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Anticipated End Date: 2024-12-31 Position Title: Clinical Compliance Manager Job Description: Title: Clinical Compliance Manager Location: Candidates must reside within 50 miles of one of our Kansas Pulse Points Build the Possibilities. Make an Extraordinary Impact. The Clinical Compliance Manager is responsible for supporting clinical regulatory compliance for lines of business enterprise wide or complex state, delegated entities and/or subsidiaries through project leadership, technical oversight and risk identification and mitigation. How you will make an impact: Primary duties may include, but are not limited to: <ul><li>Serves as the point of contact, coordinating and collaborating with regulatory bodies and business partners to ensure compliance with regulatory, accrediting and Health Plan quality of care and service requirements.</li><li>Develops tools that assist in determining exposure to regulatory and accreditation risks.</li><li>Identifies opportunities to manage and mitigate those risks.</li><li>Works with business management areas to develop metrics for monitoring program objectives and policies and procedures that support compliance with regulatory and accreditation standards.</li><li>Compiles information related to quality improvement and compliance monitoring activities, and maintains relevant records.</li><li>Provides guidance and oversight to business unit audit functions to ensure ongoing regulatory and accreditation compliance, and monitors corrective action plans relating to regulatory and accreditation compliance.</li><li>Makes recommendations to business unit partners for improvements or remediation to risk management, regulatory, and accreditation compliance programs.</li><li>Monitors development and use of metrics for regulatory and accreditation compliance.</li><li>Monitors business unit initiatives relating to the development and implementation of a risk management program for utilization management activities.</li><li>Collaborates with enterprise quality teams, enterprise care management teams, and other clinical departments on regulatory initiatives.</li><li>Supports quality committee activities.</li><li>Travels to worksite and other locations as necessary.</li></ul>Minimum Requirements: <ul><li>Requires a BA/BS and minimum of 5 years experience, including minimum of 3 years regulatory, compliance or accreditation, and auditing experience; or any combination of education and experience, which would provide an equivalent background.</li></ul>Preferred Skills, Capabilities and Experiences: <ul><li>RN preferred.</li><li>Knowledge of clinical regulatory requirements, such as those of state regulatory agencies, accreditations, and CMS strongly preferred.</li></ul>Job Level: Non-Management Exempt Workshift: Job Family: FRD &gt; Compliance Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact <a href="mailto:elevancehealthjobssupport@elevancehealth.com" target="_blank">elevancehealthjobssupport@elevancehealth.com</a> for assistance.

Clinical Compliance Manager

Anticipated End Date: 2024-10-31 Position Title: Compliance Manager Job Description: Compliance Manager Location: Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The Compliance Manager is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management. This role leads external regulatory audits and collaborates with various departments to mitigate risk and achieve regulatory compliance. How You Will Make an Impact Primary duties for this managing level position, with moderate to advanced complexity and broad/enterprise scale may include, but are not limited to: <ul><li>Manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.</li><li>Maintain thorough and accurate records of all audits and compliance related activities.</li><li>Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.</li><li>Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.</li><li>Conducts complex investigations, document findings, and ensure corrective actions are made.</li><li>Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management.</li><li>Develop and update internal policies and procedures to ensure compliance with regulatory requirements.</li></ul>Minimum Requirements: Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: <ul><li>Experience with Medicaid regulator audits. </li><li>Medicaid and external audit experience</li><li>Strong understanding of regulatory requirements and industry best practices.</li><li>Excellent analytical and problem-solving skills.</li><li>Proficient in auditing and compliance management software.</li><li>Strong organizational skills and attention to detail.</li><li>Excellent written and verbal communication skills.</li><li>Ability to work independently and as part of a team.</li><li>Strong leadership and interpersonal skills.</li><li>MS/MBA/JD or professional designation preferred.</li></ul>Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: FRD &gt; Compliance Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact <a href="mailto:elevancehealthjobssupport@elevancehealth.com" target="_blank">elevancehealthjobssupport@elevancehealth.com</a> for assistance.

