Regulatory Compliance Administrator
2 days ago
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HybridFull-timeEntry
Summary
Network Health WI is seeking a Regulatory Compliance Administrator I to join their team in Menasha, WI. The role involves assisting in the administration of the Compliance and Integrity Program and ensuring compliance with applicable laws and regulations.
About the Role
As a Regulatory Compliance Administrator I, you will assist the Manager of Compliance and the Compliance Officer with updating and enhancing compliance initiatives. Your responsibilities will include developing compliance audit instruments, managing key business documents, implementing monitoring plans, and conducting audits to ensure compliance with state and federal regulations. You will also be involved in internal compliance investigations and risk assessments.
About You
Required:
- Associate Degree or four years of related experience required.
- 1+ year of compliance or similar regulatory experience required.
- 1+ year of experience working with claims processing/monitoring, system configuration, pharmacy, enrollment, finance and/or appeals and grievance related position required.
- Strong verbal, written, research and analytical skills.
- Exceptional project management and interpersonal skills.
- Strong attention to detail.
- Must be self-motivated and able to work independently.
- Must be able to work effectively with highly interdisciplinary teams.
Preferred:
- Bachelor's Degree preferred.
Network Health WI
At Network Health, we do what’s right, even when it isn’t easy. We’re honest and hardworking, just like you, Wisconsin. Serving both employer groups and individuals, Network Health has recently grown to be the largest provider-owned Medicare Advantage plan in Wisconsin. Network Health has offices in Brookfield and Menasha. Network Health’s mission to build healthy and strong Wisconsin communities is lived out every day in a positive, affirming and rewarding employee culture. Working at Network Health means joining an award-winning organization, furthering a mission with Wisconsin communities at its core and being a part of the good work done to friends, family members, neighbors and more in Wisconsin.
Menasha, WI