Compliance & Policy Analyst
About The Position
The Compliance & Policy Analyst prepares and submits documents for internal and external audits related to Medicare, Medicaid, and private insurance. The role assists with developing and implementing compliance programs, monitors business activities for regulatory compliance, and helps keep operating manuals and procedures current as regulations change. It also responds to regulatory agency inquiries and supports reimbursement compliance, training, policy research, and updates to related systems and processes. The position is scheduled Monday through Friday in a hybrid work mode. The anticipated pay range is $55,000–$62,000 annually.
Responsibilities
- Assist in developing and implementing organizational compliance programs.
- Monitor business activities for compliance with applicable rules and regulations.
- Keep operating manuals and procedural documents current when regulations change.
- Respond to regulatory agency inquiries and complete required compliance documentation.
- Obtain, organize, review, and analyze documents required for internal and external audits, including Medicare, Medicaid, and private insurance audits.
- Review audit documentation for reimbursement issues as directed by the manager.
- Assist with creating training materials for payors affiliated with assigned areas of responsibility, as required.
- Provide training and support to ensure staff are properly trained on reimbursement compliance policies and audit procedures.
- Research policies and coordinate updates to applicable electronic systems related to state welfare programs affiliated with assigned areas of responsibility.
- Assist with system updates and changes needed to implement new payor guidelines or company policies and procedures.
- Communicate and reinforce company policies and procedures.
- Ensure compliance with company policies and procedures and federal, state, and local regulations across product lines.
- Perform other related duties as directed by the manager.
Benefits
- Medical, dental, and vision care coverage
- Paid time off plan
- 401(k) plan
- Flexible Spending Accounts
- Basic life insurance
- Short- and long-term disability coverage
- Accident insurance
- Teammate Assistance Program
- Paid parental leave
- Domestic partner benefits
- Mental, physical, and financial well-being programs
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
