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Title

Compliance and Regulatory Specialist 

Description

Dominion National, a rapidly growing and leading provider of dental and vision benefits has an exciting opportunity for an experienced Compliance and Regulatory Specialist.

The Compliance and Regulatory Specialist is responsible for performing compliance and regulatory related activities in support of various dental business lines, including Medicare Advantage and Qualified Health Plans. Work involves assisting with the developing, implementing and monitoring of the Compliance Program, as well as preparing, monitoring, and submitting regulatory filings. The ideal candidate should have excellent analytical skills and be detail oriented.

Essential functions include but are not limited to:

  • Prepares and coordinates the submission of compliance reports to alliance partners.
  • Performs periodic provider, vendor and enrollee exclusion screening processes pursuant to Dominion procedures and applicable regulations.
  • Organizes, tracks and resolves compliance matters as they arise.
  • Oversees the timely and adequate investigation of compliance incidents and referrals.
  • Tracks the timely review of compliance policies, procedures and standards of conduct.
  • Coordinates the annual conflict of interest disclosures and certification process.
  • Prepares, coordinates and monitors the submission of regulatory filings.
  • Coordinates and tracks completion of training by employees and contractors.
  • Reviews and summarizes regulatory filing requirements.
  • Performs other duties as assigned.
 
Position Requirements

The minimum qualifications for the ideal candidate include:

  • High school diploma or equivalent required. Bachelor’s degree in Healthcare or a closely related field preferred.
  • 2 – 4 years’ experience with compliance and regulatory issues.
  • Knowledge of dental operations and related business practices, familiarity with government healthcare programs (Medicare, Medicaid, PPACA, CHIP),
  • Detailed working knowledge of compliance program structure, requirements and procedures.
  • Excellent communication skills, both verbal and written, to include formal presentations.
  • Proven ability to interact, work and communicate effectively with individuals at various levels.
  • Proven leadership skills, to include self-management, conviction, and example setting.
  • Ability to adjust to changing job requirements and priorities in order to meet dynamic needs and workflow.
  • Ability to handle privileged, confidential and highly sensitive matters and to maintain discretion at all times.
  • Ability to perform tasks independently and to know when to inform and/or to request input from direct supervisor.
 
About the Organization With our service area expansion from the Mid-Atlantic region to a national program and our membership increase to over 900,000 members, we've grown to over 200 employees and are looking for talented individuals to join our mission to be the easiest benefits company to work with on your path to wellness. At Dominion, you will enjoy our state-of-the-art headquarters, robust learning and development opportunities, vibrant location and diverse, fun work environment.

We offer a competitive salary and excellent benefits to include medical, dental, 401(k) company match, commuter benefits, paid time off and paid holidays. We are conveniently based in the heart of Crystal City (Arlington, VA) with the Crystal City Metro stop and Crystal City Shops directly under the building for easy access to transportation, restaurants, banks, drug stores, salons, doctors' offices, the post office and much more!

 
EOE Statement Dominion National USA, Inc. is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Open Date 11/1/2022  
Location Dominion Dental USA - Remote  
Work Location Remote  

This position is currently not accepting applications.

To search for an open position, please go to http://DominionDentalUSAInc.appone.com



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