AIDS Healthcare Foundation

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Health Plan Contract Compliance Manager

Health Plan Contract Compliance Manager

Req No 
2017-7141
Job Locations 
US-FL-Fort Lauderdale
Category 
Managed Care
Type 
Regular Full-Time

More information about this job

WHO WE ARE

PHP is a Medicare Advantage Prescription Drug health plan specifically for Medicare beneficiaries who are living with HIV and reside in Duval, Broward and Miami-Dade Counties.
PHP is the first HIV-specific special needs health plan approved by the Centers for Medicare & Medicaid Services (CMS). This plan covers routine doctor and specialist office visits, emergency and urgent care, hospitalization, and more. It also includes a prescription drug benefit for no monthly premium.
 
PHC Florida
PHC Florida is a Medicaid managed care plan designed specifically for HIV-positive individuals who are eligible for Medicaid and live in Broward, Miami-Dade and Monroe Counties.  PHC Florida is a Managed Medical Assitance (MMA) plan offered through Florida’s statewide Medicaid Managed Care Program

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!

 

Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

 

If so, AIDS Healthcare Foundation is the place for you!

 

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

  

AHF’s core values are:

 

• Patient-Centered

• Value Employees

• Respect for Diversity

• Nimble

• Fight for What’s Right

 

STILL INTERESTED? Please continue!

 

BENEFITS AT AHF
AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual, and professional health.

YOUR CONTRIBUTION TO OUR SUCCESS!

The Contract Compliance Manager is a key leader in AHF’s Managed Care Division and health plans, PHP and PHC.  This leadership position helps the health plans remain complaint with its regulatory contracts and serves as the principal liaison between the health plan and the federal and/or state regulator.  By building a stronger relationship between the plan and regulator, the Contract Compliance Manager positions the health plans to grow and retain membership.

 

The Contract Compliance Manager also serves as a project manager.  This position works with health plan directors and executives to respond to various requests from our regulators, including financial reports, operations reports, statutory requirements, and contract submission requirements.   

 

The Contract Compliance Manager helps each health pan department meet its contracted obligations by working with them to communicate and interpret contract terms and statutory requirements.  This is accomplished by ongoing meetings, reports, monitoring, action plans, and contract updates.   

 

 

We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.