Responsibilities:
The primary purpose of the job is to:;
- Assist with the implementation of the Compliance program for AH Louisiana.
- Assist with the HIPAA desk audits.
- Assist with compliance monitoring and auditing activities to ensure contract compliance.
- Assist with training staff on Compliance and HIPAA.
- Generate compliance and privacy activity reporting.
- Assist with State complaints and maintain a log for all complaints.
- Maintain all AH Louisiana policies and subcontractor policies that reflect AH Louisiana.
- Distribute State e-mails to appropriate staff.
- Review Medicaid policies and contract changes to determine impact to the plan.
- Maintain contract compliance log of Medicaid policy and contract changes and distribute to appropriate staff.
- Assist with member materials and marketing approvals.
- Assist with State Compliance Audits.
- Act as the administrator for all State applications.;
Education/ Experience:
- Bachelor’s Degree or equivalent educaiotn and experience required.
- Familiarity with Government Programs and contracts required.
- ;2 or;more;years experience;in healthcare/ insurance, preferably in managed care.;;;;
- Experience with Microsoft Office Suite.; ;;;;;;;;;;;;;;;