Compliance Administrator
Belcan, LLC
The Administrator-Compliance (Programs)is responsible for preparing, researching, and completing the regulatory reports, amendment filings, and business partners/carrier reporting requirements. This includes operational processes and programs to assure compliance with various regulatory requirements such as Medicare Advantage (MA), Department of Managed Health Care (DMHC), Department of Insurance(DOI), and Employee Retirement Income Security Act (ERISA). Compares and evaluates possible courses of action and makes recommendations to the Compliance Manager or leadership team. Assists the Compliance Manager in assuring compliance with policies, procedures, and requirements set by state and federal agencies. Modifies policies and procedures as necessary. MAJORDUTIESANDRESPONSIBILITIES Thoroughly prepares,researches, and completes DMHC reports and amendment filings,business partners/carrierreportingrequirements, and any other requirements set by state and federal agencies. Reviews related regulations and performs analysis to assure all requirements are met and filed within the deadline. Thoroughlyandtimelytracksreportingdeadlinesbymonthandlogsallin-processandcompletedreports. Preparesand/oroverseesinternalclaimsandqualitymanagement/utilizationmanagementauditresultsandfindingsincollaborationwiththeManager-Compliance,ClaimsManager/TeamLeader,andQualityManagementVP/TeamLeaderandClinicalDirectorandClinicalDirector. PreparesdocumentstobepresentedtotheQualityManagementCommittee,PublicPolicyCommittee,BoardofDirectors,andManagementTeam.Providesoversightwiththecomplianceworkplanandmonitoringfunctionsandactivitiesincludingriskassessment. AssistswiththeLanguageAssistanceProgram(LAP)activitiessuchasstafflanguagefluencyassessment,monitoringtheenrolleeassessmentreport,CustomerServiceDepartmentcalllog,andpreparingandmai Preparesreports,maintainsfiles,andcommunicatesthedata&informationassociatedwithlocal,state,andfederalregulatoryguidelinesforthenetworkincludingthosesetforthbyEPA,StateEPA™s,CalEPA,CaliforniaCUPA™sandotherstateandlocalenvironmentalregulatoryagencies.Supportscompliancewithfederal,state,andlocalenvironmentallaws AbilitytoworkeffectivelywithregulatoryagenciesisrequiredwhilecommunicatingwithfacilitiesthroughoutU.S.andCanadaregardingpermits,inspections,andcompliancerequirements Maintaingeneralanduptodateknowledgeoffireprotectionsystemsandassociatedgeneralregulatorycompliancerequirements Acquireapprovalforenvironmentalcompliancerelatedpayablesandtrackinvoices&checkrequests GeneralknowledgeofSPCCplansandStormwatermanagementplansastheyrelatetoouroperations Familiarity with the Clean Air Actasitrelatestoour operations Familiarity with EPCRA requirement sastheyrelatetoour operations GeneralknowledgeofCaliforniaspecialwastesastheyrelatetoouroperations General understanding of Environmental Management Systems Maintaindocumentfilespertainingtoaudits&observationsofworkforceperformancewithregardtoenvironmentalcompliance Throughobservationofdocumentssuchasreports,permits,&inspectionforms,beabletodetectpotentialenvironmentalcomplianceproblemsofanaccounting,bookkeeping,andclericalnature. Facilitate,arrange,andconductenvironmentalrelatedtrainingandorientationasneeded Trackinformationonenergyandresource-efficientprojects&programs.ThiscouldincludeenergyconservationprogramsandfutureLEEDcertifications. #J-18808-Ljbffr
$22 per hour
...driven solutions that are flexible, scalable, and cost-effective. For more information, please visit Position Job Title: Compliance Administrator Location: Mason, OH 45040 Duration: 5 Months Pay Rate: $22/hr Responsibilities Prepare, research, and complete regulatory...SuggestedLocal areaFlexible hours- ...Compliance Administrator The Compliance Administrator supports the compliance team by preparing regulatory reports, tracking deadlines, maintaining documentation, and ensuring the organization meets state and federal compliance requirements. Key Responsibilities...Suggested
$22 per hour
..., and other qualifications. Featured Benefits: Medical Insurance in compliance with the ACA 401(k) Sick leave in compliance with applicable state, federal, and local laws Description: The Administrator-Compliance (Programs) is responsible for preparing, researching, and...SuggestedContract workLocal area- ...Join Our Team in Mason, OH! Are you ready to make a significant impact in the world of compliance? We are seeking a dedicated professional to join our team at the Cincinnati Service Center, located in the vibrant city of Mason, OH. This is an exciting opportunity...SuggestedLocal area
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- ...Belcan in Mason, Ohio is seeking an Administrator‑Compliance (Programs) to prepare, research, and complete regulatory reports, amendment filings, and partner/carrier reporting to meet MA, DMHC, DOI, and ERISA requirements. You will track deadlines, prepare audit materials...Immediate start
$22 per hour
...Belcan is seeking a Compliance Administrator for a 5-month assignment in Mason, OH. The role pays $22/hr and focuses on regulatory reporting, filing amendments, and maintaining compliance with state and federal agencies. The ideal candidate will manage deadlines, coordinate...- ...contribute professionally and personally. Position Summary The Compliance Analyst will conduct data analysis, provide reporting support... ...commentary to help stakeholders interpret results. System Administration & Upkeep Serve as a system administrator for assigned platforms...Temporary workWork at officeLocal areaWorldwide
$21 - $22 per hour
...what really matters to them, wherever they are in life. We are seeking a dedicated individual to join our team as an Administrative Assistant . This role involves supporting daily departmental tasks, utilizing a working knowledge of company policies and procedures...Hourly payWork at officeFlexible hours- Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping...
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- ...policies. Ensure clinical record systems are maintained in compliance with state, federal and other regulations. Maintain... ...records to authorized users according to policy. Complete an administrative record audit following patient discharge and forward the record...
$22.55 per hour
...Corporation is seeking a Cash/Claims Processor for an assignment in Mason, OH. The role involves processing claims and managing compliance with relevant regulations. Candidates should be prepared to complete various compliance trainings, including HIPAA and fraud awareness...Hourly payTemporary work- ...impact, this is where you’ll thrive. Job Title Operations & Compliance Specialist Job Overview At Vernovis, our people and their experience... ..., compliance, reporting, contract management, and system administration. You will find success in this role if you are a highly...Contract workFor contractorsWork at officeLocal areaShift work
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$16 - $25.4 per hour
...effective and proper procedures for prepping, storing, rotating, stocking, and merchandising product. Follows and complies, or ensures compliance, with established procedures, including Weights and Measures, health and sanitation, and safe work practices. Maintains, or...Hourly payFull timePart timeSeasonal workImmediate startAll shiftsFlexible hoursShift workNight shift$64.89k - $173.04k
CVS Health in Wyoming is seeking a Senior Analyst for its Periodic Access Review team within Enterprise Information Security. This role involves executing access review controls, managing campaigns, and mentoring junior staff. Candidates should have over 2 years of relevant...
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