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CCS Audit and Compliance Manager

Company: Sentara Healthcare
Location: Virginia Beach
Posted on: November 20, 2020

Job Description:

Assumes responsibility, accountability, and leadership for auditing and compliance of operations within Clinical Care Services. Provides leadership and direct review of coordination of benefits, NCQA/regulatory procedures and customer service within Clinical Care Services. Accountable for coordination of clinical and financial goals, integration of operations into appropriate CCS service areas, review and validation of reports, implementation and maintenance of clinical contracted services. Works independently with direction from the Director of Operations for Clinical Care Services. Qualifications Education Level Bachelor's Level Degree OR Bachelor's Level Degree - NURSING Experience Required: Clinical Management - 5 years, Leadership - 5 years, Managed Care - 5 years Preferred: None, unless noted in the "Other" section below License Required: Registered Nurse Preferred: None, unless noted in the "Other" section below Skills Required: Complex Problem Solving Preferred: None, unless noted in the "Other" section below Other Regulations and Contracts experience required.

Keywords: Sentara Healthcare, Virginia Beach , CCS Audit and Compliance Manager, Executive , Virginia Beach, Virginia

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