Director of Contracts and Compliance – MLTC

Job ID: 256854    Posted 4/4/2024

LOCATION

Location: Riverdale, New York

JOB TYPE

Job Type: Direct Hire

CATEGORY

Category: Health Care Leadership

POSITION

Position: 256854

SKILLS

Skills:

SALARY

Salary Low: $160000 - Salary High: $170000

DURATION

Duration: 2 Weeks

SHIFT

Shift:

Job Description

Established and respected continuum of care, managed care, and health care system for older adults in the Bronx is currently looking for an experienced Director of Contracts and Compliance to join their team. This is an amazing opportunity to join a growing organization. This position also comes with a very competitive salary and benefits package!

Director of Contracts and Compliance – Hybrid / 2 days a week remote and 3 days a week in Bronx Office after probation

  • Review, negotiate, draft and process agreements and amendments in accordance with regulatory requirements and plan protocols.
  • Manage submission of delegated agreements and required documents for government approval, and track status.
  • Set up protocols for contract organization and keep track of contract status.
  • Prepare and submit regulatory reports.
  • Direct and organize provider communications related to audits, surveys, requests, and attestations.
  • Review OIG and OMIG requirements and best practices for compliance program.
  • review and update compliance materials, including manuals, policies and procedures, handbooks, to comply with regulatory requirements.
  • Read and disseminate CMS and DOH memos, guidance, and alerts.
  • Provide oversight and supervision of the Department’s staff.

Qualifications:

  • Juris Doctor and minimum 5 years’ experience, with emphasis in managed care contracting, credentialing, and compliance.
  • Commensurate supervisory experience required.
  • Ability to respond to inquiries or complaints from members, providers, regulatory agencies, staff, or members of the business community.
  • Ability to direct and manage projects to completion.
  • Ability to effectively present information to top management, department heads, and/or boards of directors.

Compensation: $160,000-$170,000 Annually with Excellent Benefits!

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