Risk Management Lead / Retail Operational Risk Management

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Description

The Risk Management Lead will help identify risks, oversee implementations, and other special projects to drive operational excellence, advance compliance results, and improve audit readiness.

Responsibilities

The Risk Management Lead will design, deliver, and drive internal compliance measures through the implementation of operational policies and procedures which ensure adherence to all new and changing legislation at the state and federal levels. He/She will identify and analyze potential sources of loss to minimize risk and work on problems of diverse scope and complexity ranging from moderate to substantial.

The Medicare Risk Management Lead will:


Communicate, track and support implementation efforts for applicable state and federal legislative and regulatory guidelines, many with diverse scope and complexity
Develop detailed implementation project plans in accordance with departmental standards
Facilitate work groups with cross functional team leads, utilizing documentation standards within the Legislation Regulation and Requirements (LRR) Database
Serve as backup to the Associate Director, exercising independent judgement and decision making
Review documentation for compliant policies and procedures
Work and influence across the enterprise to improve compliance and operational efficiencies
Manage the corporate Attestations with applicable leadership team, including consistent process improvement focus for effective controls
Work with minimal supervision, use independent judgement requiring analysis of variable factors and determine best course of action


Required Qualifications


Bachelor's degree or related Risk Management experience
3-5 years of Medicare, Medicaid, and/or legislative/regulatory experience, knowledge in regulations governing health care industries
Prior demonstrated experience in leading complex, cross-functional initiatives to improve business results (minimal 3-5 years)
Possess a solid understanding of operations, technology, communications, and processes
Demonstrated strong background in problem-solving and analytical skills
Professional image and excellent communication skills, both oral and written
Acute attention to detail and demonstrated ability to handle deadline-driven situations
Comprehensive knowledge of all Microsoft Office applications, and proficiency with Excel, Visio, PowerPoint, Word tools


Preferred Qualifications


Master's Degree in Business Administration or other applicable graduate degree
Understanding of Corporate Policies & Procedures
Experience with Enterprise Solution Point (ESP)
PMP or Six Sigma Certification


Additional Information

This position is open to working remote

Scheduled Weekly Hours

40

Company info

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