Compliance & Risk Manager, University Health Service
Rochester, New York
Employer: University of Rochester
Industry: Facilities Support
Salary: $75650 - $113464 per year
Job type: Full-Time
Opening
Full Time 40 hours Range URG 113 University Health Service
Schedule
8 AM-5 PM
Responsibilities
GENERAL PURPOSE:
With general oversight from the Director, the Compliance & Risk Manager is responsible for ensuring end to end regulatory compliance for the Student Health Insurance Plan as governed by NY state insurance law including but not limited to plan requirements, vendor selection, plan marketing, eligibility, and accounting practices. This position is also responsible for risk assessment related to vendor contracts, negotiation, and plan design. UHS undergoes an annual form and premium rate filing, in addition to periodic comprehensive examinations by the NYS Dept. of Financial Services, both of which will be led by the Compliance & Risk Manager to ensure all requirements are met. In addition, they will play a critical role in developing and implementing programs, policies, and practices to ensure that University Health Service programs remain in compliance with organizational, accreditation, and governmental standards. Acts as the UHS Privacy Officer.
RESPONSIBILITIES:
Student Health Insurance Plan (SHIP) Compliance & Risk Management
Leads/participates in other projects and assignments in support of maintaining compliance and risk mitigation for UHS and SHIP.
QUALIFICATIONS:
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Pay Range
Pay Range: $75,650 - $113,464 Annually
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Full Time 40 hours Range URG 113 University Health Service
Schedule
8 AM-5 PM
Responsibilities
GENERAL PURPOSE:
With general oversight from the Director, the Compliance & Risk Manager is responsible for ensuring end to end regulatory compliance for the Student Health Insurance Plan as governed by NY state insurance law including but not limited to plan requirements, vendor selection, plan marketing, eligibility, and accounting practices. This position is also responsible for risk assessment related to vendor contracts, negotiation, and plan design. UHS undergoes an annual form and premium rate filing, in addition to periodic comprehensive examinations by the NYS Dept. of Financial Services, both of which will be led by the Compliance & Risk Manager to ensure all requirements are met. In addition, they will play a critical role in developing and implementing programs, policies, and practices to ensure that University Health Service programs remain in compliance with organizational, accreditation, and governmental standards. Acts as the UHS Privacy Officer.
RESPONSIBILITIES:
Student Health Insurance Plan (SHIP) Compliance & Risk Management
- As the subject matter expert on federal and New York State insurance law, leads compliance and risk management efforts for the SHIP.
- Supports strategy development for student benefit design by ensuring that a high quality, affordable health insurance plan is available for UR students by reviewing information from DFS, Aetna, our actuary, our accountant and our auditor and make recommendations on how to best respond to and adjust the plan.
- Manages, maintains, and monitors all documents, processes and strategies associated with adherence to insurance laws.
- Assists the Director in developing vendor standards and practices, procurement processes, and contract standards and then monitors those standards.
- Ensures regulatory compliance in vendor selection, plan marketing, student/dependent eligibility and accounting practices.
- Manages and leads compliance efforts for 23NYCRR500 (cyber security)
- Monitors risk assessment data, identifies key risks, and leads the development of mitigation action plans.
- Leads the required annual form filing and periodic audits and examinations to ensure satisfactory results.
- Prepares NYS DFS required reports, query responses, document submission and audits.
- Maintains process and procedures relating to request from DFS
- Responsible for monitoring recommendations and tracking improvements.
- Leads compliance and risk management efforts for UHS clinical programs of primary care, counseling, and occupational health.
- Manages, maintains, and monitors all documents, processes and strategies associated with adherence to applicable federal and state laws, and medical billing rules.
- Ensures compliance with coding and billing for services provided, including educating providers and staff.
- Acts as Privacy Officer for UHS - Responsible for the privacy of protected health information through ongoing activities consisting of development, implementation, maintenance of and adherence to University of Rochester policies and procedures in compliance with federal and state laws
- Leads efforts to ensure continuous compliance with accreditation standards of the Accreditation Association for Ambulatory Health Care (AAAMC).
- Acts as project lead for accreditation renewals.
Leads/participates in other projects and assignments in support of maintaining compliance and risk mitigation for UHS and SHIP.
QUALIFICATIONS:
- Bachelor's degree required
- or equivalent combination of education and experience preferred
- Master's degree preferred
- 8 years of relevant experience required
- or equivalent combination of education and experience required
- Knowledge of information security risk management frameworks and compliance practices required
- Strong interpersonal communication skills, presentation skills, including written communication required
- Exceptional oral and written communication skills to be used with all levels of management, across multiple departments, and both internally and externally, with an ability to express information security concepts in simplified terms required
- Operate with a high degree of independence with regard to project management activities, including development of project plans, customer meetings and audit sessions required
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Pay Range
Pay Range: $75,650 - $113,464 Annually
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Created: 2024-05-17
Reference: 252945
Country: United States
State: New York
City: Rochester
ZIP: 14608
Similar jobs:
-
Health and Human Services Senior Project Manager (Senior Project Manager Level 1), Humanitarian Emergency Response and Relief Center (HERRC) *Temporary/Grant Funded*
NYC Health Hospitals in New York, New York -
Psych Nurse Practitioner (PC), Correctional Health Services, (8a-4:30p), GRVC
NYC Health Hospitals in New York, New York -
Mental Health Treatment Aide, Correctional Health Service *GRVC*
Pagny in Flushing, New York💸 $54112.50 per year -
Physician Assistant, Correctional Health Services (Per-Diem) *CDU-WF*
Pagny in Flushing, New York💸 $72.10 - $77.25 per hour -
Patient Care Associate-Behavioral Health Services
NYC Health Hospitals in New York, New York -
ED Clinical Engagement Manager (Associate Director Mental Health Services), IPA Project Operations *Grant Funded*
NYC Health Hospitals in New York, New York -
Medspan Health Educator (Community Liaison Worker L IV), Correctional Health Services (8a-4p)
NYC Health Hospitals in New York, New York -
Senior Psychiatrist (Dir of Service (AS)), Correctional Health Services, (8am-4pm), GRVC
NYC Health Hospitals in New York, New York -
Clerical Associate - L III - Occupational Health Services
NYC Health Hospitals in New York, New York -
Nurse Practitioner (PC/BH), Correctional Health Services
NYC Health Hospitals in New York, New York -
Nurse Practitioner (BH), Correctional Health Services, (8a-4:30p), EMTC
NYC Health Hospitals in New York, New York -
Physician Assistant, Correctional Health Services *Float*
Pagny in Flushing, New York💸 $122011.50 per year -
Medical Director (Dir of Service (AS)), Correctional Health Services, Trailer 1
NYC Health Hospitals in New York, New York -
Per Diem FPECC Forensic Examiner – Psychiatrist, Correctional Health Services (FPECC - BK)
Pagny in New York, New York💸 $200 per hour -
Staff Nurse-Behavioral Health and Behavioral Health Emergency Services
NYC Health Hospitals in New York, New York -
Per Diem FPECC Forensic Examiner – Psychologist, Correctional Health Service (FPECC - BK)
Pagny in Flushing, New York💸 $200 per hour -
Psychiatrist, Correctional Health Service *Evening Tour* GRVC
Pagny in Flushing, New York -
Part -Time Mental Health Clinician, Correctional Health Services (EMTC)
Pagny in Flushing, New York💸 $46.79 per hour -
Supervising Psychiatrist (Director of Service), Correctional Health Services, RMSC
NYC Health Hospitals in New York, New York -
Medical Assistant, Health Services
University at Buffalo in Buffalo, New York💸 $38073 per year