Senior Compliance Corrections Specialist

Skills
Analytical SkillsData AnalyticsHealth InsuranceIT EscalationLeadershipManaged CareRoot Cause
Role

What the job involves

The main requirements, responsibilities and hiring steps.

Requirements

  • Bachelor's degree in Managed Care Health Insurance or related field or equivalent experience
  • 5+ years of experience in Managed Care Health Insurance or related field
  • Experience with data analytics preferred
  • Excellent Microsoft Office skills preferred

Nice to have

  • Analytical
  • Detail-oriented
  • Collaborative
  • Process-driven
  • Leadership

Day to day

  • Intakes and triages suspected compliance issues across all lines of business.
  • Enters issues into the GRC tool and coordinates assignments with corrections team members.
  • Partners with compliance and business stakeholders to build corrective action plans track remediation and resolve barriers.