layiq

/la·yiq/adjective

worthy; deserving; fitting; suitable.

A role, opportunity, or path that merits attention, time, and pursuit.

LAYIQ - Manager, Medicare Compliance & Regulatory Affairs at VNS Health

Serves as Project Manager for regulatory affairs projects related to new or updated regulatory guidance. Acts as the liaison with business areas to ensure appropriate changes are made to the impacted departments. Develops monitoring processes to ensure implementation is effective and compliant.
Provides guidance to lines of business on compliance risks, ensuring operational readiness and adherence. Ensures that communications regarding high-impact regulatory changes are provided to key operational and shared services stakeholders. Develops and provides training and education on new or updated regulatory requirements to Compliance and operations, as applicable.
Manages regulatory filings, submissions, and reporting obligations, including oversight of corrective action plans (CAPs), routine compliance reports, and required attestations. Manages the process for the issuance, development, remediation, and validation of regulator-issued CAPs for identified and/or reported issues of non-compliance.
Assists in the review, development, revision and maintenance of compliance policies and procedures.
Assists in the preparation of updates and reports to management, Board of Directors, and Compliance Committee related to regulatory affairs and related compliance activities.
Ensures compliance with requirements established by applicable federal and state regulatory bodies and other bodies overseeing managed care organizations.
Monitors and interprets applicable federal and New York State statutes, regulations, and guidance affecting managed care organizations. Assesses the impact of applicable regulatory changes on the enterprise's programs and health insurance plans.
Develops and maintains tracking related to external audits, corrective action plans, attestations, etc.
Assists with the annual risk assessment and development of the auditing and monitoring plan.
Ensures compliance with requirements established by the Centers for Medicare & Medicaid Services (CMS).
Monitors and interprets applicable federal regulations and guidance affecting MAPD plans. Assesses the impact of Federal regulatory changes on the enterprise's programs and health insurance plans.
For compliance and regulatory affairs projects, develops auditing and monitoring processes to ensure implementation is effective and compliant.
Communicates with the Plan's CMS account manager regarding disclosures and general inquiries.

Serves as Project Manager for regulatory affairs projects related to new or updated regulatory guidance. Acts as the liaison with business areas to ensure appropriate changes are made to the impacted departments. Develops monitoring processes to ensure implementation is effective and compliant.
Provides guidance to lines of business on compliance risks, ensuring operational readiness and adherence. Ensures that communications regarding high-impact regulatory changes are provided to key operational and shared services stakeholders. Develops and provides training and education on new or updated regulatory requirements to Compliance and operations, as applicable.
Manages regulatory filings, submissions, and reporting obligations, including oversight of corrective action plans (CAPs), routine compliance reports, and required attestations. Manages the process for the issuance, development, remediation, and validation of regulator-issued CAPs for identified and/or reported issues of non-compliance.
Assists in the review, development, revision and maintenance of compliance policies and procedures.
Assists in the preparation of updates and reports to management, Board of Directors, and Compliance Committee related to regulatory affairs and related compliance activities.
Ensures compliance with requirements established by applicable federal and state regulatory bodies and other bodies overseeing managed care organizations.
Monitors and interprets applicable federal and New York State statutes, regulations, and guidance affecting managed care organizations. Assesses the impact of applicable regulatory changes on the enterprise's programs and health insurance plans.
Develops and maintains tracking related to external audits, corrective action plans, attestations, etc.
Assists with the annual risk assessment and development of the auditing and monitoring plan.
Ensures compliance with requirements established by the Centers for Medicare & Medicaid Services (CMS).
Monitors and interprets applicable federal regulations and guidance affecting MAPD plans. Assesses the impact of Federal regulatory changes on the enterprise's programs and health insurance plans.
For compliance and regulatory affairs projects, develops auditing and monitoring processes to ensure implementation is effective and compliant.
Communicates with the Plan's CMS account manager regarding disclosures and general inquiries.

Manager, Medicare Compliance & Regulatory Affairs

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