This position is responsible for assisting with the implementation and administration of the Magellan Medicare Advantage Compliance Program, and ensuring regulatory compliance with applicable CMS regulatory requirements. This position is responsible for direct business support to all Magellan Medicare Advantage contracts, in all locations. This position supervises and leads national and local compliance staff supporting Magellan Complete Care (MCC) Medicare programs.
Bachelors (Required), Masters
License and Certifications - Required
CHC - Certified Healthcare Compliance - Enterprise
License and Certifications - Preferred
Other Job Requirements
5+ years of experience in Medicare Advantage and Medicare Part D in a Managed Care Organization.
Medicare Compliance leadership experience with programs and teams located in multiple States.
Significant knowledge of Medicare regulatory requirements, specifically those that apply to the Dual Eligible population., Experience leading a Compliance team that supports Distribution Network Service Provider (DSNP) programs and populations.
Masters Degree in Health Administration, Business, Law, or Public Policy or equivalent curriculum.