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The position of Compliance - FDR Manager at Devoted Health involves critical oversight responsibilities that ensure compliance work in the healthcare sector is performed adhering to applicable regulations. The focus is specifically on First Tier, Downstream, and Related Entities (FDR). This role is pivotal in monitoring, auditing, and ensuring that FDRs align with both state and federal regulations, which is essential for maintaining the integrity of healthcare delivery systems.
As an FDR Manager, your key responsibilities will include:
Regular Monitoring and Auditing: You will perform regular monitoring of FDRs as part of our Compliance Effectiveness Program. This involves conducting both desktop and onsite audits to evaluate compliance levels.
Creating Reports and Scorecards: After audits, it will be your duty to create comprehensive audit reports and scorecards that illustrate the compliance status of each FDR. This information will be crucial for internal assessments and decision-making processes.
Corrective Action Plans: If non-compliance is identified, you will issue Corrective Action Plans (CAPs). Your role will also involve ensuring that identified deficiencies are adequately addressed and corrected in a timely manner.
To be an ideal candidate for this role, you should possess the following skills and experiences:
Experience: A minimum of 2–5 years in healthcare auditing or insurance operations is required, showcasing a deep understanding of Medicare Part C & D standards.
Leadership: Proven experience in managing First Tier, Downstream, and Related Entities (FDRs) with a history of identifying non-compliance issues and driving resolutions.
Audit Process Understanding: Demonstrated capability in executing the full audit process—from conducting audits to creating reports—and attention to detail is critical.
Project Management Skills: Strong project management skills are essential, particularly in meeting strict CMS deadlines in a remote work environment.
Tech Proficiency: Proficiency in tools such as Google Workspace (Docs, Sheets, Slides), as well as an active interest or experience in applying Generative AI or LLMs to automate tasks is desired.
The salary range for the Compliance - FDR Manager role is approximately $75,000 to $115,000. This range reflects Devoted Health's good faith estimate based on job-related factors such as qualifications, relevant experience, and location. Salary discussions will be part of the interview process, providing candidates with the opportunity to understand where they might fall within this range based on their individual qualifications and circumstances.
Devoted Health offers a comprehensive total rewards package for full-time employees, which includes:
Employer-sponsored health, dental, and vision plans with minimal or no premiums.
Generous paid time off to support work-life balance.
A $100 monthly stipend for mobile or internet expenses.
Stock options for all employees, enhancing participation in the company’s success.
Bonus eligibility for most roles (excluding Director and above) and commission eligibility for sales roles.
A 401K program for retirement savings.
At Devoted Health, the mission focuses on improving the health and well-being of older Americans. The organization emphasizes a diverse and vibrant workforce, drawing individuals who share the goal of treating members like family. Founded in 2017, the company has quickly grown, serving members across the United States.
Devoted Health maintains a commitment to equal opportunity employment, ensuring a safe and supportive work environment. The workplace culture values collaboration, respect for individual contributions, and an inclusive atmosphere. This commitment is ingrained in the company’s values and is reflected in its Code of Conduct.
If you meet the qualifications and are interested in joining a team that aims to revolutionize healthcare, especially for older adults, consider applying for the Compliance - FDR Manager position at Devoted Health. Create a meaningful impact while growing in a remote-first work environment that embraces innovation and quality care.
This job offer was originally published on himalayas.app
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