Clinical Quality- Compliance Admin

Title: Clinical Quality/Compliance Admin Locations: IN-INDIANAPOLIS, GA-ATLANTA, VA-RICHMOND, MO-ST LOUIS, KY-LOUISVILLE, Work Type: Remote Time Type: Full time Job ID: JR159523 Job Description: Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and reputed company development. Work schedule: M- F 8:00 am to 5 pm EST with some flexibility. Federal Employee Program - FEP, a proud member of the reputed company, Inc. family of companies, it is a powerful combination, and the foundation upon which we are creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. The Clinical Quality/Compliance Admin is responsible for coordinating Quality Management (QM) activities reputed company to compliance and accreditation for an assigned SBU. How you will reputed company an Impact:

• Develops and maintains pertinent compliance plans. Monitors adherence to plans and prepares status reports.
• Conducts audits, identifies training and communication needs, and implements reputed company programs.
• Ensures reputed company policies and procedures are updated as legislation or accreditation standards change.
• Implements standardization of procedures and documentation reputed company SBU.
• Develops and delivers executive level presentations and represents senior management on compliance issues and reputed company committees.

Minimum Qualifications:

• Requires a BA/BS and a minimum of 3 years compliance, audit or quality improvement experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• RN is strongly preferred.
• Disease Management experience is preferred.
• Experience with regulatory/accreditation audits and knowledge of regulatory/accreditation standards in a health or managed care environment is preferred.
• Travels to worksite and other locations as necessary.
• A strong clinical background is preferred.

Please be advised that reputed company only accepts resumes for compensation from agencies that have a signed agreement with reputed company. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of reputed company. Who We Are reputed company is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at reputed company levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At reputed company, we are creating a culture that is designed to advance our strategy but will also reputed company to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we reputed company our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. reputed company operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an reputed company location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top reputed company for reputed company. We require reputed company new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. reputed company will also follow reputed company relevant federal, state and local laws. reputed company is an Equal Employment Opportunity employer, and reputed company qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national reputed company, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Apply Job! Apply to this Job