Senior Medicare Compliance Consultant

Primary City/State:

Arizona, Arizona

Department Name:

Compliance-Corp

Work Shift:

Day

Job Category:

Compliance

Primary Location Salary Range:

$40.91 - $68.19 / hour, based on education & experience

In accordance with State Pay Transparency Rules.

You have a place in the health care industry.  At Banner Health, caring for people is at the core of all we do.  We are committed to diversity, equity and inclusion.  If that sounds like something you want to be a part of - apply today!

Becker’s Healthcare recently honored Banner as one of 150 top places to work in health care for 2024, we are proud to offer our team members many career and lifestyle choices throughout our network of facilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. If you’re ready to change lives, we want to hear from you.

The schedule for this role is 5/8’s, 8:00 AM – 5:00 PM (AZ Time). In this position you will be monitoring Medicare Advantage Parts C & D operational control measures ensuring appropriate oversight is in place for accurate, complete, and compliant activities. This team highly values experience with:

• Monitoring internal operational control measures ensuring appropriate oversight is in place for accurate, complete, and compliant for Medicare Advantage Parts C & D.

• Identifying and documenting all noncompliance related activities and reports accordingly in a timely fashion.

• Working in start-up environment

• Medicare Advantage Compliance training, audits, regulations, and manuals.

• Reviewing Policy and Procedures

• Ensuring reporting requirements are maintained in a timely and accurate fashion, including the resolution of each case/issue identified and closed.

• Participating in the preparation of presentation materials designed specifically to communicate and promote the understanding of compliance.

• Overseeing the thorough documentation of all compliance and noncompliance related activities.

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.

This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY
This position coordinates Banner’s Compliance Program and its related policies, procedures, processes and activities. Based on area of assigned responsibility, assists in actively managing compliance-related matters by region, business area or facility. Such matters include assisting compliance personnel throughout Banner, helping develop and distribute compliance documents, providing compliance training and education, conducting compliance investigations and reports, monitoring and auditing activities, responding to allegations of improper or illegal activities, and investigating and remediating identified systemic problems.

CORE FUNCTIONS
1. Manages highly complex and sensitive questions, concerns and complaints related to compliance matters, providing answers and support to system, divisional, regional and facility leadership. Ensures that reasonable steps are taken to respond timely and appropriately to compliance issues and concerns.

2. In consultation with others in the Compliance and Legal Departments, manages Banner’s response to governmental or other third-party audits, investigations or inquiries. Works with system-wide groups and committees to develop policies or processes to address identified issues.

3. Supports the system, division, regional or facility compliance management staff by responding to questions or concerns, researching matters of note, providing training as necessary and developing processes and procedures to remediate concerns or issues.

4. Stays knowledgeable on current compliance-related laws and regulations through personal i