Compliance Analyst

This is a fully remote position, open to applicants in Arizona, +21 more states.

📋 Description

• Conduct annual assessments of the Compliance Program, Code of Conduct, and associated policies and procedures to ensure they are accessible and in line with regulatory standards.

• Collaborate with the Compliance Lead as a secondary subject matter expert, providing support for operational compliance activities.

• Oversee the complete compliance training distribution process via the learning management system.

• Assign training to newly hired or contracted staff and Board members, address technical inquiries, and promote timely completion.

• Investigate compliance hotline reports, document issue resolutions, and prepare client reports.

• Carry out internal monitoring and quality assurance reviews of the exclusions screening processes and controls.

• Provide accurate responses and supporting documentation for health plan client attestations and audits.

• Maintain documentation in the Compliance SharePoint Audit/RFP list.

• Analyze conflicts-of-interest surveys to identify potential conflicts that need follow-up.

• Collaborate on the annual compliance workplan and identify opportunities for auditing and monitoring.

• Work with Product, Technology, and Security teams on projects involving offshore vendors, privacy controls, application usability, and compliant product development.

• Deliver timely compliance responses to RFPs while upholding confidentiality.

• Review marketing disclaimers and materials to ensure compliance with Medicare marketing regulations and HIPAA standards.

• Provide weekly updates to the Compliance Lead and Chief Compliance Officer regarding project status, challenges faced, successes, and support requirements.

• Maintain the integrity of the Compliance Program and Code of Conduct.

⛳️ Requirements

• Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Compliance, or a related field.

• 2 to 4 years of relevant experience in healthcare compliance, regulatory affairs, auditing, risk management, or a comparable healthcare operational role.

• Proven knowledge and experience in supporting compliance programs, audit assistance, investigations, training administration, and regulatory oversight.

• Strong organizational, analytical, and written communication abilities.

• Proficient in Microsoft Office applications, including Word, Excel, PowerPoint, SharePoint, and Teams.

• Preferred: healthcare compliance certification such as CHC, or active pursuit of CHC, CHCP, or CCEP certification.

• Preferred: experience with Medicare Advantage, managed care, or health plan compliance programs.

• Preferred: familiarity with CMS regulations, HIPAA, delegated oversight, downstream entity monitoring, FDRs, FWA compliance, and regulatory audits.

• Preferred: experience in analyzing compliance and operational data for risk identification, reporting, dashboards, and compliance-related decision-making.

• Must reside in one of the designated eligible U.S. states.

• Must be legally authorized to work in the United States.

🏝️ Benefits

• Flexible work environment.

• Remote work opportunities across various U.S. states.

• Equal employment opportunity in a work setting free from discrimination and harassment.