Compliance Officer Medicaid, IN - Hybrid, Indiana Residency Required
: Job Details :

We are looking for a Compliance Officer to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee of MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at Position Summary: The Compliance Officer acts as a primary liaison between MDwise and the State of Indiana for one of the Indiana Medicaid programs in which MDwise serves as a managed care entity (MCE). The Compliance Officer facilitates communication between federal and State regulators and State Medicaid contractors, and MDwise's executive leadership and staff for the Plan's Medicaid compliance program. This position works with both the legal and compliance teams and has a reporting relationship to the MDwise Director, Legal Affairs. This is a hybrid position with requirements to come onsite in Indianapolis, IN, as determined by the leader Equal Opportunity Employer of Minorities/Females/Disabled/Veterans #LI-AK1 Required:

• Associate degree in business, health care or related field.
• One (1) year experience working as an independent auditor or accountant responsible for evaluating internal financial and operational records for the purpose of ensuring regulatory compliance.
• Candidate must be approved by the Indiana Medicaid agency prior to hiring and the agency may ask to interview candidate.

• Bachelor's degree in business, health care or related field.
• Certified in Health Care Compliance and/or Health Care Privacy Compliance.
• One (1) year experience as a compliance officer (health care-related compliance preferred).
• Two (2) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care operational functions.