Compliance Specialist - Part C Monitoring - Special Needs Plan Model of Care (SNP-MOC)

at Cigna
Location Nashville, TN
Date Posted July 10, 2018
Category Compliance
Job Type Full-time

Description

Responsible for performing Part C monitoring activities for the Cigna-HealthSpring (CHS) Compliance Department, with particular emphasis on Special Needs Plan Model of Care (SNP-MOC) and Health Risk Assessments (HRAs). Reports to the Part C Clinical Compliance Manager in charge of Utilization Management, Appeals and SNP-MOC within the Compliance Department’s Part C & Service Operations Monitoring...