Job description
Your Future Evolves Here
Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states. We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier. Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.
Why We’re Worth the Application:
- We continue to grow year over year.
- Recognized as a leader in driving important
diversity, equity, and inclusion (DE&I) efforts.
- Achieved a 100% score two years in a row on the
Human Rights Campaign's Corporate Equality Indexmaking us a best place to work for LGBTQ+ equality.
- Named to Parity.org’s
2020 list of the best companies for women to advance.
- Continued to prioritize the employee experience and achieved an 87% overall engagement score on our last employee survey.
- Published an annual
DE&I reportto share our progress on how we’re building an equitable workplace.
What You’ll Be Doing:
This position works to ensure that Evolent’s day to day operations comply with local, state and federal laws, rules, and regulations, and will be responsible for research and analysis of both federal and state regulations/laws supporting state insurance regulations, as well as Medicare and Medicaid contracting to support business and client operations. This individual will provide documentation and recommendations on critical business operations and issues from the state and federal regulations. This position reports to the Senior Director, Compliance.
Responsibilities:
- Conduct research, analysis and distribution of HPMS Memos on a daily basis
- Conduct research and analysis of CMS Bulletins, CMS Newsroom, and Federal Register
- Compile information on emerging trends and government priorities and provide regular updates to the Senior Director, Compliance
- Evaluate regulatory information and provide recommendations on business processes to meet the requirements and reduce risk of non-compliance
- Support Medicare Operations in day-to-day resolution of issues of non-compliance
- Support Medicare Operations in CMS or other regulatory audits as required
- Review policies and procedures to ensure compliance with the Medicare program. Provide recommendations as needed
- Represent compliance team during ongoing operational forums
The Experience We Prefer:
- Minimum of 3 years of experience in Medicare compliance
- Minimum of 3 years of experience in regulatory compliance
- Demonstrated analytical, problem solving, and documentation skills
- Demonstrated verbal and written communication skills
- Understanding of the health care business and health care delivery process
- Experience using Microsoft Word, Excel, Visio
- Excellent communication skills
- Ability to manage multiple deadlines and priorities
Technical Requirements:
Currently, Evolent employees work remotely temporarily due to COVID-19. As such, we require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
Evolent Health is committed to the safety and wellbeing of all its employees, partners and patients and complies with all applicable local, state, and federal law regarding COVID health and vaccination requirements. Evolent expects all employees to also comply. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home. Certain jobs require face-to-face interaction with our providers and patients in client facilities or homes. Employees working in such roles will be required to meet our vaccine requirements without exception or exemption.
Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
Compensation Range: The minimum salary for this position is $50,000, plus benefits. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.
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