Compliance Specialist

Title: Compliance Specialist

Location: Baton Rouge, LA

Duration: 12+ Months (Possible extension)

Responsibilities:

·The Compliance Specialist position is responsible for compliance program activities related to federal and state regulations and industry standards.

·This includes tracking, reviewing and analyzing Medicare policies, regulations and compliance requirements that could impact Medicaid products; responding to internal requests for regulatory interpretation.

·The incumbent will serve as a subject matter expert within the Company’s regarding Medicaid compliance issues and will work with individual departments to research, identify and address areas of vulnerability related to Compliance and prepare a work plan that describes the activities to control against the identified risks.

·This individual is also responsible for implementing processes to ensure regulatory compliance, including performing monitoring activities and validating departmental audits.

·Minimum of two (2) years healthcare industry, pharmacy benefit management, or health plan experience.

·Bachelor’s Degree or relevant experience.

·JD Preferred.

·Previous compliance experience preferred or related field.

If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry. We do offer a referral bonus that I’d be happy to extend to you if they turn out to be a great fit for my client.