Helix Healthcare Consultant

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.

• 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

• 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.

Education: Bachelor of Engineering

• Preferred skills: Technology->Programming Languages
• Java->Core Java