Senior Compliance Professional
Conviva

Job Info

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Description

CenterWell Senior Primary Care and Conviva, subsidiaries of Humana Inc., are primary care medical group practices with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas. CenterWell and Conviva have a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and are committed to providing personalized, high-quality primary care combined with an excellent patient experience. CenterWell and Conviva have experience in both the treatment and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.

At CenterWell and Conviva we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Responsibilities

The Senior Compliance Professional develops and implements compliance policies and procedures. Researches compliance issues and recommends changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates site visits for regulators, coordinates implementation and compliance with corrective action plans, as needed. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

• Bachelor's degree
  
• 5 or more years of technical experience
  
• Knowledge/understanding of laws and regulations governed by the Department of Insurance and CMS
  

Preferred Qualifications

• Graduate or advanced degree
  
• Audit or consulting experience
  
• Experience with metrics and reporting
  

Scheduled Weekly Hours

40

https://humana.wd5.myworkdayjobs.com/Conviva_External_Career_Site/job/Work-at-Home-Florida/Senior-Compliance-Professional_R-252186/apply

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