Dir Government Programs Compliance Officer

About the position

Responsibilities

• Direct the development and maintenance of a comprehensive Medicare compliance structure within Cambia.
• Provide direction, guidance, support, and oversight for day-to-day Medicare compliance activities.
• Ensure compliant operation of Medicare Advantage and Medicare Part D contracts as well as MediGap products.
• Develop and maintain the Federal Employee Program (FEP) compliance structure within Cambia.
• Prepare audit findings, corrective action plans, and reports to support compliance oversight.
• Analyze new statutes and regulations to determine their operational impact on Medicare and FEP programs.
• Oversee annual risk assessments and the development of an annual audit plan for Medicare contracts and FEP products.
• Collaborate with the Medicare line of business to oversee marketing and sales activities and materials.

Requirements

• J.D. or Master's degree in health care administration, public service administration, or related field.
• Seven years of work experience in personnel management and compliance-related activities, legislative and regulatory activities, health insurance operations, or legal research.
• Demonstrated leadership skills with the ability to delegate, coordinate, and motivate staff.
• Superb judgment, problem-solving, analytical, and communication skills.
• Knowledge of health plan and Medicare legislation and regulations, including government contract benefits policies.
• Ability to establish and maintain effective relationships with key stakeholders.
• Experience with Medicare health care products is preferred.
• Knowledge of government regulations related to Medicare health care programs.

Nice-to-haves

• Strong experience with Medicare compliance activities and working with CMS.
• Skills in project coordination and management.
• Knowledge of health policy issues related to medical and health care activities.

Benefits

• Hybrid work schedule options from Oregon, Washington, Idaho, or Utah.
• Competitive salary range with a bonus target of 25%.
• Opportunities for professional development and continuous improvement.