- Support the design, implementation, and maintenance of the healthcare compliance program per OIG/DOJ guidance.
- Operationalize compliance elements including policies, training, monitoring, and reporting.
- Monitor regulatory and contractual requirements for Enhanced Care Management (ECM) and Palliative Care programs.
- Conduct audits, QAPI activities, and internal investigations related to compliance concerns.
- Track and assess applicability of federal and state healthcare laws and enforcement trends.
- Provide guidance to internal stakeholders on translating regulatory requirements into actionable practices.
- Draft compliance communications, training materials, and policy updates.