Helix Healthcare Consultant
Infosys · IT Services & Consulting
- Bangalore, India
- On-site
- Posted today
- Healthcare & Life Sciences
About the job
We are looking for people who have experience in Medicare Advantage regulatory compliance roles, particularly experience with high-stakes CMS audits, compliance program administration, risk assessments, monitoring and auditing, corrective actions, policy development, FDR oversight, and related Medicare requirements.
Responsibilities
Experience in regulatory compliance roles for US healthcare with deep expertise in Medicare Advantage programs.
Experience participating in CMS audits for Medicare advantage
HEDIS and STAR rating experience
Medicare related regulations, FDR oversight and audit requirements, HIPAA
Strong understanding of healthcare payer operations.
Experience in compliance program administration including risk assessments, policy creation, training, monitoring and reporting, audits and investigations
Additional responsibilities
Experience in developing HIPAA compliant applications/ operational processes.
Experience working in cloud technologies and implementing controls for BPaaS scenarios
Excellent communication, presentation, and interpersonal skills
Ability to influence cross functional teams without direct authority.
Strong analytical and risk-based decision-making skills.
Educational requirements
Bachelor of Engineering
Preferred skills
Technology->Java->Core Java
Experience: 7-9 years