East Meadow, NY
Reporting to the NQP Executive Committee (Board) and the Executive Director, the Compliance Officer must plan and execute compliance and operational reviews/internal audits, manage external payer audits and make recommendations for improvements to processes, systems and controls that ensure compliance with payer medical and reimbursement requirements consistent with the NYS DSRIP Specifications and Reporting manual. The CO manages the planning, design and maintenance of the DSRIP compliance programs, management reporting, compliance education and training program, and compliance policies and procedures. Provides effective guidance regarding matters of compliance and ethical business practices. Investigates and resolves compliance issues, including hotline call investigations and audit and monitoring processes directly related to NQP compliance issues. Responsible for advising the Board in regulatory compliance, maintaining the effectiveness of the Compliance Program and serving as a key resource for Medicaid reimbursement information.
Thank you for your interest in Nassau Queens PPS LLC (NQP)! NQP is committed to transforming health care delivery in our community and is seeking dedicated, talented candidates who can manage the ever-changing health care environment and help drive us towards this goal! Selected individuals will work in our Project Management Office to support and guide our three Hubs and 8000+ partners to bring about positive change for over 1 million New Yorkers in our service area. If you are passionate about health care and believe you can help us achieve our goals, please apply!
We are committed to offering our full-time employees a full range of benefits including:
Paid time Off, Comprehensive Health Insurance, Dental Coverage, Vision Plan, Prescription Drug coverage, Long Term Disability, Group Life Insurance and a 401k plan with company match.