The State of Maryland
Compliance & Audit Manager (ADMINISTRATIVE PROGRAM MANAGER I) - #23-005472-0008
The State of Maryland, Annapolis, Maryland, United States, 21403
Compliance & Audit Manager (ADMINISTRATIVE PROGRAM MANAGER I) - #23-005472-0008
Pay: $67,802.00 - $95,450.00 / year Location: Annapolis, Maryland Employment type: Full-Time Job Description
MHBE is accepting applications for a vacant Compliance & Audit Manager position! Maryland Health Benefit Exchange is responsible for the administration of Maryland Health Connection, the State's health insurance marketplace, under the Patient Protection and Affordable Care Act of 2010 (ACA). MHBE works with the Maryland Department of Health, Maryland Insurance Administration, Department of Human Services, and stakeholders statewide. Vision Statement:
High-quality, affordable health coverage for all Marylanders. Mission Statement:
We improve the health and well-being of Marylanders by connecting them with high-quality, affordable health coverage through innovation, technology, and customer service. Values:
Diverse & Inclusive, Innovative, Collaborative, & Ethical. GRADE: 19 LOCATION OF POSITION: MHBE is adhering to a hybrid work schedule. Work for this position will be completed at a remote location of your choice (3 days) and at our office located at 750 E. Pratt St, 6th Floor, Baltimore, MD 21202 (2 days). Main Purpose of Job:
The main purpose of this position is to promote the effectiveness of the MHBE Compliance and Privacy program by supporting the Director of Compliance and Privacy and performing internal and external audits and monitoring to ensure the Exchange and its contractors follow applicable laws, regulations, policies, and contractual obligations. Duties include developing and maintaining audit programs; conducting audits of the policies, procedures and financial transactions; assisting in the performance of auditing of qualified health plans; conducting special reviews and risk assessments; and coordinating external audits and investigations as required. POSITION DUTIES
Use MHBE audit standards to perform external monitoring activities of contractors. Perform and/or assist in the performance of internal audits and compliance functions. Collaborate with contract monitors to ensure appropriate documentation. Coordinate outside agencies’ audit requirements with MHBE personnel. Review results of legislative and federal audit reports. Prepare formal audit and compliance reports for the Director of Compliance and Privacy. Actively participate in the Compliance Committee and Program. Assist in the development and maintenance of an effective audit program. Implement and maintain MHBE audit standards. MINIMUM QUALIFICATIONS
Education:
A Bachelor's degree in any discipline from an accredited college or university. Experience:
Three (3) years of relevant healthcare compliance/auditing experience. Knowledge of current healthcare and ethics laws/regulations. Experience with preparing reports, conducting investigations, and managing cases. Strong understanding of federal, state, and local regulatory processes. Proficiency in Microsoft Office (Word, Excel, and PowerPoint). DESIRED OR PREFERRED QUALIFICATIONS
Advanced degree in law, business or public administration, public health, or related field. Professional certification in corporate compliance or privacy. Experience managing compliance, audit, and/or privacy program functions. SELECTION PROCESS
Please provide sufficient information on your application to show that you meet the qualifications for this recruitment. All information concerning your qualifications must be submitted by the closing date. BENEFITS
As an employee of the State of Maryland, you will have access to outstanding benefits, including health insurance, dental, and vision plans offered at a low cost. FURTHER INSTRUCTIONS
The online application process is STRONGLY preferred. If you are unable to apply online, you may submit a paper application and resume via email or mail. Applications must be received no later than the close of business on the closing date. About the company
Maryland is on the path to becoming the best state in the nation. Referred to as “America in Miniature”, Maryland embodies the very spirit of the United States.
#J-18808-Ljbffr
Pay: $67,802.00 - $95,450.00 / year Location: Annapolis, Maryland Employment type: Full-Time Job Description
MHBE is accepting applications for a vacant Compliance & Audit Manager position! Maryland Health Benefit Exchange is responsible for the administration of Maryland Health Connection, the State's health insurance marketplace, under the Patient Protection and Affordable Care Act of 2010 (ACA). MHBE works with the Maryland Department of Health, Maryland Insurance Administration, Department of Human Services, and stakeholders statewide. Vision Statement:
High-quality, affordable health coverage for all Marylanders. Mission Statement:
We improve the health and well-being of Marylanders by connecting them with high-quality, affordable health coverage through innovation, technology, and customer service. Values:
Diverse & Inclusive, Innovative, Collaborative, & Ethical. GRADE: 19 LOCATION OF POSITION: MHBE is adhering to a hybrid work schedule. Work for this position will be completed at a remote location of your choice (3 days) and at our office located at 750 E. Pratt St, 6th Floor, Baltimore, MD 21202 (2 days). Main Purpose of Job:
The main purpose of this position is to promote the effectiveness of the MHBE Compliance and Privacy program by supporting the Director of Compliance and Privacy and performing internal and external audits and monitoring to ensure the Exchange and its contractors follow applicable laws, regulations, policies, and contractual obligations. Duties include developing and maintaining audit programs; conducting audits of the policies, procedures and financial transactions; assisting in the performance of auditing of qualified health plans; conducting special reviews and risk assessments; and coordinating external audits and investigations as required. POSITION DUTIES
Use MHBE audit standards to perform external monitoring activities of contractors. Perform and/or assist in the performance of internal audits and compliance functions. Collaborate with contract monitors to ensure appropriate documentation. Coordinate outside agencies’ audit requirements with MHBE personnel. Review results of legislative and federal audit reports. Prepare formal audit and compliance reports for the Director of Compliance and Privacy. Actively participate in the Compliance Committee and Program. Assist in the development and maintenance of an effective audit program. Implement and maintain MHBE audit standards. MINIMUM QUALIFICATIONS
Education:
A Bachelor's degree in any discipline from an accredited college or university. Experience:
Three (3) years of relevant healthcare compliance/auditing experience. Knowledge of current healthcare and ethics laws/regulations. Experience with preparing reports, conducting investigations, and managing cases. Strong understanding of federal, state, and local regulatory processes. Proficiency in Microsoft Office (Word, Excel, and PowerPoint). DESIRED OR PREFERRED QUALIFICATIONS
Advanced degree in law, business or public administration, public health, or related field. Professional certification in corporate compliance or privacy. Experience managing compliance, audit, and/or privacy program functions. SELECTION PROCESS
Please provide sufficient information on your application to show that you meet the qualifications for this recruitment. All information concerning your qualifications must be submitted by the closing date. BENEFITS
As an employee of the State of Maryland, you will have access to outstanding benefits, including health insurance, dental, and vision plans offered at a low cost. FURTHER INSTRUCTIONS
The online application process is STRONGLY preferred. If you are unable to apply online, you may submit a paper application and resume via email or mail. Applications must be received no later than the close of business on the closing date. About the company
Maryland is on the path to becoming the best state in the nation. Referred to as “America in Miniature”, Maryland embodies the very spirit of the United States.
#J-18808-Ljbffr