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Job Title:  

Policy and Compliance Manager (State Based Exchange)

Job Requisition ID:

JR0000000935

Number of Openings:

1

Shift:

Day (United States of America)

Compensation Details:

$75,000.00

Job Description:

Under limited supervision, the Policy and Compliance Manager establish reporting processes and procedures, develops mandated federal/state reports and collects and distributes data to ensure compliance with federal and state audits for Georgia's State Based Exchange.

Reviews and drafts commentary on annual updates to federal guidelines in the Notice of Benefit and Payment Parameters (NBPP) to reflect Georgia Access positions on regulatory guidance; with support from other Georgia Access business units.

Reviews and submits reports (e.g., the State-based Marketplace Annual Reporting Tool, an Oversight and Monitoring Plan, Programmatic and Financial Audits, and Annual Financial Statements) to CMS and serve as the main point of contact for federal reporting matters.

Implements processes for data collection, analysis and report presentation to track program compliance with health insurance marketplace regulations and internal KPIs.

Coordinates with departmental staff reviews of federal/state legislation and regulation.

Coordinates new and updated rollout requirements for the Exchange.

Assists in the development of policies and procedures for assigned area.

Supervises subordinate staff.

Ensures the appropriate dissemination and communication of all pertinent regulations, policies, and guidelines.

Performs investigations, accountability audits, and other such duties related to alleged violations of all applicable statutes, standards, rules, and regulations.

Performs other duties assigned.

Minimum Qualifications:

Master's degree in a related field from an accredited college or university AND One year of management experience in the area of assignment OR Bachelor's degree in a related field from an accredited college or university AND Two years of management experience in the area of assignment OR Six years of experience in the area of assignment, Three years of which in a management role OR One year of experience required at the lower level Mgr, Regulatory Compliance (RCM050) or position equivalent.

Equal Employment Opportunity Employer

The State of Georgia does not discriminate based on race, color, national origin, sex, religion, age, disability, or other protected categories in employment or the provision of services.
Qualified applicants may request reasonable accommodation when needed during the application and/or screening process by contacting the appropriate agency Human Resources department.