Share this Job

Manager Compliance Audit EyeMed

Date: May 22, 2019

Location: Mason, OH, US, 45040

Company: Luxottica Group

Requisition ID: 97762 
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 (Auditing) serves as the EyeMed Compliance team point person for client audits and Subject Matter Expert (SME) for CMS audit rules and processes that drive client audits. The Manager is the single-point of intake for client audit notifications; audit deliverable requests and progress updates; resulting corrective action communication; and the final audit closure notification and resulting processes. The Manager supports the EyeMed compliance business partners as a resource for all audit process questions, including the applicable CMS audit protocols; audit logistics; timelines; research/analysis/interpretation of regulatory guidance; subjective CMS expectations; and best practices for performing in an audit from the time of the audit notice to the audit closure. The Manager communicates the results of each audit to the Compliance Officer and tracks the receipt of Corrective Action Plans (CAPs) and progress made in closing them.

 

MAJOR DUTIES AND RESPONSIBILITIES

  • Serves as the Compliance point person and SME for EyeMed client audits, including MA clients.
  • Leads client audits through audit intake, tracking, and closure of all MA Client audits, including communicating progress updates; resulting corrective action communication; and the final audit closure notification and resulting processes to the Compliance Officer
  • Provides impactful guidance and expertise on the audit process, related rules and expectations, logistics and CMS audit protocols to the operational areas undergoing the audit.
  • Prepares accurate and timely formal written reports for the Compliance Officer on audit progress and outcomes, including findings and observations and any resulting Corrective Action Plans.
  • Oversees tracking of CAP progress and closure, and forwards to Compliance Programs team for monitoring and ongoing oversight.
  • Identifies and communicates potential/actual trends and outliers audit results.

 

BASIC QUALIFICATIONS

  • Bachelor's Degree in a related field
  • 5+ years of experience in the Compliance industry, specifically MA compliance (i.e. Plan, vendor, consulting)
  • 2+ years of experience in regulatory auditing
  • Experience in project oversight with demonstrated ability to drive implementation and influence others
  • Proven experience in auditing MA operational processes
  • Strong knowledge of the CMS Audit Protocols and the applicable CMS regulations
  • Analytical approach to process review and results
  • Ability to effectively communicate and present information and respond to questions from peers and management
  • Ability to influence internal and external constituents
  • Collaborative workstyle with the ability to build partnerships, teamwork and good working relationships
  • Demonstrated project management skills and ability to drive multiple audits at a time
  • Ability to work in a fast paced environment with changing priorities
  • Self-motivated, results-oriented, practical learning skills
  • Intermediate-level experience with Microsoft Office Products (Outlook, Word, PowerPoint, Excel, Access)

 

PREFERRED QUALIFICATIONS 

  • Certification in Healthcare Compliance (HCCA)
  • Intermediate-level experience 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 contact Talent Luxottica at  877-589-8253 (513-765-2256 outside of US) or email TalentLuxottica@luxotticaretail.com

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, religion, age, disability, sexual orientation, gender identity or expression, citizenship, 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.

Human Resources  

 


Nearest Major Market: Cincinnati

Job Segment: Manager, Management