Responsible for providing subject matter expertise on Medicare Part C in order to effectively support our clients.
Essential Functions:
- Subject matter expertise in an operational function of Medicare Part C
- Ability to review, interpret and implement state and federal guidance
- Perform CMS mock audits in CPE, ODAG and SNP-MOC to confirm compliance with guidance.
- Monitors the implementation of the corrective action plans and ensures that the result of the action plans are compliant.
- Mentor and drive work product based on the project
- Oversee and administer ongoing monitoring program(s) based on guidance
- Updates policies, procedures and Audit Work Plan based as needed.
- Adhere to established corporate policies and procedures
- Perform other duties, as necessary, to meet corporate objectives
- Travel as required