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Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability with deep insurance expertise and a can-do culture. Group1001's culture emphasizes the importance of collaboration, communication, core business focus, risk management, and striving for outcomes. This goal extends to how we hire and onboard our most valuable assets - our employees.
Company Overview:
Clear Spring Health is part of Group One Thousand One ("Group1001"), a customer-centric insurance group whose mission is to make insurance more useful, intuitive and accessible so that everyone feels empowered to achieve financial security. Clear Spring Health is dedicated to helping seniors protect their health and well-being by providing Medicare Advantage plans in select counties of Colorado, Illinois, North Carolina, and Virginia, plus Georgia and South Carolina and offers Medicare Prescription Drug Plans in 42 states plus DC.
Group 1001, and its affiliated companies, is strongly committed to providing a supportive work environment where employee differences are valued. Diversity is an essential ingredient in making Group 1001 a welcoming place to work and is fundamental in building a high-performance team. Diversity embodies all the differences that make us unique individuals. All employees share the responsibility for maintaining a workplace culture of dignity, respect, understanding and appreciation of individual and group differences.
Job Summary:
Clear Spring Health is looking for a highly motivated individual to serve as the Director of Compliance Audit. The Director will be responsible for monitoring and auditing Clear Spring Health's compliance with regulations from the Centers for Medicare and Medicaid Services (CMS) and other federal regulatory requirements. This includes investigating allegations of non-compliance, establishing and enforcing written policies, procedures, and standards of conduct, and providing compliance-related training to staff.
The Director of Compliance Audit will conduct compliance risk assessments and develop responsive action plans to address identified concerns, including multi-year audits and compliance work plans.
The Director is responsible for identifying and communicating any relevant changes in Medicare/Medicaid, federal, state, or local regulations that could affect operational or administrative processes. They will collaborate with operational leadership to implement any necessary regulatory changes. Additionally, the Director will analyze and summarize compliance-related data, including audit and monitoring results, for Clear Spring Health's Compliance Committee and Compliance Officer.
This role works closely with other leaders within Clear Spring Health and reports directly to the Compliance Officer at Clear Spring Health.
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Main Accountabilities:
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