Medicare Compliance Program Manager
 Mass General Brigham Health Plan | |
 United States, Massachusetts, Somerville | |
| 399 Revolution Drive (Show on map) | |
 Feb 26, 2025 | |
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Responsible for leading and overseeing the development, implementation, and monitoring of the hospital's Medicare compliance program. This role involves ensuring adherence to regulatory requirements, mitigating risks, and fostering a culture of compliance within the organization.
Does this position require Patient Care? No Essential Functions -Develop and implement MGB Health Plan's Medicare compliance program, including policies, procedures, and guidelines. -Conduct regular risk assessments related to Medicare compliance. -Identify potential areas of non-compliance and implement strategies to mitigate risks. -Collaborate with various hospital departments to ensure integration of compliance requirements into their processes. -Conduct investigations into potential compliance violations related to Medicare. -Prepare and submit required reports to regulatory bodies and authorities as necessary. -Review and update Medicare compliance policies and procedures regularly. Education
Knowledge, Skills and Abilities
Physical Requirements Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. | |