Harrisburg, PA

Clinical Compliance Consultant

 

Capital BlueCross seeks a Clinical Compliance Consultant to carry out regulatory

compliance activities  as they relate to State/Federal regulations; maintain regulatory

compliance, including assessment/identification of areas requiring modification to

comply with laws/regulations; implement ongoing audit/monitoring program for

clinical management operational areas; and assure regulatory compliance and

 

positive audit/survey outcomes.

 

Requires a Bachelor’s Degree and ability to quickly acquire knowledge of

new and revised regulatory requirements/ issues and application to operational

activities.  Strongly prefer an RN with previous work experience in Medicare

and/or State regulatory compliance; Health Insurance experience; and good

analytical/research skills.

 

EOE/AA. Excellent compensation and benefits offered.

 

Email resume to: human.resources@capbluecross.com

 

Capital BlueCross

Staffing

Harrisburg, PA 17177-2211

 

www.capbluecross.com