MLTC-Director of Contracts/Compliance
: Job Details :

Our client serves over 16,000 frail individuals and help them live in their homes and independently for as long as possible. Join our compassionate and dedicated team and make a difference in the lives of our members at the Health Plan. The Director of Regulatory Affairs will be responsible for The MLTC-Director of Contracts/Compliance will be responsible for directing, delivering, evaluating, and coordinating activities of the Regulatory Affairs Department.

Candidates must have Juris Doctor and Managed Long Term Care experience (MLTC)

Responsibilities:

The Director in collaboration with senior management will be responsible to review, negotiate, draft and process agreements and amendments in accordance with regulatory requirements and plan protocols; manage submission of delegated agreements and required documents for government approval, and track status; set up protocols for contract organization and keep track of contract status; prepare and submit regulatory reports; direct and organize provider communications related to audits, surveys, requests and attestations; review OIG and OMIG requirements and best practices for compliance program; review and update compliance materials, including manuals, policies and procedures, handbooks, to comply with regulatory requirements; read and disseminate CMS and DOH memos, guidance and alerts; provide oversight and supervision of the Departments staff.

Qualifications:

• Juris Doctor and minimum 5 years experience, with emphasis in managed care contracting, credentialing and compliance.
• Commensurate supervisory experience required.
• Ability to respond to inquiries or complaints from members, providers, regulatory agencies, staff or members of the business community.
• Ability to direct and manage projects to completion.
• Ability to effectively present information to top management, department heads, and/or boards of directors.

Compensation: $160,000-$170,000 Annually

Our staff are our greatest asset and as such we offer an excellent and comprehensive benefits package which includes:

HEALTH & INSURANCE BENEFITS*

Medical and Prescription Drug

Company-Paid Dental

Company-Paid Vision

Company-Paid Life Insurance and Accidental Death & Dismemberment

Company-Paid Short-Term Disability

Company-Paid Long-Term Disability

Health Care Flexible Spending Account

Dependent Care Flexible Spending Account

Employee Assistance Plan

Additional Life Insurance options for the employee and family members

Additional Disability options

403(b) Plan, with a generous employer contribution

TIME OFF BENEFITS*

Holidays

Personal Days

Sick Days

Vacation

ADDITIONAL BENEFITS*

Bereavement Days

Cell Phone Discount Plan

Commuter Plan

Jury Duty Days

Marriage Days

Pet Insurance Discount Plan

Tuition Assistance

Wellness Programs

Years of Service Awards