Compliance Manager

Position Title 340B Billing Compliance Analyst Remote Position Summary / Career Interest: The 340B compliance analyst is responsible for maintenance, audit, and optimization of the 340B Drug Pricing Program for the health system. Regular maintenance includes regular monitoring of the 340B split billing software to ensure accuracy. Audits must be completed in accordance to the hospital 340B policy. All activities are to be performed as part of the 340B compliance team with direction from the 340B Oversight Committee. Responsibilities and Essential Job Functions<ul><li>Assist the 340B Manager with any 340B Drug Pricing Program pharmacy operations - </li><li>Demonstrates the ability to serve as a project leader for the 340B Drug Pricing Program functions </li><li>Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status. </li><li>Utilizing a data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers. </li><li>Perform audits on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process. </li><li>Through financial analysis, strive to recognize the value opportunity of the 340B Drug Pricing Program. </li><li>Assess opportunities for cost savings and system improvements to yield higher compliance. </li><li>Develop a thorough understanding of the 340B Drug Pricing Program. </li><li>Strive to consistently improve the overall efficiency, value, and internal support of the 340B program. </li><li>Collaborate with the 340B Oversight Committee to develop monthly, quarterly, and yearly audit metrics. </li><li>Perform hospital- or other covered entity-specific gross financial analysis and make recommendations to improve program performance. </li><li>Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program's financial stability. - similar to "C" - Develop a thorough understanding of the split-billing system and the functions to be performed. Educate others involved in the purchasing process to ensure proper operation and compliance. </li><li>Manage any manual or non-automated 340B data within the split billing software. Provide each buyer with information needed to place orders using the appropriate accounts (e.g., WAC, GPO, and 340B) to replenish inventory in the mixed-use inventory setting </li><li>Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. </li><li>These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. </li></ul>Required Education and Experience<ul><li>Bachelors Degree in Business, Information Systems or Finance/Accounting.</li><li>3 or more years of prior experience in a pharmacy retail or hospital setting </li></ul>Knowledge Requirements<ul><li>Prior knowledge and training in the 340B Drug Pricing Program.</li></ul>Time Type: Full time Job Requisition ID: R-37809 We are an equal employment opportunity employer without regard to a person's race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information. Need help finding the right job? We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.

340B Billing Compliance Analyst

The City of Overland Park has a full-time Code Compliance Officer I position available in the Planning &amp; Development Services Department. Responsibilities: Inspects residential and nonresidential property and enforces compliance with municipal codes and ordinances related to zoning, public nuisances, property maintenance, public health and environment. Prepares and issues violation notices, notices to appear in Municipal Court, work orders for abatement action by the City, written reports, memos and correspondence. Participates in emergency operations, including snow removal, as required, and other duties as assigned. Duties: Receives, investigates, and inspects alleged violations and enforces local codes, ordinances and state laws related to zoning, public nuisances, property maintenance, public health and environment. Inspects residential rental property for compliance with local ordinances. Prepares inspection reports, issues violation notices and takes appropriate action based on findings of inspection/investigation, recommends and assists with posting vacant property. Prepares and issues work orders for abatement action by the City. Issues Notice to Appear in Municipal Court. Compiles evidence, consults with Prosecutor's Office regarding legal action and prosecution of violators and may prepare prosecution summaries. Attends and testifies at arraignment and trial. Utilizes the City's various computer software applications used on a daily basis for entering daily inspections, scheduling re-inspections, adding complaints and managing pictures and correspondence. Inspects and issues permits to massage businesses. Conducts water quality and safety equipment inspections and issues permits for semi-private and public swimming pools and spas. Meets with Homes Associations and other neighborhood groups when requested to speak on code enforcement and issues related to property maintenance. Assists with conducting solid waste vehicle inspections. Participates in emergency management operations for the City, including snow removal, as required. Carries out and/or performs other duties as assigned. The employee must work the days and hours necessary to perform all assigned responsibilities and tasks. Must be available (especially during regular business hours or shifts) to communicate with subordinates, supervisors, customers, vendors and any other persons or organization with whom interaction is required to accomplish work and employer goals. The employee must be punctual and timely in meeting all requirements of performance, including, but not limited to, attendance standards and work deadlines; beginning and ending assignments on time; and scheduled work breaks, where applicable. Must successfully pass a polygraph exam, thorough background check, drug screen and physical exam. Requirements: <ul><li>Education equivalent to high school diploma required.</li><li>Additional college-level courses in business correspondence and/or conflict resolution preferred.</li><li>Must possess a valid driver's license and maintain an insurable driving record.</li><li>Employees hired after April 15, 2014 must have or obtain a commercial driver's license (CDL) within 12 months of employment with the City and maintain an insurable driving record.</li><li>The preferred candidate will have two years job-related work experience in code enforcement work of any kind or experience in construction, food safety or environmental health.</li></ul>Required Skills: Analytical and research skills. Attention to detail. Basic math &amp; accounting. Computer software skills to process and enter daily work. Facilitation. Must be able to communicate effectively with managers and supervisors, vendors and the general public. Project Management. Working knowledge of public sector administration. Public Speaking. Time Management. Good oral and written communication. Use of testing and sampling equipment to test chlorine and Ph levels in the pools. Mental Requirements: Ability to meet deadlines. Ability to exhibit diplomacy and judgment. Ability to recognize and protect confidential information. Ability to prioritize multiple tasks. Ability to read and comprehend policies and regulations. Ability to read and understand building plans and specifications. Ability to carry out assignments from written and oral instruction. Ability to work independently. Ability to work in a hectic environment with many interruptions. Ability to analyze and recommend possible solutions. Ability to learn and understand PC software. Alpha and numeric recognition. Physical Requirements: Ability to make and receive phone calls. Ability to operate and use a City radio. Ability to identify and distinguish colors. Ability to distinguish smells. Ability to operate City vehicles. Ability to operate hand tools such as measuring wheel, screwdriver and crowbar. Ability to work in confined spaces. Hand and eye coordination adequate for computer/typewriter. Exposure to chemicals, insects, snakes, rodents, household pets, farm animals, noise, extreme temperatures (outdoor extremes and refrigeration units). Exposure to heights, vibrations, high voltage and loud noises. SEE ESSENTIAL FUNCTIONS BELOW FOR ADDITIONAL PHYSICAL REQUIREMENTS SUPERVISORY RESPONSIBILITY (Direct &amp; Indirect): None No City residency requirement. Must successfully pass a polygraph examination, thorough background check, drug screen, physical exam and essential functions test. Normal Work Hours: 8:00 a.m.-5:00 p.m., Mon.-Fri. Salary Range: Grade C $46,371.00 - $61,913.28 Application Deadline: Open until filled Benefits: Full-time To view the full job description, please go to the City of Overland Park's Job Description page and search by title: Code Compliance Officer I. EO/M/F/D/V

