Job Details

A company is looking for a Compliance Manager to oversee state-managed care plans and ensure regulatory compliance.Key ResponsibilitiesManage and coordinate resources for effective state managed care programsMonitor and track applicable laws and regulations for medical bill review and managed careOversee the California MPN Coordinator team and manage provider fraud prevention effortsRequired QualificationsBachelor's degree in business administration or related fieldTen (10) years of significant business or industry experienceExperience in research and interpretation of Workers' Compensation managed care plansProficiency with Microsoft Office applications and SharePointExperience writing briefs and/or position papers