Healthcare Compliance Consultant
Healthcare Compliance Consultant
LanceSoft, Inc.
Southfield, MI
See who LanceSoft, Inc. has hired for this role
LanceSoft, Inc. provided pay range
This range is provided by LanceSoft, Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$45.00/hr - $55.00/hr
Job Description
- The resource will work three days a week at the client location until fully trained, and thereafter, depending on their progression, they will then work once a week onsite.
- The Business Analyst Sr. is responsible for leading and/or supporting processes that ensure oversight and ongoing monitoring of Client's Medicare Advantage and Part D programs.
- The primary duties of this role encompasses overseeing sales and enrollment processes to ensure compliance with Client regulations for Medicare Advantage operations.
- Additionally, the position involves enhancing workflows and business processes to bolster controls, mitigate risk, and enhance overall quality and efficiency.
- Compliance Monitoring: Ensure agents comply with Client regulations and guidelines for selling and enrolling Medicare Advantage plans.
- Quality Assurance: Monitor and evaluate agent performance to ensure quality service and accurate information to potential beneficiaries.
- Policy Interpretation: Interpret and communicate Medicare policies and guidelines.
- Metric Tracking: Establish and track performance metrics to assess agent effectiveness and identify areas for improvement.
- Regulatory Updates: Stay informed about changes in Medicare policies and regulations to ensure agents remain compliant.
- Collaboration and Communication: Collaborate with cross-functional teams and communicate with stakeholders to ensure alignment and effectiveness in oversight.
- Process Improvement: Continuously identify and implement process improvements to enhance efficiency and effectiveness in oversight.
- Legal and Ethical Adherence: Ensure that agencies and agents adhere to legal and ethical standards in their interactions with beneficiaries.
- Risk Management: Identify and mitigate risks associated with agent activities to maintain compliance and protect the organization’s reputation.
-
Seniority level
Entry level -
Employment type
Full-time -
Job function
Legal -
Industries
IT Services and IT Consulting
Referrals increase your chances of interviewing at LanceSoft, Inc. by 2x
See who you knowGet notified about new Compliance Consultant jobs in Southfield, MI.
Sign in to create job alertSimilar jobs
People also viewed
-
Attorney, Labor & Employment
Attorney, Labor & Employment
-
Transactional Attorney
Transactional Attorney
-
Legal Counsel with 5 years of commercial contracts experience
Legal Counsel with 5 years of commercial contracts experience
-
Litigation Attorney
Litigation Attorney
-
Corporate & Litigation Attorney Detroit
Corporate & Litigation Attorney Detroit
-
Legal Counsel - Regulatory & Litigation
Legal Counsel - Regulatory & Litigation
-
Associate Attorney, Litigation
Associate Attorney, Litigation
-
Trial Attorney
Trial Attorney
-
Attorney
Attorney
-
Attorney, Aerospace & Defense
Attorney, Aerospace & Defense
Similar Searches
Explore collaborative articles
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
Explore More