Compliance Analyst I

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist in the Compliance Program by engaging in internal or external audits, monitoring activities, departmental projects, and data analysis.

• Execute data entry tasks and manage compliance requests using specific compliance tools.

• Collaborate with business owners and subject matter experts to facilitate audit activities.

• Ensure the accurate delivery of documents, reports, and data sets to regulatory bodies.

• Detect unusual trends and relay opportunities for improvement to management.

• Monitor and report essential statistics for both internal and external compliance requirements.

• Identify improvements in workflow efficiencies in partnership with Internal Business Partners.

• Conduct regular business continuity and audit procedures related to physical content.

• Support internal initiatives and work with cross-functional teams on project deliverables.

• Aid in the creation, assessment, and delivery of compliance support training.

• Maintain information related to corrective action plans throughout the issue resolution process.

• Perform research, root cause analysis, and gap analysis as needed.

• Interpret regulations and offer guidance in collaboration with Compliance leadership.

• Coordinate internal quality review processes for regulatory submissions and communications.

• Identify and report compliance vulnerabilities, risks, non-compliance issues, and alleged violations.

• Foster relationships with Business Departments to promote a compliance-oriented culture.

• Collaborate across Compliance functions, corporate teams, markets, plans, assurance roles, and business partners.

• Analyze business and delegate/FDR performance data, and prepare corresponding reports.

• Address complaints received through regulators or governing bodies as required.

• Manage the Records & Information Management Program and Corporate Policy & Procedure Governance as necessary.

• Perform additional job-related tasks as requested.

⛳️ Requirements

• A Bachelor’s degree or equivalent relevant work experience is mandatory.

• A minimum of one (1) to two (2) years in a healthcare-related field is required, or comparable experience in managed care, compliance, regulatory environments, policy and procedure development and oversight, and/or records and information management.

• Capability to operate independently in a fast-paced, cross-functional setting with evolving priorities.

• Excellent interpersonal and verbal/written communication skills.

• Professional communication abilities, including correct grammar usage, document organization, and business writing.

• Proficiency in working autonomously and as part of a team.

• Proven success in a matrixed environment.

• Strong analytical, problem-solving, and critical thinking skills, with a keen attention to detail.

• Familiarity with the regulatory landscape and a general understanding of audit protocols.

• Ability to read, comprehend, and adhere to process documents, contractual obligations, and technical specifications required by regulators and auditors.

• Capacity to assess business partners’ compliance with procedures, contractual expectations, and technical specifications.

• Knowledge of healthcare operations and/or clinical concepts, practices, and procedures.

• Ability to juggle multiple responsibilities and projects with competing priorities and deadlines.

• Understanding of data analysis and trending methodologies.

• Skill in developing, prioritizing, leveraging resources, and achieving goals.

• Strong time management and project scheduling capabilities, including the creation and upkeep of project timelines.

• Familiarity with IT and enterprise software applications and platforms such as SharePoint, OnBase, and Adobe.

• Proficiency in Microsoft Word, Excel, and PowerPoint.

• Certifications such as Certified Records Analyst (CRA), Certified Healthcare Compliance (CHC), or Certified Compliance Ethics Professional (CCEP) are preferred.

🏝️ Benefits

• A bonus linked to company and individual performance may be available.

• A substantial and comprehensive total rewards package.

• Opportunity for remote work arrangements.