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Duke University Health System

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Dir Compliance, Federal Prgms
.JOB SUMMARY: Responsible for overseeing all ongoing compliance activities related to the development, implementation, maintenance of, and adherence to Community Health Choice (Community) policies and procedures covering Medicare Advantage, Medicare-Medicaid Plan (MMP) and Dual Eligible Special Needs Plans (D-SNPs) and Health Insurance Marketplace plans. Organizes, directs and ensures the compliance of Medicare Advantage, MMP, D- SNP and Health Insurance Marketplace plans and plan managed care programs with all applicable State and Federal Regulatory bodies.MINIMUM QUALIFICATIONS:Education/Specialized Training/Licensure: BA/BS degree requiredCertific


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