1 jobs found in Blue Ash

CommuniCare is currently recruiting for a Medicare Compliance Auditor to join the leadership team of CommuniCare Advantage , our Medicare Advantage health plan. Our corporate offices are located in the Blue Ash section of Cincinnati, OH , but we will consider both remote and on-site candidates with the right knowledge and experience. PURPOSE/BELIEF STATEMENT The Medicare Compliance Auditor will: Conduct high quality compliance audits which support compliance with Medicare rules and regulations. Conduct internal mock CMS Program Audits related to the health plan’s contract with CMS. Facilitate and manage external CMS regulatory audits of CCA and validate that Medicare regulations have been implemented correctly. Maintain good working relationships with internal parties to ensure open lines of communications and timely responses to compliance questions. Create a sense of urgency with internal business partners to achieve objectives. Remain aware of industry compliance changes...