<< back to Careers Page

Part-time/Project-Based Senior Consultant Part C and Compliance Program Effectiveness

Job Summary:

Responsible for providing subject matter expertise on Medicare Part C in order to effectively support our clients.

Essential Functions:

  • Subject matter expertise in an operational function of Medicare Part C
  • Ability to review, interpret and implement state and federal guidance
  • Perform CMS mock audits in CPE, ODAG and SNP-MOC to confirm compliance with guidance.
  • Monitors the implementation of the corrective action plans and ensures that the result of the action plans are compliant.
  • Mentor and drive work product based on the project
  • Oversee and administer ongoing monitoring program(s) based on guidance
  • Updates policies, procedures and Audit Work Plan based as needed.
  • Adhere to established corporate policies and procedures
  • Perform other duties, as necessary, to meet corporate objectives
  • Travel as required

Qualifications:

  • Bachelor’s degree and a minimum of ten (10) years government, health care, pharmacy benefit management, compliance or quality profession (equivalent combination of education and experience considered.)
  • Must have strong Microsoft Office Suite skills. Advanced skills in Word, Excel, Access and PowerPoint required
  • Experience with Medicare and/or Medicaid standards required
  • Advanced degree or certification in audit, pharmacy or compliance discipline preferred
  • Must have strong verbal and written communication skills.
  • Individual should be detail oriented with strong organization, prioritization and analytical skills with the ability to work independently.
  • Must work well under tight timelines and adapt quickly to change in a fast-paced, team-oriented, and high-growth environment.

Part-time/Project Based

BluePeak offers a flexible, work from home, telecommute environment. Project assignments are project based dependent on the engagement and the Senior Consultant’s expertise, experience and workload. Some travel required based upon project assignment.

 


APPLY FOR THIS POSITION


Part-time/Project-Based Senior Consultant Part C and Compliance Program Effectiveness

Thank you for your interest in the Part-time/Project-Based Senior Consultant Part C and Compliance Program Effectiveness position. Please provide the information below and we will contact you to schedule a call if interested. This link will remain active until the position has been filled.
  • Accepted file types: doc, docx, pdf, jpg.
    .doc, .docx, .pdf and .jpg files are accepted.