Managed Care Compliance - Manager

Welcome to PricewaterhouseCoopers, where we believe that success is built on strong compliance practices. As our Managed Care Compliance Manager, you will play a crucial role in ensuring that our company adheres to all regulations and laws related to managed care. We are looking for a highly skilled and dedicated individual who is passionate about compliance and has a deep understanding of the intricacies of managed care. If you have a strong background in healthcare compliance, a keen eye for detail, and excellent communication skills, we want you to join our team. Come be a part of an organization that values integrity and a commitment to ethical practices.

1. Develop and implement a comprehensive managed care compliance program in accordance with all applicable laws and regulations.
2. Conduct regular audits and risk assessments to identify potential compliance issues and develop corrective action plans.
3. Collaborate with cross-functional teams, including legal, finance, and operations, to ensure compliance throughout the organization.
4. Stay up-to-date on all relevant laws, regulations, and industry trends related to managed care compliance.
5. Train and educate employees on compliance policies and procedures to promote a culture of compliance.
6. Monitor and track compliance metrics to measure the effectiveness of the compliance program.
7. Investigate and respond to any reported compliance concerns or violations in a timely and thorough manner.
8. Maintain accurate and detailed records of all compliance activities and investigations.
9. Develop and maintain relationships with external regulatory agencies and act as the point of contact for compliance inquiries.
10. Communicate regularly with senior management on compliance issues and provide recommendations for improvement.
11. Collaborate with internal and external stakeholders to ensure compliance with contractual obligations related to managed care.
12. Serve as an advisor and subject matter expert on managed care compliance matters to support business decisions.
13. Participate in industry conferences and seminars to stay informed on emerging compliance trends and best practices.
14. Continuously assess and improve the managed care compliance program to ensure it meets the needs of the organization.

According to JobzMall, the average salary range for a Managed Care Compliance - Manager in Minneapolis, MN, USA is $93,000 - $116,000 per year. This can vary depending on the specific company, experience level, and other factors.

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.