Policy and Compliance Manager – State Based Exchange Position Available In Fulton, Georgia
Tallo's Job Summary: The Policy and Compliance Manager for Georgia's State Based Exchange oversees reporting processes, federal/state audits compliance, and federal reporting matters. The role involves drafting commentary on federal guidelines, submitting reports to CMS, tracking program compliance, coordinating legislative reviews, and developing policies. The position requires a bachelor's degree and at least three years of managerial experience in a related field. The salary ranges from $85,000 to $105,000.
Job Description
Policy and Compliance Manager – State Based Exchange 3.3 3.3 out of 5 stars 200 Piedmont Ave SE # 1804, Atlanta, GA 30334
Additional Information Agency Logo:
Requisition ID:
REG047
T Number of Openings:
1
Advertised Salary:
$85,000.00 – $105,000.00
Shift:
Day Job Under limited supervision, the Policy and Compliance Manager establishes reporting processes and procedures, develops mandated federal/state reports and collects and distributes data to ensure compliance with federal and state audits for Georgia’s State Based Exchange. Reviews and drafts commentary on annual updates to federal guidelines in the Notice of Benefit and Payment Parameters (NBPP) to reflect Georgia Access positions on regulatory guidance; with support from other Georgia Access business units. Reviews and submits reports (e.g., the State-based Marketplace Annual Reporting Tool, an Oversight and Monitoring Plan, Programmatic and Financial Audits, and Annual Financial Statements) to CMS and serve as the main point of contact for federal reporting matters. Implements processes for data collection, analysis and report presentation to track program compliance with health insurance marketplace regulations and internal KPIs. Coordinates with departmental staff reviews of federal/state legislation and regulation. Coordinates new and updated rollout requirements for the Exchange. Assists in the development of policies and procedures for assigned area. Supervises subordinate staff. Ensures the appropriate dissemination and communication of all pertinent regulations, policies, and guidelines. Performs investigations, accountability audits, and other such duties related to alleged violations of all applicable statutes, standards, rules, and regulations. Performs other duties assigned. Bachelor’s degree in a related field from an accredited college or university and three (3) years in a managerial role in the area of assignment; or seven (7) years of experience in the area of assignment, including three (3) years in a managerial role; or one (1) year of experience required at the lower level Mgr 2, Regulatory Compliance (RCM051) or position equivalent.
