Senior Compliance Analyst

Behavior Frontiers•El Segundo, CA

2d•$75,000 - $95,000

About The Position

The Senior Compliance Analyst is an experienced healthcare compliance professional who supports implementation, administration, and continuous improvement of the Compliance Program. The role monitors state and federal regulatory requirements, Medicaid and payer obligations, and other developments affecting organizational operations. It assesses the impact of changing requirements and partners with business owners to turn obligations and identified gaps into policies, procedures, training, implementation plans, and corrective actions. The Analyst owns regulatory change and remediation workflows from identification through verified implementation. Responsibilities include tracking corrective actions to completion, validating evidence, escalating delays or deficiencies, and preparing completed remediation packages for formal handoff to the Auditing and Monitoring team for independent testing and ongoing oversight. This is a senior healthcare compliance and regulatory role, rather than a data-management or reporting-only position. The role works cross-functionally with teams including Clinical, Operations, Billing and Authorizations, Credentialing, Human Resources, Training, and Legal. It also supports regulatory examinations, payer audits, licensing reviews, external inquiries, evidence collection, responses, and post-review remediation. The position provides Compliance leadership with concise reporting on material changes, open risks, overdue actions, implementation barriers, and issues requiring escalation.

Requirements

Bachelor's degree in healthcare administration, Public Health, Compliance, Business Administration, Legal Studies, Nursing, or a related field.
Five or more years of progressive experience in healthcare compliance or regulatory affairs, including direct responsibility for monitoring and implementing state and federal requirements.
Demonstrated experience translating regulatory requirements or compliance findings into assigned action items, implementation plans, and corrective action plans.
Demonstrated experience driving remediation across business teams, following actions through completion, validating supporting evidence, and escalating delays or deficiencies.
Experience preparing completed remediation for handoff to an auditing, monitoring, internal audit, or quality-assurance function for independent validation.
Working knowledge of healthcare regulatory frameworks, Medicaid requirements, payer oversight, audit response, and corrective action methodology.
Strong regulatory analysis, professional writing, project ownership, stakeholder management, judgment, and follow-through skills.
Ability to independently manage competing regulatory deadlines and communicate requirements and risk clearly to operational and executive audiences.
Proficiency with Microsoft Office and compliance tracking tools.
Advanced knowledge of healthcare compliance, regulatory change management, Medicaid requirements, payer oversight, and corrective action practices.
Ability to distinguish regulatory obligations, operational preferences, audit findings, and compliance risks, and recommend a proportionate response.
Ability to convert complex requirements into specific, measurable actions with accountable owners, deadlines, evidence standards, and closure criteria.
Strong professional judgment, ability to constructively challenge and escalate issues, attention to detail, discretion, and commitment to confidentiality.
Strong written and verbal communication skills and ability to influence cross-functional teams without direct authority.
Ability to work independently, maintain defensible documentation, and move regulatory and corrective action work to timely closure.

Nice To Haves

Advanced data analysis skills.
Experience in behavioral health, applied behavior analysis (ABA), Medicaid, managed care, or a multi-site healthcare provider setting.
Experience working with DWIHN, Michigan Medicaid, Medicaid managed care organizations, or other healthcare payers.
Experience serving in a compliance or regulatory second-line role that partners with operational owners and coordinates handoff to an auditing or monitoring function.
Experience managing regulatory change across multiple states, service lines, payers, or locations.
CHC, CHPC, CCEP, CHRC, RHIA, RHIT, or a comparable professional certification.

Responsibilities

Support implementation and ongoing administration of the Compliance Program, including policies and procedures, training and education, regulatory communications, issue management, corrective action, compliance reporting, and cross-functional initiatives.
Monitor applicable federal and state healthcare laws, regulations, Medicaid requirements, licensing standards, regulatory guidance, enforcement activity, and payer or contractual obligations.
Monitor, analyze, and coordinate implementation of Detroit Wayne Integrated Health Network (DWIHN) requirements and assigned major payer obligations.
Assess regulatory changes and audit or monitoring findings for applicability, compliance risk, affected processes, required actions, responsible owners, and implementation deadlines.
Translate complex requirements into impact assessments, implementation plans, action items, and practical guidance for operational teams.
Lead regulatory change workflows from identification through verified implementation, documenting decisions, dependencies, approvals, evidence, and closure criteria.
Initiate, develop, and manage corrective action plans for compliance gaps, including milestones, owners, due dates, evidence requirements, and escalation paths.
Track action items and corrective action plans through completion; challenge insufficient responses, escalate overdue or high-risk items, and validate remediation evidence.
Prepare completed remediation packages and formally hand them off to the Auditing and Monitoring team for independent validation, effectiveness testing, and ongoing monitoring.
Draft, review, and coordinate updates to compliance policies, procedures, standards, and implementation materials.
Partner with Clinical, Operations, Billing and Authorizations, Credentialing, Human Resources, Training, Legal, and other stakeholders to implement requirements and corrective actions.
Support regulatory examinations, payer audits, licensing reviews, external inquiries, evidence collection, response development, and post-review remediation.
Maintain regulatory inventories, compliance calendars, action logs, corrective action records, implementation evidence, and decision documentation.
Prepare status reports for Compliance leadership identifying material changes, open risks, overdue actions, implementation barriers, and matters requiring escalation.
Perform other duties as assigned.

Benefits

Competitive pay with optional On-Demand paychecks through DailyPay.
401K plan with company match after 6 months of employment.
Paid Personal Time Off.
Paid holidays.
Medical, dental, and vision insurance.
Performance and promotion raises.
Free 24/7 telehealth access to a doctor for the employee and dependents, with no limits or co-pays.
Free telehealth mental health counseling for the employee and dependents over age 13, with no limits or co-pays.
Employee Assistance Program with access to support services including financial, legal, and counseling services.
Discounted monthly gym membership to 12,000 gym locations nationwide and free access to workout videos.
Exclusive discounts and savings at more than 500 companies.
Travel discounts on hotels, rental cars, flights, excursions, and travel essentials.
Discounts of 10–80% on routine lab work.
Prescription medication discounts of 10–80% at 60,000 locations nationwide.