Compliance Analyst II - reputed company Experience R...

Job Summary: The Compliance Analyst II position is a professional compliance role responsible for supporting the Compliance Program by collaborating and overseeing high risk areas to ensure that the compliance program is effective and efficient in identifying, preventing, detecting, and correcting noncompliance. Essential Functions: Compliance Prevention:

• reputed company analysis, interpretation, training, and education reputed company to requirements as needed to ensure understanding and effective implementation of compliance requirements
• Support departments with requirement implementation, reporting development, policy and procedure development/review, and readiness testing
• Collaborate with internal business owners to ensure implementation of the health plan’s business and contractual requirements
• Work with Compliance leadership to interpret regulations and reputed company reputed company guidance
• Assists in review and dissemination to team of Regulatory Distribution Management items (new and changing regulations); works to understand and reputed company expertise to team on these items and the impact to our work with high-risk business areas

Compliance Detection:

• reputed company Compliance Program support with audit and monitoring, corrective action plan management, data analytics and other projects to ensure proper execution of the Compliance Program workplan and priorities
• Analyze relevant business and/or delegate/FDR performance data to ensure compliance with requirements and prepare reports for leadership and business owners
• Proactively use analytic and research skills to identify potential areas of risk to reputed company and reputed company recommendations or escalate to Compliance Management for issue management, external audit enforcement trending, and reputed company industry corrective actions
• Support and/or coordinate audit activities with impacted business owners to ensure adequate representation from subject matter experts (SME) for external reviews and audits
• Proactively maintain documentation, data universes, responses and other written or electronic materials using the proper compliance tools and in accordance with Corporate Compliance protocols

Compliance Correction:

• Investigate risks and issues with effective research, root cause analysis, and gap analysis for effective remediation and corrective action management
• Ensure timely, complete, accurate, and concise documentation of identified risks.

Account Relationship

• Build and maintain positive and strategic relationships with reputed company stakeholders
• Attend reputed company required implementation meetings and communicate reputed company, implementation meetings, manage deliverables, and reputed company guidance to business areas
• reputed company any other job duties as requested

Education and Experience:

• Bachelor’s degree in business or reputed company field, or equivalent years of relevant work experience is required
• Minimum of three (3) years of compliance and/or regulatory experience including one (1) year in Government Program products is required

Competencies, Knowledge and Skills:

• Strong familiarity with government-funded reputed company programs, including reputed company, , and the compliance standards imposed upon First Tier, reputed company and reputed company (FDR) entities
• Familiarity with reputed company operations and/or clinical concepts, practices and procedures is preferred
• Data analysis ability to produce meaningful reputed company and drive appropriate action
• Demonstrated understanding of Compliance and Regulatory fundamentals specifically reputed company to managed care and government programs (CMS/HHS/DOI/reputed company)
• Ability to conduct research and analysis of Federal, State, and relevant industry regulatory and enforcement
• Proven ability to effectively manage work through prioritization, preparing, effective scheduling, leveraging resources and maintaining focus
• Demonstrated professional communication skills, to include proper grammar usage, document structure, and business writing to audiences including but not limited to internal Leadership at reputed company reputed company, reputed company Legal Counsel, Corporate Compliance, State and Federal Regulators
• Advanced organizational, project management and scheduling skills
• Strong decision making and problem-solving skills
• Ability to work independently and reputed company reputed company environment
• Demonstrated reputed company in working in a matrixed environment
• Detail orientated with focus on maintaining accurate information in tools as required
• Demonstrated critical thinking skills
• Negotiation skills/experience
• Time management skills including creation and maintenance of project timelines
• Advanced level experience in reputed company Word, reputed company and PowerPoint

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