Medicare Compliance Officer

Boston Medical Center HealthNet Plan (BMCHP) is seeking a Medicare Compliance Officer (MCO). This individual will serve as the primary CMS contact for Medicare compliance and is responsible for compliance with all Medicare compliance activities and programs.

The next Medicare Compliance Officer will have the opportunity to join a thriving, mission driven organization in a key position. S/he develops and performs trainings to staff on Medicare topics and new requirements; manages program requirements such as HPMS submissions; produces corrective action plans, as appropriate; ensures compliance with Federal laws, rules, regulations, manuals and transmittals pertaining to the Medicare program by working with various Departments to determine the implementation and operational impact of such laws, rules, and regulations on the Company; and monitors Federal laws, rules, regulations, manuals and transmittals with which BMC HealthNet Plan (BMCHP) must comply.

The ideal candidate for this position will possess a Bachelor’s degree and or a related field and bring five years of progressive experience to the role. Coming from a health plan background the selected candidate will possess a solid understanding of Medicare as it relates to payer groups and be adept at navigating the complexities surrounding the requirements of Medicare in a health plan environment. The next Medicare Compliance Officer will possess the ability to manage conflicting priorities and adapt to changing demands in a fast-paced environment while leading a relatively immature product offering. S/he will have a high level of Emotional Intelligence. Be highly skilled at building relationships and gaining “buy in” through engagement, listening, and possessing a transparent communication style.

Boston Medical Center (BMC) HealthNet Plan is a managed care organization founded by Boston Medical Center in 1997. Offering MassHealth (Medicaid) and ConnectorCare health insurance coverage, BMC HealthNet Plan serves more than 250,000 members statewide. The Plan offers comprehensive coverage and personal physicians who provide care for the whole family; interpreter services, a personal membership card and a 24-hour nurse advice line. For more information, please visit www.bmchp.org .

We appreciate all referrals. Interested parties please send resume to BMCHPMedicareCompOfficer2212@ZurickDavis.com. For additional questions, please contact Mundel at 617-823-9881. All contact with ZurickDavis will remain confidential.

Equal Employment Opportunity Employer It is BMCHP/Well Sense’s policy to maintain a work environment free from discrimination based on race, color, religious creed, national origin, ancestry, gender, genetics, sexual orientation, age, disability, service in the military, gender identity, or any other legally protected category with regard to any term or condition of employment. This policy applies to all aspects of employment, including recruiting, hiring, training, compensation, performance reviews, promotions, discipline, and termination. This policy also applies to all work-related settings and activities, whether inside or outside the workplace and includes customer sites, business trips, and business-related social events. BMCHP/Well Sense’s property (telephones, copy machines, facsimile machines, computers and computer applications such as email and Internet access) may not be used to engage in conduct which violates this policy.

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