Belcan · Mason, OH 45040, USA
About the Role
We are seeking a highly motivated and detail-oriented individual to join our team as a Compliance Administrator. The successful candidate will be responsible for preparing, researching, and completing regulatory reports, amendment filings, and business partners/carrier reporting requirements.
Responsibilities:
Prepare, research, and complete DMHC reports and amendment filings, business partners/carrier reporting requirements, and any other requirements set by state and federal agencies.
Review related regulations and perform analysis to assure all requirements are met and filed within the deadline.
Track reporting deadlines by month and log all in-process and completed reports.
Prepare and/or oversee internal claims and quality management/utilization management audit results and findings in collaboration with the Manager-Compliance, Claims Manager/Team Leader, and Quality Management VP/Team Leader and Clinical Director.
Assist with the Language Assistance Program (LAP) activities such as staff language fluency assessment, monitoring the enrollee assessment report, Customer Service Department call log, and preparing and mailing reports.
Prepare reports, maintain files, and communicate data & information associated with local, state, and federal regulatory guidelines for the network including those set forth by EPA, State EPAs, CalEPA, California CUPA s, and other state and local environmental regulatory agencies.