Manager, Compliance and Risk Management
TMC Bonham Hospital
- Reno, NV
- Permanent
- Full-time
- Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries! · More information is available on our Benefits Guest Website: benefits.uhsguest.com
QualificationsQualifications and Requirements:
- Bachelor’s degree in business administration, healthcare administration, public administration, public health or other related field required; Master’s degree preferred.
- Minimum five years’ experience in health insurance or health care.
- Minimum two years’ demonstrated successful experience and increasing responsibility in compliance, quality improvement, risk management, administrative and/or operational duties in health care, preferably in a management role in a managed care organization.
- Experience with the U.S. DHHS Office of Inspector General compliance program guidelines, State and Federal laws, regulations, policies and practices for the administration of Medicare Advantage, Prescription Drug Plan, and compliance programs in a managed care organization.
- Experience with risk management and quality improvement methodologies to comply with Chapter 641.5, Florida Statutes and Chapter 59A-12.012, Florida Administrative Code, (Internal Risk Management Program), and URAC compliance program, internal controls, quality improvement, and risk management standards.
- Ability to effectively communicate in English, both verbally and in writing.
- Excellent computer skills. MS Word, Excel and PowerPoint proficiency.
- Independent judgment and critical thinking skills required.