Code Compliance Officer I

JOB SUMMARY: This position will support Trade Compliance Management by ensuring export and/or import compliance with U.S. Department of Commerce, State, Customs and other government agencies (OGA) regulations. JOB RESPONSIBILITIES: <ul> <li> General understanding and wide application of applicable U.S. Trade compliance regulations, policies, and concepts. General knowledge of other related government agency regulations. </li> <li> Ability to understand, implement, and coach applicable U.S. Government concepts and regulations as well as related Textron Aviation regulatory compliance policies. </li> <li> Properly classify parts, tooling, software, and technology using the Harmonized Tariff Schedule of the U.S. (HTSUS), the Schedule B, the Export Administration Regulations (EAR), and the International Traffic in Arms Regulations (ITAR). </li> <li> Research engineering drawings, specifications, and other data to analyze part function and material(s) of construction as well as identify design origin, reasons for Engineering Changes, serial effectivity, and suitability for commercial end-use. </li> <li> Coordinating and developing compliance solutions with other departments. </li> <li> Recommending and implementing changes to company compliance processes and data elements. </li> <li> Determining and maintaining import/export classifications, tariff classifications, U.S. Customs entry, and licensing information and requirements used by the Company. </li> <li> Oversees and monitors all import and/or export compliance procedures relative to assigned job functional area. (I.e. activities of assigned area(s) typically at a program level, to ensure compliance). </li> <li> Will be required to assist all functional areas of the company on issues concerning regulatory compliance, as necessary. </li> <li> Participates in compliance reviews, projects and training efforts; act on behalf of management, as required. </li> <li> Some travel may be required. </li> </ul> EDUCATION/ EXPERIENCE: <ul> <li> Bachelor's degree preferred in engineering, information systems, business, or related field and Minimum of 2 years of relative experience and knowledge of U.S. Trade and other government agencies regulations required (e.g., EAR, ITAR, HTSUS, Schedule B, FDA, EPA, FCC). </li> </ul>OR <ul> <li> In lieu of degree a minimum 7 years of direct regulatory or relative industry experience, with a minimum of 2 years of relative experience and knowledge of U.S. Trade and other government agencies regulations required (e.g., EAR, ITAR, HTSUS, Schedule B, FDA, EPA, FCC). </li> </ul> QUALIFICATIONS: • The ability to respond to inquiries and handle multiple simultaneous tasks while maintaining a positive approach at all times is essential in this schedule driven environment. • Excellent attention to detail and accuracy is required. • Strong team member that is able to work collaboratively with others in a fast-pasted environment with demonstrated capabilities in problem-solving and/or development of standard operating procedures and processes. • Ability to develop and provide training. • Excellent written and verbal communication skills Textron Aviation Inc. must comply with U.S. export control laws. If a position requires access to information controlled under U.S. regulations applicant must be eligible to meet any requirements to access controlled information.

Analyst Trade Compliance

Get to Know Us With a company built on family-by family-it's no surprise that working here is so much more than just putting on a hard hat and work boots. At Crossland, you join a group of Real Builders who care about bringing long-lasting facilities to our clients and providing the best culture and opportunities for our employees. With our own in-house education program, you'll find the resources, support, and training necessary to put you on the path to success. Benefits + Paid Time Off When you want the best team, you offer benefits accordingly. Competitive pay, a family atmosphere, and great benefits are part of our culture of celebrating and appreciating our people. <ul><li>Health, Dental and Vision Insurance</li><li>Life Insurance</li><li>401(k) retirement plan with guaranteed match</li><li>Flexible Spending Account</li><li>Paid time off</li><li>Holiday pay</li><li>Paid education opportunities</li></ul>Perks <ul><li>Company Apparel</li><li>Safety Incentives for Field Employees</li><li>Milestone Anniversary Gifts</li><li>Company Events (Picnics and Christmas Party)</li><li>Diaper Bundle Program for new parents</li><li>Flu Shots, and so much more!</li></ul>About the Role In this role, you will ensure that all construction activities comply with quality standards and project specifications. You will work closely with site supervisors, contractors, and project managers to inspect and verify the quality of materials and workmanship at various stages of the construction process. Additional Benefits for this position: <ul><li>Company car and fuel card</li><li>Company provided laptop</li><li>Company provided cell phone</li></ul>EOE M/F/D/V

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