Aridell Associates, LLC

​Serving tHE Healthcare,

Financial, Insurance, and Public SectorS

COMPLIANCE

Federal and state government agencies and several industries emphasize the need to have effective compliance programs as a condition of doing mutual business.  Having a strong compliance program will enable partners and stakeholders to gain confidence in an organization’s operations and demonstrate an organization’s desire to minimize its business and financial risk.  Regulators heavily weigh the implementation of a compliance program when an organization comes under scrutiny for alleged misconduct.

 
Lacking an effective compliance program places an organization at a high risk for non-compliant activities or incidents viewed as potentially fraudulent or abusive.  Although an organization may have a compliance program in place, this alone will not protect it from regulators or eliminate or reduce business and financial risks.  Regulators examine the design of these programs and assess the effectiveness of each one to address non-compliant issues or potential fraud, waste, and abuse.
 
Many organizations have succeeded in adopting and establishing compliance programs but have fallen short in implementing effective ones due to a lack of subject matter expertise.   Federal government regulators highlight this shortcoming constantly as denoted in corrective action plans and compliance enforcement actions.
 
Aridell is well-versed in establishing and evaluating compliance programs in accordance with regulatory requirements and measuring the effectiveness of compliance programs and plans.  Members have developed compliance program protocols for government agencies, created audit tools to test compliance programs, and conducted audits to assess conformity with regulatory requirements and the effectiveness of these compliance programs.  Having served in regulatory positions, our team is well-versed in corporate integrity agreements and the compliance activities associated with each one.
 
Aridell capabilities include:


  • Establishing Compliance Programs

  • Developing Compliance Audit Protocols

  • Auditing Compliance Programs

  • Measuring Compliance Program Effectiveness

  • Monitoring Corporate Integrity Agreements

  • Corrective Action Plans

  • Compliance Enforcement Actions

COMPLIANCE

Job Title: Sr. Project Manager/Lead (Full-Time)
Post Date: 5/26/2023 – 06/30/2023

Position Summary
Aridell Associates, LLC, a professional consulting firm, advises clients on healthcare program operations and helps clients develop solutions to maximize meaningful outcomes, improve their operations, and protect their valuable assets, as well as bestow customer confidence in their operations.  Our mission is to advance clients’ operational performance and provide sustainable long-term, successful business strategies.

If you are interested in providing consulting and advisory services or supporting contracts, then this project management level position is for you.  The Sr. Project Manager/Lead works as an integral member of a multi-disciplinary team in conducting program vulnerability activities in support of a contract. In this position, you will support the primary project manager in managing and leading program vulnerability projects, such as conducting research, identifying vulnerabilities, scoring risks, and reporting results. The Sr. Project Manager/Lead will receive all direction and instructions from a program manager or their designee for the work activities under the contract. 

Responsibilities

  • Under minimal supervision, interact with the client's various partners and stakeholders to discuss and address program fraud, waste, and abuse schemes; trends, patterns, and anomalies; and opportunities for improvement.
  • Contributes to improving operations and work flow efficiencies.
  • Responds to partners' and stakeholders' needs for information and clarification.
  • Uses positive interpersonal skills in conducting all work.
  • Develops and delivers presentations.
  • Prepares standard and ad hoc deliverables for clients.
  • Lead teams responsible for identifying, triaging, and prioritizing existing and emerging vulnerabilities in healthcare programs.
  • Provide guidance and support for vulnerability mitigation, and evaluate the success and impact of the mitigation strategies and completed actions in order to close vulnerabilities.
  • Promote the use of environmental scanning techniques to identify vulnerabilities.
  • Develop and prepare written risk assessments on different client programs and areas using standardized criteria.
  • Oversee the preparation of reports, including the findings and associated recommendations for submission to the client’s management.
  • Interact and confer with team members on a variety of topics, such as ideas, projects, approaches, methodologies, and strategies, using all forms of available communications.
  • Interpret complex healthcare and value-based payment programs' policies, laws, rules, regulations, manuals, and healthcare industry guidelines in conducting program vulnerability activities.
  • Serve as a technical resource in complex healthcare operations, data, and systems.


Qualifications

  • ​The position requires a bachelor’s degree with preference given to those degrees in a business, public policy, or public administration relevant field. 
  • At least five years of experience required in Marketplace, Medicare, Medicaid, and CHIP programs with an expert level of understanding of the regulations in the programs along with direct supervision of staff.
  • Experience working for a health plan or an oversight/regulatory government agency is preferred.​

 
Skills

  • Ability to work under pressure and short deadlines.
  • Requires professional presentation skills.
  • Strong organizational planning and prioritization skills with the ability to collaborate with others and multi-task.
  • Excellent written and verbal communication skills.
  • Ability to present to large or small groups when required.
  • Proficient in using the Microsoft Office Professional Suite, including Word, Excel, PowerPoint, and Outlook.


Travel Requirements
No travel is required. 

Job Location
This is a work-from-home/remote position.

Apply Now
Email Resume To: jarias@aridell.com​​​