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PIH Health
Whittier, California
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UNC Health
Holly Springs, North Carolina
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Compliance Manager, MAPD Audit
DescriptionAs the Medicare Advantage Compliance Audit Manager, you will
lead and oversee risk-based audits and compliance initiatives for our Medicare
Advantage (Part C) and Prescription Drug (Part D) programs ("MAPD"). This role
will focus on ensuring our MAPD programs comply with CMS and DMHC regulations
while driving best practices for audit management and operational excellence.
You will: Plan, develop, and manage compliance risk-based audits,
mock audits, and external audit coordination related to MAPD programs.Lead and
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