Compliance Coordinator

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 MTM’s 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 Circle

Lake St.

Louis, MO 63367

This role will be hybrid.

2 days in office and 3 days work from home.

What you’ll 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 MTM’s 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 infor...