Hcsc Chicago , IL 60602
Job ID: BDP-1028154 Description:
At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the best possible customer experience.
This position is responsible for directing the support of Government Clinical Operations; serve as the primary representative for audit activity including internal audits, compliance reviews and external reviews conducted by the government; oversee the implementation of new or revised program requirements; oversee the implementation, tracking and monitoring of corrective action plans; and the development, implementation and management of an effective system of controls. Manage Medicare and Medicaid policies and procedures. Partner with the Government Programs Compliance Officer and Oversight group to develop, enhance, and monitor a comprehensive compliance plan for Clinical Operations Government Programs. Partner with Government Relations on policy and regulatory issues.
Required Job Qualifications:
10 years of experience in compliance, product development or contracting, government accounts or Medicaid / Medicare; responsible for contracts or requirements in a managed care environment
5 years management experience with two years at a director level
Presentation skills and clear, concise verbal and written communication skills
Executive presence with the ability to influence inside and outside HCSC
Experience managing multiple complex priorities
Business, financial, and analytical acumen; experience with capital budgeting, financial forecasting or sales forecasting
Experience leading and formulating a strategy and delivering results; building strong connections with people and teams
Experience working in a matrixed organization across multiple geographic areas
Knowledge of the external market, competition and regulatory environment
Preferred Job Qualifications:
Regulatory experience in government programs (state Medicaid reporting, audits, CMS reporting)
Masters prepared Nurse 10 years in a regulatory/audit role
Experience in a State Medicaid role within a Managed Care organization
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Expertise Other Job Type Full-Time Regular Location IL - Chicago