Accenture | Medicare Compliance Manager | florham park,...

Accenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services"”creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 750,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world's leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song. These capabilities, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit . Strategy & Consulting: We work with C-suite executives, leaders and boards of the world's leading organizations, helping them reinvent every part of their enterprise to drive greater growth, enhance competitiveness, implement operational improvements, reduce cost, deliver sustainable 360° stakeholder value, and set a new performance frontier for themselves and the industry in which they operate. Our deep industry and functional expertise is supported by proprietary assets and solutions that help organizations transform faster and become more resilient. Underpinned by technology, data, analytics, AI, change management, talent and sustainability capabilities, our Strategy & Consulting services help architect and accelerate all aspects of an organization's total enterprise reinvention. As a Medicare Operations Compliance Manager , your primary responsibilities may include: Compliance Program Development: Create, maintain , and enhance the compliance program for Medicare Advantage Plans, including the development of policies, procedures, and controls. Develop a compliance roadmap that aligns with regulatory requirements and business objectives . Regulatory Analysis: Stay up-to-date with changes in Medicare Advantage regulations and industry standards. Conduct regulatory assessments and provide guidance on compliance implications. Auditing and Monitoring: Establish a robust auditing and monitoring program to assess compliance with regulatory requirements. Conduct regular internal audits and risk assessments. Compliance Training: Develop and deliver compliance training programs for employees and stakeholders within the Medicare Advantage Plan division. Promote a culture of compliance awareness and accountability. Reporting and Documentation: Prepare and submit required compliance reports to regulatory authorities as necessary. Maintain comprehensive records and documentation of compliance activities. Issue Resolution: Investigate compliance issues, violations, and complaints. Develop and implement corrective action plans and monitor their effectiveness. Cross-functional Collaboration: Collaborate with cross-functional teams, including legal, operations, and quality assurance, to ensure alignment on compliance initiatives. Serve as a subject matter expert on compliance matters. Why should I join the Accenture Health team? Innovate every day. Be at the forefront of designing and delivering Medicare and other health technology solutions that push boundaries and create new opportunities for our clients. Lead with the industry's best . Join an industry-recognized healthcare leader with more than 20,000 global healthcare professionals collaborating to drive enterprise-wide transformational projects on a global scale. Accenture has worked with more than 200 clients to deliver healthcare transformation to meet the diverse needs of patients and members . Learn and grow continuously. Harness unmatched training and professional development to help you build and advance your health , consultative and delivery skills. With learning resources, interactive classroom courses, real-life client simulations and ongoing mentoring available when you need it, you'll expand your thinking beyond the core Workday implementation. Who will be successful at Accenture? It's not just what you know or where you've been that propels success at Accenture: It's who you are , fundamentally, as a person. We prize diversity in backgrounds and perspectives. Whatever your unique qualities, a few key traits should apply: You're passionate about technology and motivated to apply the latest technology trends. You're proactive and collaborative; a leader with effective communication skills. You're driven by new challenges and are motivated to improve. You're a creative problem solver with the flexibility to navigate uncertainty. You're focused on the future with a desire to develop inclusive, responsible and sustainable solutions to complex challenges. Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements. Here's what you need: Bachelor's degree in healthcare administration, business, law, or a related field; Master's degree or relevant certifications preferred or 12+ years equivalent working experience. Minimum of 5 years of experience in healthcare compliance, with a focus on Medicare Advantage Plans. Minimum of 5 years of experience with strong understanding of Medicare Advantage regulations and compliance requirements. Bonus points if: Experience working with or leading global teams . Thrive in a diverse, fast paced environment. An advanced degree in the area of specialization Excellent knowledge of compliance best practices and methodologies. Executed or led a Medicare Advantage operations compliance audit . Exceptional analytical, problem-solving, and organizational skills. Strong communication and presentation abilities. Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired in California, Colorado, District of Columbia, Maryland, New York or Washington as set forth below.We accept applications on an on-going basis and there is no fixed deadline to apply. Information on benefits is here. ( Role Location Annual Salary Range California $93,400 to $258,500 Colorado $93,400 to $223,300 District of Columbia $99,500 to $237,800 New York $86,500 to $258,500 Maryland $86,500 to $206,800 Washington $99,500 to $237,800 What We Believe We have an unwavering commitment to diversity with the aim that every one of our people has a full sense of belonging within our organization. As a business imperative, every person at Accenture has the responsibility to create and sustain an inclusive environment. Inclusion and diversity are fundamental to our culture and core values. Our rich diversity makes us more innovative and more creative, which helps us better serve our clients and our communities. Read more here ( Equal Employment Opportunity Statement Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion or sexual orientation. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. 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Other Employment Statements Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States. Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration. Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.

Created: 2024-11-27