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At MTM, we are not just colleagues; we are collaborators on a shared mission;communities without barriers. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and growth. If you are passionate, driven, and ready to join a team where your work will directly transform and shape our industry, then we want to talk to you!What will your job look like?The Compliance Coordinator plays a vital role in ensuring MTMs overall contractual compliance by partnering with various departments throughout the organization to develop and implement long-term compliance solutions. A Compliance Coordinator is responsible for monitoring potential Fraud, Waste, and Abuse (FWA) by performing investigations, facilitating member appeals and transportation provider appeals, and overseeing the performance improvement plan (PIP) process for transportation providers. The Compliance Coordinator also actsas a liaison and provides support to auditors as they review operational processes, policies and procedures, and contract management functions. The Compliance Coordinator will help oversee Quality Improvement Plans, audits, provider assessment reviews, and assesses liquidated damages.Location:16 Hawk Ridge CircleLake St. Louis, MO 63367This role will be hybrid. 2 days in office and 3 days work from home.What youll do:
Create contractual compliance monitoring tools and matrixes to ensure compliance metrics are sustained, follow best practices, and ensure all validation and quality requirements are met and documented
Utilize large datasets to identify potential compliance deficiencies and monitor and maintain audits to reduce or define deficiencies
Develop project plans, tracking and trending mechanisms to correct any identified deficiencies as well as identify focus areas for improvement to strengthen MTMs Compliance Program
Investigate and provide determinations to all member appeals and State Fair Hearing requests in accordance with contractual obligations using MTM and client protocols
Read, comprehend, and apply contract document requirements, including application of contract verbiage and requirements for the operational processes of the organization
Ownership and creation of PIPs for transportation providers by monitoring the dissemination of PIPs to transportation providers, including the progress made by transportation providers while actively on PIPs
Facilitate internal audits including, conduct process reviews, conduct transportation provider focus audits, and document and report audit findings
Own quality improvement plans and monitor progress to ensure compliance is achieved
Assist auditors with external audits by providing support with audit tool completion, sample documentation compilation, and attending on site audits as needed
Communicate information to Quality and Compliance Committee, Department heads and Executive Leadership; present findings as necessary to Leadership and external stakeholders
Compile records, reports, investigation results, and audit findings as requested for external clients and state entities
Monitor operational SLAs for Executive Leadership Team and identify risks for consideration
Manage net promoter scores and satisfaction surveys for internal and external clients
Provide recommendations for systematic internal controls and process changes to ensure ongoing compliance for corrected deficiencies; includes assisting in implementation of remediation to address compliance concerns
Proactively identify, prevent, and report potential FWA to Leadership and external clients, make determinations for cases involving fraud, appeals, denials and LDs, and make recommendations for improvement based on findings
Facilitate the pre-assessment and liquidated damage process by investigating an making determinations to pre-assessment review requests and liquidated damage appeals using contractual documents to determine accuracy
Manage and/or assist with other internal and external special projects and tasks as needed
Collaborate with other departments and provide education of protocols, processes and procedures
Act as back-up to co-workers as required and cross-train in all department functions
What youll need:Experience, Education and Certifications:
High School Diploma or G.E.D.
Bachelors Degree or equivalent relevant experience
Experience managing multiple priorities and initiatives with stringent deadlines
Skills:
Detail-oriented, thorough, and systematic/methodical approach to projects
Strong analytical and problem-solving skills
Strong project management and organizational skills
Strong communication skills
Basic to intermediate understanding of data base/system concepts and/or design
Ability to complete basic to intermediate data analysis and trending
Ability to multi-task, set priorities, meet deadlines, and work well under pressure and in a fast-paced environment
Proficient in Microsoft applications (Word, Excel, Outlook, PowerPoint and SharePoint)
Ability to maintain high level of confidentiality
Regular attendance is required
Even better if you have
Previous experience in contract compliance and/or operational auditing role preferred
Basic understanding of SQL and/or XML preferred
Whats in it for you:
Health and Life Insurance Plans
Dental and Vision Plans
401(k) with a company match
Paid Time Off and Holiday Pay
Maternity/Paternity Leave
Casual Dress Environment
Tuition Reimbursement
MTM Perks Discount Program
Leadership Mentoring Opportunities
Salary: $52,000This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual skills, experience, and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more, you are welcome to discuss this with us as you move through the selection process.Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact MTMs People and Culture.#MTMEqual Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity
