Job Information
Convey Health Solutions Compliance Coordinator in Mandaluyong City, Philippines
Job Description
OVERVIEW/GENERAL PURPOSE OF POSITION
The Compliance Coordinator assists in the daily administrative activities of the Compliance Department. This role will ensure compliance in the areas CTM & HPMS memo processing and compliance program support. Core job duties are time sensitive and highly confidential. Along with Compliance responsibilities, this position will assist in general Compliance Program administrative responsibilities as assigned with heavy emphasis on regulatory requirements associated with CMS rules and clients contract requirements. Special projects as required by the department leadership.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Responsible for tracking and responding to regulatory requests including CTMs and HPMS memos.
Responsible for ensuring consistency with compliance information and documentation.
Launch email communication and responses to operational teams, tracks responses and ensures that all responses are accurate, correct and complete.
Confirm data processing occurs timely & correctly.
Responsible for direct and accurate communication to the Business Partners regarding compliance matters.
Participate in projects as required, which may include overtime
Develop an in-depth knowledge of compliance, and company policies & procedures to effectively communicate compliance requirements when responding to daily compliance inquiries.
Assist with compliance projects such as compliance audits, FDR/vendor audits, annual compliance effectiveness reviews and other compliance activities.
Assist the Compliance Department in carrying out various Compliances programs and procedures for all company employees.
Assist with and prepares compliance and regulatory-related correspondence.
Perform administrative tasks such as, photocopies, faxes, spreadsheets, and other clerical functions.
Assist compliance leadership with administrative and regulatory duties.
Assist in general Compliance Program administrative responsibilities as assigned with heavy emphasis on regulatory requirements associated with CMS rules and clients contract requirements.
Knowledge, Skills, and Abilities:
Ability to work with time sensitive and regulatory information.
Strong organization skill and attention to details.
Have an excellent work ethic adhering to deadline and confidentiality.
Positive attitude.
Must be motivated, goal-oriented, a self-starter.
Capable of handling multiple tasks.
Professional and articulate, with good communication skills.
Able to work independently and as well as part of a team.
Willing to work overtime when required.
About Us
About UsConvey Health Solutions, together with Pareto Intelligence™, delivers a powerful combination of purpose-built technology, advanced analytics, and expert services to help health plans thrive in a complex, post--Affordable Care Act environment.As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable populations.Together, we help health plans scale smarter, grow stronger, and make healthcare work better for the people who need it most. Learn more at http://www.ConveyHealthSolutions.com