Health Plan Contract Admin (Hybrid in Troy, MI) - Health Alliance Plan

EDUCATION/EXPERIENCE REQUIRED:

• Bachelor's degree in Business Administration, Health Administration, Public Health/Public Policy, Public Planning, Law, or other degree with relevant work experience in the healthcare industry.
• Related and relevant experience or a demonstrated ability to perform the duties of the position may be considered in lieu of academic requirements. Related experience is defined as six (6) years of experience in compliance or insurance/health plan industry.
• Master's degree preferred.
• Three (3) years of experience in insurance/health plan industry, including:
  • Experience in health plan compliance.
  • Experience with ACA, Medicare Advantage Part D and Medicaid compliance regulations.
  • Certification or designation in Health care compliance or Managed Care a plus.
  • Working knowledge of corporate compliance policies.
• Two (2) years of experience in project management/coordination and ability to implement corporate-wide projects and initiatives of a highly complex nature.
• One (1) year of experience in leading staff in projects or supervisory/management position preferred.
• Prior compliance issue investigation and/or compliance or internal auditing experience.

• Organization: HAP (Health Alliance Plan)
• Department: Compliance & Legal Affairs
• Shift: Day Job
• Union Code: Not Applicable