Job Summary:
As a national provider of pharmaceutical and health care services with complementary businesses in both the retail and commercial segments of the industry, the Compliance Coordinator is responsible for working with company management to coordinate responses to inquiries and audits from Third Party Payors. The Compliance Coordinator must maintain confidentiality and is expected to exercise discretion, initiative, and professional judgment. Work is performed under general supervision of the Compliance Manager, and the Director of Internal Audit.
This is not a remote opening and can only be in office.
ResponsibilitiesJob Duties:
Perform daily tasks relating to Third-Party Audit requests and Fraud Waste & Abuse investigationsRespond to virtual desk audits and investigations from insurance payors, accrediting bodies, and government agenciesAttend on-site audits and investigations to assist external auditorsProperly document all requests and actions taken per Compliance Department policy Index all incoming requests and communicate to appropriate division/department and stakeholdersSource appropriate documentation and evidence to respond to requests Coordinate with division leadership and management staff to research any missing documentation Ensure management approval and verification of submissions to mitigate lossReview audit findings for potential appeals opportunitiesCoordinate and submit appealsPerform other duties as assigned QualificationsEducation:
Minimum: High School Diploma or GEDExperience:
Required: 1-2 years’ experience in a similar role or Pharmacy experience
Special Conditions of Employment:
Any and all additional eligibility requirements based on the specific positionDrug TestInitial and continuous exclusion and sanction/disciplinary monitoringCompensation
$20.63 - $25.57 per hour
The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.
KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements.
Options Apply for this job onlineApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Connect With Us! Not ready to apply? Connect with us for general consideration. Application FAQs
Software Powered by iCIMS
www.icims.com