Helix Healthcare Consultant

We are looking for people who have experience in Medicare Advantage regulatory compliance roles, particularly experience with high-stakes CMS audits, compliance program administration, risk assessments, monitoring and auditing, corrective actions, policy development, FDR oversight, and related Medicare requirements. Responsibilities: • Experience in regulatory compliance roles for US healthcare with deep expertise in Medicare Advantage programs. • Experience participating in CMS audits for Medicare advantage • HEDIS and STAR rating experience • Medicare related regulations, FDR oversight and audit requirements, HIPAA • Strong understanding of healthcare payer operations. • Experience in compliance program administration including risk assessments, policy creation, training, monitoring and reporting, audits and investigations Preferred Skills: Technology->Programming Languages - Java->Core Java