Compliance Consultant Job in Dallas, Texas US
Compliance Consultant
Job Description POSITION SUMMARY Assists TX Compliance Manager in establishing an effective compliance program for TX Medicaid and CHIP programs. Responsibilities include: auditing, investigating, training, enforcing Aetna policies and all applicable laws, consulting on compliance issues impacting businesses, interfacing with industry groups and regulators on compliance with laws and regulators, monitoring and reporting on adherence to compliance controls, and recommending and helping businesses to implement compliance controls. EDUCATION The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience. FUNCTIONAL EXPERIENCES Legal/Compliance/4-6 Years Legal/Compliance - auditing/1-3 Years Legal/Compliance - investigation/1-3 Years Legal/Compliance - state reviews/1-3 Years Project Management/Issue identification and analysis/1-3 Years TECHNOLOGY EXPERIENCES Desktop Tools/Microsoft Outlook/4-6 Years/End User Desktop Tools/Microsoft Excel/4-6 Years/End User Desktop Tools/Microsoft Word/4-6 Years/End User Desktop Tools/Adobe Acrobat Suite v5/1-3 Years/End User REQUIRED SKILLS General Business/Applying Reasoned Judgment/FOUNDATION Service/Working Across Boundaries/FOUNDATION Service/Creating a Differentiated Service Experience/ADVANCED ADDITIONAL JOB INFORMATION Position is office-based and located in Dallas, TX. The ideal candidate will have 4-6 years of demonstrated success in managing Medicaid compliance matters. Knowledge of privacy practices, and fraud and abuse policies and protocols highly desired. Must demonstrate ability to work intra-departmentally to correct or improve cross-functional processes. Needs proven ability to influence individuals at all levels of the organization. Superior verbal and written communication skills are required. Knowledge of and experience with Texas Medicaid and CHIP, federal and state regulations and requirements is a must. Please note that benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna does not permit the use of tobacco related products or drugs in the workplace.