General Compliance Analyst I, II or III

Cambia Health Solutions • Washington, DC

13d • $59,716 - $155,000 • Hybrid

About The Position

Every day, Cambia’s dedicated team of Compliance Analysts is living our mission to make health care easier and lives better. As a member of the Compliance team, our Compliance Analysts responsible to deliver an effective compliance program. They design, implement, deliver, measure and refine activities and controls to prevent, detect and correct violations of state, federal and other laws. Duties may include, but are not limited to, risk assessment, training, monitoring, auditing, regulatory audit, and market conduct activities, audit coordination, investigation, root cause analysis, regulatory implementation, control assessment, reporting, and corrective actions – all in service of creating a person-focused health care experience.

Requirements

• Bachelor's degree or equivalent experience.
• Compliance Specialist I: 3 years of experience in a role demonstrating success in compliance-related activities and controls (e.g, risk assessments, training, monitoring, auditing, investigations, root causes analysis, control assessments reporting or corrective actions).
• Compliance Specialist II: 5 years of compliance experience or equivalent related experience.
• Compliance Specialist III: 8 years of compliance experience or equivalent related experience.
• Proven ability to deliver effective Core Compliance activities, including, monitoring, auditing, root cause analyses, and corrective actions.
• Skilled in project management and delivery including proven ability to initiate and manage multiple projects and priorities.
• Excellent written and oral communication and presentation skills.
• Excellent research and analytics skills, with proven ability to distill actionable, practical advice from diverse sources and opinions.
• Proven ability to influence effectively at all levels of the organization.
• Excellent independent judgment and decision-making skills.
• PC literate with office computer software - Word, Excel, PowerPoint, Outlook, Visio, etc.
• Discretion and confidentiality.
• Agile, with high learning velocity.
• Demonstrated fluency in organizational agility: knowledgeable how about organizations work and how to get things done through formal and informal channels (for Analyst II).
• Practical familiarity with legal requirements relating to assigned compliance program, or for new hires, practical familiarity with analogous legal requirements (for Analyst II).
• Demonstrated mastery of at least four Compliance functions, to include the core competencies: risk assessments, training, policies and procedures, monitoring, auditing, external audit coordination, control assessments, reporting, corrective actions, implementation oversight, and ability to perform those compliance functions effectively within that compliance program; or if assigned to a specialized function (e.g. FDR/ DDE Compliance, Marketing Materials Review, Data Validations), mastery of all competencies related to that specialized function (for Analyst II).
• Demonstrated ability to handle successfully at least medium-complexity, medium-difficulty matters end-to-end (for Analyst II).
• Demonstrated ability to drive success with challenging partners (for Analyst II).
• Demonstrated mastery of legal requirements relating to assigned compliance program; or for new hires, demonstrated mastery of analogous legal requirements (for Analyst III).
• Demonstrated mastery of at least 6 core compliance functions, including the core competencies and ability to deftly perform all compliance functions relating to assigned compliance program as needed (for Analyst III).
• Demonstrated ability to handle successfully the most complex, most difficult matters end-to-end (for Analyst III).
• Demonstrated ability to drive success with the most challenging and/or most elevated partners (for Analyst III).
• Demonstrated excellence in building effective relationships at all levels of the organization; influencing decision-making; effectively framing issues and dialogues; and driving successful outcomes (for Analyst III).
• Demonstrated, end-to-end operational knowledge relating to assigned compliance program (for Analyst III).
• Demonstrated peer mentoring and departmental leadership (for Analyst III).

Nice To Haves

• Experience in a health care or Medicare-regulated environment preferred.
• Experience in a health care or Medicare-regulated environment or ACA-regulated environment preferred (for Analyst III).
• Legal research skills preferred.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired (for Analyst III).

Responsibilities

• Deliver an effective compliance program by designing, implementing, delivering, measuring, and refining activities and controls to prevent, detect, and correct violations of state, federal, and other laws.
• Conduct risk assessments, training, monitoring, auditing, regulatory audits, and market conduct activities.
• Coordinate audits, conduct investigations, perform root cause analysis, implement regulatory changes, assess controls, and implement corrective actions.
• Produce and maintain policies and desk manuals for the position.
• Work as a team with other staff members in either a supporting or leading role.
• Participate in the annual risk assessment process.
• Ensure materials, reports, and other documents are written in an understandable and concise style.
• Manage projects and implementations.
• Participate, support, and serve in regular meetings, including divisional and cross-divisional committees as needed.
• Perform core competencies: risk assessments, training, policies and procedures, monitoring, auditing, root cause analysis, and corrective actions.
• Perform additional competencies: external audit coordination, implementations, control assessments, delegation oversight, data validation, marketing material oversight, DDE/FDR oversight.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level