Dir Government Programs Compliance Officer – R-5264_4-4185

This job was posted by https://idahoworks.gov : For more information,
please see: https://idahoworks.gov/jobs/2276224 Director Government
Programs Compliance Officer

Work a Hybrid Schedule from Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our

Cause

to create a person-focused and economically sustainable health care
system.

Who We Are Looking For:

Every day, Cambias dedicated team of Director Government Programs
Compliance Officer is living our mission to make health care easier and
lives better. As a member of the Compliance team, our Director
Government Programs Compliance Officer leads the companys Government
Programs Compliance efforts, including Medicare Compliance efforts and
Federal Employee Program compliance efforts. To develop and oversee
compliance with Medicare Part C and Part D contracts, MediGap and FEP,
coordinating and implementing compliance activities, and partnering with
leadership of the Government Program Division, FEP, Health Care Services
Division and Shared Services Division to maintain a high level of
compliance. – all in service of creating an economically sustainable
health care system.

As a people leader, you are willing to learn and grow, understanding
that leadership is a craft that is continuously honed as you support
your team and the lives that depend upon us.

Do you thrive as a part of a caring team? Then this role may be the
perfect fit.

What You Bring to Cambia:

Qualifications:

Director, Government Programs Compliance Officer would have a J.D. or
Masters degree in health care administration, public service
administration or related field and seven years work experience in
personnel management and compliance related activities, legislative and
regulatory activities, health insurance operations or legal research or
equivalent combination of education and job-related work experience.

Skills and Attributes:

– Demonstrate leadership skills with a proven ability to provide
responsive leadership, to delegate, coordinate and motivate staff,
to evaluate performance.
– Show superb judgment, problem solving, analytical and cognitive,
verbal and written communication and presentation skills.
– Knowledge of health plan and Medicare legislation and regulations,
including government contract benefits policies and practices, rules
and regulations for Medicare products.
– Demonstrate ability to establish and maintain effective
relationships with key external and internal stakeholders.
– Ability to coordinate work with other company departments and teams.
– Excellent verbal and written communication skills. Ability to
communicate effectively, both orally and in writing, with
individuals and groups, regarding complex or sensitive issues or
regulations.
– Knowledge of leadership techniques and approaches to ensure
effectiveness in leading a multi-layer organization.
– Excellent verbal and written communication skills. Ability to
communicate effectively, both orally and in writing, with
individuals and groups, regarding complex or sensitive issues or
regulations.
– Strong experience with Medicare health care products preferred.
– Knowledge and experience in Medicare Compliance activities and in
working effectively with CMS and key internal stakeholders in
identifying, addressing, ameliorating and preventing compliance
concerns and problems.
– Knowledge of government regulations as they relate to the
administration of Medicare health care programs, particularly
compliance, and principles and practices of managed care.
– Ability in the area of project coordination and management.
– Skills in research, writing, public speaking and use of computer.
– Knowledge of In-depth health plan operations, philosophy, history
procedures, and systems.
– Health policy issues r lated to medical and other health care
activities including, but not limited to, health care finance and a
broad range of health care public policy issues.
– Health insurance, including state, federal and managed care program
requirements, with an emphasis on Medicare health care laws and
regulations.
– Conducts business with high regard for Cambias corporate values
and in compliance with its Code of Business Conduct.
– Maintains high regard for member, FEP and Medicare beneficiary
privacy and complies with Cambias Corporate Privacy and
information security policies.
– Contributes to the achievement of our Corporate Affirmative Action
goals and objectives.
– Responsible for quality and continuous improvement within the job
scope. Contributes to and supports the companys quality
initiatives.
– Accountable for all actions/responsibilities described in the
companys policies and procedures as they relate to this position.
– Performs other duties and responsibilities as assigned.

What You Will Do at Cambia:

Directs the development and maintenance of comprehensive Medicare
compliance structure within Cambia, and is responsible for providing
directi