Logo
Commonwealth Care Alliance

Sr. Manager, External Audit & CAP Remediation - Remote

Commonwealth Care Alliance, Boston, Massachusetts, us, 02298


Why This Role is Important to UsUnder direction of the Sr. Director of Regulatory & External Audits, the primary focus areas of this position include managing external audits and resulting Corrective Action Plan (CAP). This includes audits from external regulatory agencies including but not limited to Centers for Medicare & Medicaid Services (CMS), Mass Health, Departments of Insurance, and the Office of Inspector General (OIG).Supervision Exercised:Yes, which includes but is not limited to providing leadership, work direction, and performance feedback to subordinate staff.What You'll Be Doing

Oversight of CCA’s External Audit ProcessAct as primary contact for regulatory auditorsDistribute requests to staff as neededReview submissionsDevelop and maintain training and requirements documentation and instructions and provide training as requiredSupport business units in interpretation of regulations related to their applicable areas as well as aid in developing appropriate tools to ensure complianceManage staff who will: (1) submit documents and responses to regulators and (2) coordinate attestations from Senior Leadership for submissionCorrective Action Plan (CAP) ManagementAssign CAPs in OMT to functional leaders as neededMonitor CAP completion to ensure timely completionWork with Executive Leadership Team (ELT) for sign-off and validation CAPs completedWorking Conditions:Standard office conditions.Position requires constant operation of a computer and other office equipment (i.e., copy machine, Polycom equipment, and computer printer)Must be able to remain in a stationary position 50 percent of the timeWhat We're Looking For

Qualifications:Bachelor's Degree or equivalent experience required, Master’s degree in health care administration, public administration, public health, or business administration preferred.HCCA Certified in Healthcare Compliance (CHC) preferred5 or more years direct work experience in regulatory affairs and/or compliance in Medicare or Medicaid required5 or more years of managerial experience requiredHealth care industry experience requiredProject management skills or equivalent required.Required Knowledge, Skills & Abilities:Strong written, verbal, listening and communication skills – having the ability to understand and communicate appropriately to the targeted audienceStrong supervisory/managerial skills.Manage staff workload appropriately and identify areas of improvement and areas for professional development for staffStrong analytical skills – having the ability to identify an issue, conduct an analysis to determine business impact (including gap analyses), troubleshootStrong project management skills – having the ability to effectively manage multiple priorities simultaneously by maintaining established timeframes, adhering to work plans, and communicating changes effectivelyStrategic thinking and planning in order to continue to enhance the Compliance Program and the role of compliance within the organization; ability to initiate and develop new solutions to problems, to identify new opportunities; and have organizational perspective to see how the pieces fit and reflect that perspective in day-to-day decisionsAbility to influence team members and owners to resolve issues in a timely mannerRequires diplomatic and negotiation skills and understanding of needs of internal and external partnersAbility to work independentlyAbility to present information clearly in meetings and to communicate with team members and senior leadershipRequires excellent interpersonal skills in order to communicate and work with staff of all skill and experience levelsSelf-directed with proven initiation skillsMust be able to effectively communicate with colleagues, internal customers, and vendorsRequired Language:EnglishActual Work Location:

Remote, Boston, Massachusetts 02108All Locations:

Remote - BostonExempt / Not Exempt:

Exempt

#J-18808-Ljbffr