Compliance Coordinator (Remote)

MRIoA•Salt Lake City, UT

2d•Remote

About The Position

Founded in 1983, we’re a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations. Excellence starts with our people. This staff-level position is responsible for designated corporate-wide compliance activities in the areas of regulatory compliance and accreditation. The role supports the designated activities of the Compliance Department, provides company-wide support in regulatory compliance and accreditation requirements, and supports all accreditation and regulatory filings as requested.

Requirements

Exceptional customer service skills.
Exceptional analytical and critical thinking skills.
Excellent oral and written communication skills and interpersonal skills.
Exceptional orientation to detail.
Excellent organizational skills.
Ability to work under pressure and meet deadlines while managing multiple high priorities and maintaining a flexible schedule.
Strong working knowledge of managed care and utilization review accreditation standards, including URAC and NCQA, and multi-state regulatory requirements.
Thorough knowledge and understanding of the Company’s clients, products, departments and work flows.
Personal computer literacy and competency in use of Microsoft Word.
Ability to maintain a high level of objectivity and confidentiality.
High School Diploma

Nice To Haves

Competency in Microsoft Excel and Power Point preferred.
Minimum of two years in healthcare, health insurance, and/or managed care arenas preferred.
Experience in compliance and/or quality improvement activities within a healthcare organization preferred.
Experience in providing small group or individual training preferred.
Experience in research beneficial and preferred.
Preference for a Bachelor’s degree.

Responsibilities

Assist with management of the corporate compliance program components as requested.
Provide timely updates and open communication with the Vice President, Chief Compliance Officer and Compliance Manager.
Assist with the provision of staff training on the subjects of regulatory compliance and accreditation standards and maintain documentation of all training.
Assist with management of the company Learning Management System as requested.
Support the review process for all corporate policies and procedures as requested.
Prepare and submit state and accrediting body filings, applications, and reports.
Prepare, submit, and review monthly exclusions checks on all employees and reviewer contractors.
Prepare, distribute, and present required compliance reports, submissions, etc., to regulatory and accreditation bodies.
Assist with providing employee and reviewer orientation and training/continuing education on operational processes regarding compliance with regulatory requirements and accreditation standards as requested.
Assist with internal and external audits conducted by or through the Compliance department and/or initiated by clients, outside agencies or regulators.
Gather, review, and analyze data required for such audits.
Assist with all follow up related to these audits, including internal reporting, monitoring and facilitating corrective action plans and process improvements.
Ensure compliance with Medicare Part D requirements and Fraud, Waste and Abuse policies.
Support legal concerns including but not limited to record requests, subpoenas, depositions, and releases of information as requested.
Assist with investigation and reporting of privacy and security incidents as requested.
Support all Quality Management initiatives as applicable.
Participate in the Complaint process as requested.
Maintain a flexible schedule.
Participate in all Company meetings and committees as requested.
Complete other duties and responsibilities as requested.