Job Description
Job Title: Compliance Administrator
Location: Mason, OH
Zip Code: 45040
Duration: 5 Months
Pay Rate: $22/hr.
Keyword's: #Masonjobs; #Administratorjobs;
Start Date: Immediate
We provide a competitive pay and benefits package. This position is offering a pay rate of $22/hr. however, Belcan considers several factors when extending an offer, including but not limited to education, experience, geographic location, and discipline. Benefits offered may include health care, dental, vision, life insurance; 401(k); education assistance; paid time off including PTO, holidays, and any other paid leave required by law.
Job Description:
GENERALFUNCTION
The Administrator-Compliance (Programs)is responsible for preparing, researching, and completing the regulatory reports, amendment filings, and business partners/carrier reporting requirements. This includes operational processes and programs to assure compliance with various regulatory requirements such as Medicare Advantage (MA),
Department of Managed Health Care (DMHC), Department of Insurance(DOI), and Employee Retirement Income Security Act (ERISA).
Compares and evaluates possible courses of action and makes recommendations to the Compliance Manager or leadership team. Assists the Compliance Manager in assuring compliance with policies, procedures, and requirements set by state and federal agencies. Modifies policies and procedures as necessary.
MAJORDUTIESANDRESPONSIBILITIES
*Thoroughly prepares,researches, and completes DMHC reports and amendment filings,business partners/carrierreportingrequirements, and any other requirements set by state and federal agencies. Reviews related regulations and performs analysis to assure all requirements are met and filed within the deadline.
*Thoroughlyandtimelytracksreportingdeadlinesbymonthandlogsallin-processandcompletedreports.
*Preparesand/oroverseesinternalclaimsandqualitymanagement/utilizationmanagementauditresultsandfindingsincollaborationwiththeManager-Compliance,ClaimsManager/TeamLeader,andQualityManagementVP/TeamLeaderandClinicalDirector. PreparesdocumentstobepresentedtotheQualityManagementCommittee,PublicPolicyCommittee,BoardofDirectors,andManagementTeam.Providesoversightwiththecomplianceworkplanandmonitoringfunctionsandactivitiesincludingriskassessment.
*AssistswiththeLanguageAssistanceProgram(LAP)activitiessuchasstafflanguagefluencyassessment,monitoringtheenrolleeassessmentreport,CustomerServiceDepartmentcalllog,andpreparingandmai
*Preparesreports,maintainsfiles,andcommunicatesthedata&informationassociatedwithlocal,state,andfederalregulatoryguidelinesforthenetworkincludingthosesetforthbyEPA,StateEPA*s,CalEPA,CaliforniaCUPA*sandotherstateandlocalenvironmentalregulatoryagencies.Supportscompliancewithfederal,state,andlocalenvironmentallaws AbilitytoworkeffectivelywithregulatoryagenciesisrequiredwhilecommunicatingwithfacilitiesthroughoutU.S.andCanadaregardingpermits,inspections,andcompliancerequirements
*Maintaingeneralanduptodateknowledgeoffireprotectionsystemsandassociatedgeneralregulatorycompliancerequirements
*Acquireapprovalforenvironmentalcompliancerelatedpayablesandtrackinvoices&checkrequests
*Manage Water Discharge Monitoring Reports
*GeneralknowledgeofSPCCplansandStormwatermanagementplansastheyrelatetoouroperations
*Familiarity with the Clean Air Actasitrelatestoour operations
*Familiarity with EPCRA requirement sastheyrelatetoour operations
*GeneralknowledgeofCaliforniaspecialwastesastheyrelatetoouroperations
*General understanding of Environmental Management Systems Maintaindocumentfilespertainingtoaudits&observationsofworkforceperformancewithregardtoenvironmentalcompliance
*Throughobservationofdocumentssuchasreports,permits,&inspectionforms,beabletodetectpotentialenvironmentalcomplianceproblemsofanaccounting,bookkeeping,andclericalnature.
*Facilitate,arrange,andconductenvironmentalrelatedtrainingandorientationasneeded
*Trackinformationonenergyandresource-efficientprojects&programs.ThiscouldincludeenergyconservationprogramsandfutureLEEDcertifications.
Belcan is an equal opportunity employer. Your application and candidacy will not be considered based on race, colour, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.