Job Postings:   Updated 7/29/15

 

Compliance Specialist and Auditor

  • Job Location: Menasha
  • Organization’s name: Network Health
  • Organization’s Address: 1570 Midway Place
  • Contact person’s name: Jackie Rosen
  • Contact person’s phone number: 920-720-1723
  • Contact person’s email address: jrosen@networkhealth.com
  • Organization’s Website: www.networkhealth.com
  • Salary Range (optional):
  • Job Description:  Network Health’s success is rooted in its mission to enhance the life, health and wellness of the people we serve. It drives the decisions we make, including the people we choose to join our growing team.  Network Health is seeking a Compliance Specialist and Auditor. The Compliance Specialist and Auditor will assist the Compliance Officer with updating, enhancing and administering all aspects of the Compliance and Integrity Program. The incumbent will provide auditing and review assistance for all aspects of operations and compliance initiatives, and will assist in improving the internal control environment at Network Health. The Compliance Specialist and Auditor will further be responsible for the identification of risk areas and the interpretation and implementation of contract requirements to ensure compliance with applicable laws and regulations. The Compliance Specialist and Auditor will report findings, recommend improvements and corrective actions.  For additional information regarding the position, please visit Network Health’s career link at www.networkhealth.com.

 

  • Interested applicants should apply by submitting an application online through the career’s link at Network Health’s website; www.networkhealth.com
Job Posted: 7/29/15

 

Director of Compliance and Internal Audit

  • Job Location:  Madison
  • Organization’s name: Dean Health Plan
  • Organization’s Address: 1277 Deming Way, Madison WI
  • Contact person’s name: Jennifer Nichols
  • Contact person’s phone number: 608-824-6995
  • Contact person’s email address: Jennifer.Nichols@deancare.com
  • Organization’s Website: http://www.deancare.com/
  • Salary Range (optional):
  • Job Description:  The Director of Compliance and Internal Audit is responsible for ensuring Dean Health Plan’s compliance with state and federal regulatory requirements (e.g. Wisconsin insurance law, federal health care reform, HIPAA privacy and security requirements, and Medicare managed care requirements). Duties include: interpreting regulations and identifying compliance requirements, assessing risks and recommending compliant solutions that support business goals; supporting workforce education about compliance requirements; assisting with benefit interpretation; and drafting policy language to reflect compliance and business-driven changes.  The Director of Compliance and Internal Audit will also oversee the audit staff in the performance of financial, operational, IT and security audits and overseeing the coordination of all regulatory and contractual audits.  The Director oversees monitoring of Internal Controls over Financial Reporting (ICFR) through the ongoing development of Model Audit Rule (MAR) culture and sustainability structure.  The Director is responsible for all aspects of each audit from administration and project management to monitoring and periodically reporting progress, which includes management of the planning, execution and review of audits to ensure appropriate scope, level of testing, risk identification, findings and recommendations.
  • Interested applicants should apply by:  Apply on line using the following job code and link:

https://ssmhc.taleo.net/careersection/2/jobsearch.ftl?lang=en&portal=101430233

Job Code: 15009261 (Enter in “Requisition ID” field)

 Job Posted: 7/21/15

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