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Government Programs Compliance Consultant

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Albuquerque, NM Chicago, IL Full time 09/14/2024 R0036332 Compensation: $58,800.00 - $130,100.00 Exact compensation may vary based on skills, experience, and location

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for supporting evaluation of government programs (Medicare and Medicaid) regulations, guidance, and contracts, assessing the risk that those items present with respect to HCSC government contracts. Supporting the compliance department oversight of the business* operational compliance with the requirements through multiple mechanisms such as review of reports, attendance at operational meetings, and targeted monitoring of areas of concern. Assisting in identification of risks and issues of noncompliance, development of strategies to mitigate and remediation of those risks and issues and work with compliance and business personnel, all levels of HCSC management and governmental agencies in order to implement controls and processes and report on results.

Required Job Qualifications:
* Bachelor Degree and 3 years experience in health plan, regulatory compliance or risk management

OR 6 years experience in health plan, regulatory compliance or risk management
* Ability to communicate with and build relationships with internal business units and/or various external government agencies.
* Critical thinking, risk assessment and mitigation.
* Verbal and written communication skills.
* Ability to work with minimal supervision.
* Organizational, analytical and decision-making skills.
* PC proficiency to include Word, PowerPoint and Excel.

Preferred Job Qualifications:
* Government Programs Healthcare Compliance experience. Equivalent experience will be considered.
* Knowledge of Medicaid contracts and regulations, Medicare Advantage, Part D or other regulatory experience.
* Bachelor’s Degree or higher preferred.
* Government programs operational experience

*Please note that this role is HYBRID with an in-office requirement of 3 days a week and NO VISA sponsorship is available for this role.

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HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

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