Manager, Compliance Monitoring & Auditing

We’re looking for a Manager of Compliance Monitoring & Auditing, someone who’s ready to grow with our company. In this position you will Manage, oversee, monitor, and conduct internal and external auditing and real-time monitoring activities related to the Health Plan's regulatory and contractual requirements in accordance with the Compliance Program, as well as associated compliance oversight and reporting to align with regulatory and contractual requirements in accordance with the Compliance Program, and with HHSC, TDI, NCQA and Health Plan Senior Management.

Requirements

• Ensure ongoing compliance with federal and state regulations and provide guidance and tools to assist the Health Plan in developing an auditing and monitoring program.
• Manage and develop the monitoring and auditing team within the Compliance Department.
• Develop and maintain an effective awareness and education program to ensure workforce knowledge of corporate compliance (including billing compliance, CMS regulations, HIPAA and HITECH regulations, Texas Medicaid rules) by preparing and administering articles, course content for required education initiatives and providing guidance to workforce.