• Bachelor's degree (ideally law degree) along w/ 7+ years of related experience• Working knowledge of elements of an effective compliance program as outlined in U.S. Sentencing Commission guidelines• Ability to read, analyze & interpret policies, technical procedures, government contract requirements, governmental regulations & legal documents• Strong influencing skills & perseverance in investigating• Ability to write clear & concise reports, business correspondence & procedures.• Ability to effectively present & represent Company's interests externally w/ CMS representatives• Compliance related certification i.e. Certified Compliance Professional is a plusWhat's In It For YouExcellent Benefits Package (Medical, Dental, Vision, Life, LTD/STD, 401k w/ 5% match, 6.5% SERP, 11 paid holidays) and more!IF interested can you provide an updated resume & salary requirements to JOSH.REIFMAN@CYBERCODERS.COMBenefitsLooking forward to receiving your resume through our website and going over the position with you. Clicking apply is the best way to apply, but you may also:Email Your Resume In Word Tojosh.reifman@cybercoders.com• Please do NOT change the email subject line in any way. You must keep the JobID: linkedin : JR12-1813460L731 -- in the email subject line for your application to be considered.***Josh Reifman - Lead RecruiterApplicants must be authorized to work in the U.S.CyberCoders is proud to be an Equal Opportunity EmployerAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity or expression, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, status as a crime victim, disability, protected veteran status, or any other characteristic protected by law. CyberCoders will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable state and local law, including but not limited to the Los Angeles County Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act. CyberCoders is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please contact a member of our Human Resources team to make arrangements.CyberCoders will consider for Employment in the City of Los Angeles qualified Applicants with Criminal Histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.

Founded in 1999, CyberCoders is built on a success oriented culture. Above all – we know both candidates and clients want quality and they want it now. We are fast, and we work with integrity. We work hard, play hard, and believe in always having ...

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Full-time, hybrid
DATE POSTED
September 1, 2024

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