Virginia Beach, VA
Aug 30, 2018
Oct 16, 2018
Full Time
Job Description: The Manager of Health Plan Compliance and Integrity is responsible for supporting the Director and/or Vice President in compliance management throughout the division and/or a department. Job objective is to assist the organization/department to meet the regulatory requirements and support quality and integrity efforts. Responsibilities include assisting with interpretation of federal and state rules, laws and regulations; identifying and resolving compliance related issues; developing and implementing compliance work plans, policies and procedures, and activities; monitoring and auditing division and/or department functions against regulatory requirements; educating staff on compliance and regulations; and communicating to staff and key external stakeholders compliance issues or regulatory and/or legislative changes. Education Level
Bachelor's Level Degree - HEALTH ADMINISTRATION OR
Bachelor's Level Degree - RISK MANAGEMENT

Required: Compliance - 3 years, Health Insurance Industry - 3 years, Risk Management - 3 years

Preferred: None, unless noted in the “Other” section below

None, unless noted in the “Other” section below

None, unless noted in the “Other” section below

Minimum qualifications for education as bachelor degree in Business Administration, Health Administration, Risk Management or Equivalent Field required.

Optima Health, Virginia Beach, is seeking a Compliance Manager to assist the organization/department to meet the regulatory requirements and support quality and integrity efforts. . This position is full time, day shift.

Optima Health offers a full suite of commercial health insurance products including employee-owned and employer-sponsored plans, as well as Individual and Family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services.

As a nationally recognized provider of health plan coverage and innovative wellness programs, we live our mission “to improve health everyday.” This same commitment and dedication directs our philosophy as an employer. When you join Optima Health, you will experience our deep passion for heal and service excellence while benefiting from a culture of opportunity, learning, career growth, and support -every day. Optima Health is a service of Sentara Healthcare, so joining Optima is joining the Sentara Healthcare family.

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, CLICK HERE!

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

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