Senior Regulatory Compliance Specialist DSNP

VSP Vision Care; United States; Remote; USD 84,000 - 142,000; Full time

Job summary

A leading vision care company seeks a Sr. Regulatory Compliance Specialist responsible for overseeing the Compliance Program. The role involves analyzing healthcare regulations, implementing policies, and ensuring compliance with laws. Ideal candidates will possess extensive experience in healthcare compliance and a strong understanding of regulatory requirements.

Benefits

Bonuses and benefits

Equal opportunity employer

Drug-free workplace

Qualifications

• Minimum six years of experience in healthcare compliance.
• Demonstrated knowledge of Managed Care Compliance and healthcare statutes.
• Experience with DSNP, Medicare, Medicaid programs preferred.

Responsibilities

• Assist with the implementation and management of the Compliance Program.
• Research, analyze, and interpret regulations applicable to laws.
• Develop reports and maintain documentation of compliance activities.

Skills

Compliance Knowledge

Healthcare Regulations

Communication

Project Management

Analytical Skills

Education

Bachelor’s Degree in Business or related field

Master’s Preferred

Certification in Healthcare Compliance (CHC)

Job description

The Sr. Regulatory Compliance Specialist is responsible for assisting with the implementation and management of the organization’s Compliance Program. This role involves developing and executing all aspects of the Compliance Program, including problem identification, monitoring, oversight, and investigation of compliance concerns. The specialist supports the Annual Compliance Work Plan, leads special projects, and stays updated on regulatory requirements.

Key responsibilities include researching, analyzing, and interpreting regulations applicable to Federal, State, and local laws; facilitating regulatory policy implementation; participating in audits and investigations; evaluating compliance with client and regulatory requirements; and maintaining documentation of compliance activities.

The role also involves developing reports, supporting the creation of compliance documents and training materials, and maintaining knowledge of relevant healthcare laws and regulations. The specialist assists business partners in understanding regulatory requirements and communicates compliance concerns to leadership.

Job Specifications

Typically requires a Bachelor’s Degree in Business or a related field, with a Master’s preferred. A minimum of six years of experience in healthcare compliance is necessary. Certification in Healthcare Compliance (CHC) must be obtained within 24 months of hire. The candidate should have demonstrated knowledge of Managed Care Compliance, healthcare statutes, and excellent communication and project management skills.

Preferred skills include expertise in DSNP, Medicare, Medicaid programs. The role offers a salary range of $84,000 to $141,750, with potential bonuses and benefits. VSP Vision is an equal opportunity employer, maintaining a drug-free workplace. Candidates are advised to be cautious of fraudulent job solicitations and refer to the official application process.