Delegated Oversight Manager (Hybrid)

Resp & Qualifications PURPOSE: This role manages vendor and vendor compliance programs, including program integrity for the Government Programs division. Ensures plan is in compliance with government contract and regulations. Conducts risk assessments, internal and external audits and investigations. Reviews the vendor compliance program and program integrity program for CMS, state regulatory bodies and delegated vendors. ESSENTIAL FUNCTIONS: Ensures compliance with policies and procedures and governmental/accreditation regulations for Medicaid and Medicare Advantage Vendors. Assist with conducting investigations of compliance violations. Responsible for managing the day to day governance process around contracting and reporting on vendor performance metrics and issue resolution. Assist with the development of compliance policies impacting vendors for review and approval by leadership and ensure regular policy review and consistency with contractual and regulatory requirements as well as corporate standards for Medicaid and Medicare Advantage vendors. Significantly involved in the Vendor Management Committee process including meeting elements as well as identification and escalation of critical vendor issues. Ensures timely completion of risk assessments and related activities for Medicaid and Medicare Advantage vendors as well as identifying potential areas of compliance. privacy vulnerability and risks. Recommends and supports the drafting of policies/procedures for the resolution of compliance/privacy, legal, and information security issues and escalates as appropriate. Works with business owners, Legal, TPMR, Information Security and Compliance to ensure that compliance/privacy guidance and education programs for vendors as appropriate have been developed. Support participation in these trainings as appropriate. </