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Compliance Manager

Date: 
Brand:  EyeMed Vision Care
Location: 

Mason, OH, US, 45040

Requisition ID: 216083 
Position:Full-Time

 

There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same.  And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

 

Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear.  In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands.  Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, Target Optical and Sears Optical.

 

If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.

GENERAL FUNCTION

The Manager- Compliance (Programs) is responsible for monitoring and driving compliance oversight for the organization. This includes operational processes and programs to ensure compliance with Medicare Advantage (MA) regulatory requirements. The Manager leads all monitoring initiatives within the company and is charged with incorporating innovative means to utilize contractual client audit requirements. The Manager collaborates with the compliance team and compliance business partners to develop, implement, and maintain ongoing monitoring processes. The Manager is also responsible for reporting and communication of monitoring results. The Manager collaborates with business owners and/or delegated vendors to drive remediation as necessary, and assists downstream entities through oversight and monitoring in meeting its MA Client’s program requirements.

 

MAJOR DUTIES AND RESPONSIBILITIES

  • Identifies potential areas of compliance vulnerability/risk, develops/implements corrective action plans, and provides guidance on how to avoid recurrence of issues in the future
  • Reviews and evaluates the status and effectiveness of corrective action plans, identifies trends, and provides follow-up to the Compliance Officer, Senior Management and key stakeholders. Leads internal monitoring processes for EyeMed, including incorporating ongoing client audits as an internal monitoring tool
  • Receives and reviews self-monitoring results from the key operational areas and downstream entities to assure compliance with regulatory requirements
  • Evaluates the effectiveness of downstream entity compliance programs and related policies and procedures
  • Prepares accurate and timely reports on oversight/monitoring findings and recommendations, including supporting documents
  • Assists in the assessment of new and amended MA Client contracts and requirements for monitoring purposes
  • Collaborates with other departments and/or delegated subcontractors to direct compliance issues to appropriate channels for research and resolution
  • Oversees the development, maintenance, and revision of policies and procedures manual for the organization.
  • Updates annual compliance training materials and leads efforts to influence a culture of compliance

 

BASIC QUALIFICATIONS

  • Bachelor's Degree in related field or equivalent work experience
  • 5+ years of compliance monitoring and oversight experience
  • 2+ years of experience in project oversight and management role with ability to drive implementation of multiple and influence internal and external constituents
  • Understanding of the regulatory framework within which the company operates
  • Demonstrated organizational, analytical, and time management skills.
  • Ability to build partnerships and good working relationships
  • Demonstrated ability to deal with confidential information
  • Ability to effectively present information and respond to questions
  • Ability to prioritize and meet deadlines
  • Experience with Microsoft Office (Outlook, Word, PowerPoint, Excel, Access)

 

PREFERRED QUALIFICATIONS

  • Experience in the Medicare Advantage and/or Medicaid Compliance industry
  • Experience in performing effective monitoring and oversight within an MA organization
  • Regulatory or legal training / experience
  • Knowledge of CMS regulations
  • Certification in Healthcare Compliance (CHC)
  • Intermediate-level with Microsoft Project

Upon request and consistent with applicable laws, Luxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process.  To request a reasonable accommodation, please call the Luxottica Ethics Compliance Hotline at 1-888-887-3348 or e-mail HRCompliance@luxotticaretail.com (be sure to provide your name and contact information for either option so that we may follow up in a timely manner). 

We are an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law.  Native Americans receive preference in accordance with Tribal Law.


Nearest Major Market: Cincinnati

Job Segment: Manager, Medicare, Medicaid, Management, Healthcare