Managed Care Compliance - Manager

At PricewaterhouseCoopers, we are seeking a highly qualified and dedicated individual to join our team as a Managed Care Compliance Manager. As a leader in the healthcare industry, we understand the importance of compliance and are committed to upholding the highest standards. In this role, you will play a critical role in ensuring our clients' managed care programs are in compliance with all regulatory requirements. We are looking for a driven and experienced professional who is passionate about compliance and has a strong understanding of managed care policies and procedures. If you are ready for a challenging and rewarding opportunity with a top-tier company, we encourage you to apply for this position.

1. Develop and implement managed care compliance policies and procedures for the company.
2. Monitor and assess the effectiveness of the company's managed care compliance program.
3. Stay up-to-date on all relevant laws, regulations, and industry standards related to managed care compliance.
4. Collaborate with cross-functional teams to identify potential compliance risks and provide guidance on mitigation strategies.
5. Conduct audits and reviews of managed care programs to ensure compliance with regulatory requirements.
6. Provide training and education to employees on managed care compliance policies and procedures.
7. Serve as a subject matter expert on managed care compliance matters for the company.
8. Identify areas for improvement in the company's managed care compliance program and recommend and implement solutions.
9. Act as a liaison between the company and regulatory agencies regarding managed care compliance.
10. Communicate and report on the status of managed care compliance to senior management and stakeholders.
11. Lead investigations into potential compliance violations and develop corrective action plans.
12. Maintain accurate and organized documentation of all managed care compliance activities.
13. Serve as a mentor and resource for junior compliance team members.
14. Collaborate with external partners and vendors to ensure their managed care programs are in compliance with regulations.
15. Represent the company at industry conferences and events related to managed care compliance.

According to JobzMall, the average salary range for a Managed Care Compliance - Manager in Raleigh, NC, USA is $80,000 to $130,000 per year. This can vary depending on the individual's qualifications, experience, and the specific company they are working for. Factors such as job responsibilities, industry, and location can also impact salary range. Some companies may offer additional benefits and bonuses that can increase the overall compensation package.

PricewaterhouseCoopers is a multinational professional services network with headquarters in London, United Kingdom. PwC ranks as the second largest professional services firm in the world and is one of the Big Four auditors, along with Deloitte, EY and KPMG.