Job Details

A company is looking for a Compliance - FDR Manager.Key ResponsibilitiesMonitor First Tier, Downstream, and Related Entities (FDRs) as part of the Compliance Effectiveness ProgramConduct desktop and onsite audits of FDRs, creating audit reports and scorecardsIssue Corrective Action Plans and ensure deficiencies are addressed and correctedRequired Qualifications2-5 years of healthcare auditing or insurance operations experience, with knowledge of Medicare Part C & D standardsExperience managing FDRs and identifying non-compliance issuesAbility to execute the full audit process, including creating reports and scorecardsExperience in issuing and managing Corrective Action Plans (CAPs)Strong project management skills and ability to meet strict CMS deadlines