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Compliance Coordinator (MA)

MTM Boston, MA
  • Expired: 16 days ago. Applications are no longer accepted.
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From entry level customer service positions, to challenging technology and leadership roles, MTM offers a wealth of employment opportunities. Our corporate culture promotes healthy living, excellent work-home life balance, and strategic career advancement opportunities in a rewarding work environment where you will make a positive impact in your community and beyond. In particular, MTM is committed to providing physical activity and wellness opportunities for our employees, and we have been recognized as a Gold Level Recipient of the American Heart Association’s Fit-Friendly Worksites Recognition program. As an employer, MTM offers excellent benefits and welcomes diversity; we are an affirmative action and equal opportunity employer. We invite you to apply for any of our open positions and look forward to providing you an opportunity to develop your career as a member of our team. If you can't find what you are looking for, please check out our affiliate Ride Right for more opportunities. 

MTM, Inc. continues to grow and we are seeking a Compliance Coordinator!

MTM, Inc. is a healthcare services and transportation management company whose mission is to develop innovative solutions for accessing healthcare, increasing independence, and connecting community resources. MTM is made up of people who share a passion for making a positive impact. Our culture promotes healthy living, excellent work/life balance, and career advancement opportunities. MTM is a fun place to work, where individuality is encouraged and hard work is rewarded.

The Compliance Coordinator plays a vital role in ensuring MTM’s overall contractual compliance; partnering with various departments throughout the organization to develop and implement long-term compliance solutions, including a close relationship with our Audit and review team.  Compliance is monitored through potential Fraud, Waste, and Abuse (FWA) investigations, facilitates member and liquidated damage appeals, and oversees the performance improvement plan (PIP) process for transportation providers.  The Compliance Coordinator will also act as a liaison to external auditors as they review operational processes, policies and procedures, and contract management functions.

This position is located at our office in Boston, MA.

Responsibilities:

  • Read and comprehend contract documents
  • Gain an in-depth understanding of how contract verbiage and requirements should be applied to the operational processes of the organization
  • Create contractual compliance monitoring tools and matrixes
  • Utilize large datasets to identify potential compliance deficiencies
  • Document and report audit findings
  • Communicate and/or present audit findings to various stakeholders
  • Develop project plans and tracking mechanisms to correct any identified deficiencies
  • Provide recommendations for systematic internal controls and process changes to ensure ongoing compliance for corrected deficiencies
  • Proactively identify, prevent, and report potential FWA; trend FWA to strengthen MTM’s FWA prevention program
  • Develop and/or utilize FWA tracking tools for reporting purposes, compiling investigation results and to conduct transportation provider focus audits
  • Investigate and provide determinations to all member appeals and State Fair Hearing requests in accordance with contractual obligations using MTM and client protocols
  • Facilitate the pre-assessment and liquidated damage process by investigating and responding to pre-assessment review requests and liquidated damage appeals using contractual documents to determine their accuracy
  • Trend all liquidated damage and member appeals to identify focus areas for improvement
  • Write transportation provider PIPs using focus audit results and contractual documentation, and distribute them to pertinent MTM representatives
  • Oversee PIP process for transportation providers by monitoring the dissemination of PIPs to transportation providers and the progress made by transportation providers while actively on PIPs
  • Complete follow-up audits to ensure deficiencies have been corrected
  • Assist with other internal projects and tasks as needed
  • Act as back-up to co-workers as required
  • Detail-oriented, thorough, and systematic/methodical approach to projects
  • Strong analytical and problem-solving skills
  • Strong project management and organizational skills
  • Strong verbal and written 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, Access)
  • Occasional travel to client meetings or MTM field locations may be required
  • Ability to maintain high level of confidentiality
  • Regular attendance is required

Competency Based Qualifications:

  • The ability to retain knowledge of various governmental and company requirements for transportation providers and their supporting staff
  • Maintain confidentiality and professionalism during all Client, Provider, and Company interactions
  • Ability to identify and respond to customer needs and circumstances
  • Ability to make educated decisions
  • Ability to acquire and maintain in-depth knowledge of department process and procedures
  • Exemplary communications skills
  • Excellent interpersonal skills
  • Problem solving skills
  • Ability to schedule, organize and prioritize multiple tasks
  • Moderate to advanced computer skills
  • Ability to maintain high level of confidentiality
  • Regular attendance is required

Minimum Qualifications:

  • High School Diploma or G.E.D
  • Bachelor’s Degree or equivalent relevant experience
  • Typing speed of 30 WPM
  • Knowledge of Microsoft systems such as Outlook, Excel, Word
  • Data analysis and interpretation skills
  • Previous experience in contract compliance and/or operational auditing role preferred
  • Basic understanding of SQL and/or XML preferred
  • Knowledge of managed care and Quality Assurance systems and processes preferred

What’s in it for you?

  • Paid vacation
  • Holiday Pay
  • Health and Life Insurance Plans
  • Dental and Vision Plans
  • 401(k)
  • Onsite Gym
  • Wellness Screenings
  • Birthday Holiday
  • Training Development
  • Casual Dress Environment
  • Scholarship Program
  • Healthy Market
  • Free Coffee

*These benefits may not be available at all locations

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 People & Culture at (636) 561-5686 or talent@mtm-inc.net.

MTM

Why Work Here?

One of the nation's most experienced non-emergency medical transportation management (NEMT) broker

As one of the nation’s most experienced non-emergency medical transportation management (NEMT) brokers, MTM remains firmly committed to creating communities without barriers! Initially established to manage NEMT, MTM has worked collaboratively with clients to create customized solutions, including a wide array of healthcare and public transit services to help align incentives, reduce costs, and increase member and passenger satisfaction. With over 2,000 employees nationwide, MTM operates in 31 states and has scheduled over 14 million trips for 8 million members and handled another 8 million calls per year. Headquartered in St. Louis, Missouri, MTM leverages its core competencies in managing customer service operations and building provider networks. MTM’s clients include state and county governments, Medicaid and Managed Care Organizations (MCOs), transit agencies, third party administrators, and healthcare providers. MTM has been recognized with numerous awards and accolades, including Mogul’s Top 100 Innovators in Diversity & Inclusion (2017). The St. Louis Business Journal has also recognized MTM as one of the Healthiest Employers (2018), Best Places to Work (2018), Fastest-Growing Private Companies (2017), Top Five Largest Women-Owned Businesses (2016) and Top Family Owned Businesses (2016). Visit www.mtm-inc.net to learn more.