Sr. Compliance Analyst

Devoted Health • Waltham, MA

3d • $58,000 - $90,000 • Remote

About The Position

As the Sr. Compliance Analyst for Devoted Health, you will report directly to our Associate Director of Business Compliance. You’ll have the opportunity to work cross-functionally with a focus on ensuring regulatory compliance. You will assist with legislative and regulatory compliance communication management, audit facilitation, exclusion screening, entity management, regulatory reporting, and monitoring emergency declarations.

Requirements

• Maintains quality service by establishing and enforcing organization standards.
• The ability to work independently and get the job done!
• Curious and inquisitive.
• Detail-oriented.
• Consistently meets deadlines.
• Passionate about Medicare and the members we serve.

Nice To Haves

• Three or more years working in a heavily regulated healthcare environment.
• Proficient in regulatory audit facilitation, internal compliance reviews, and coordinating responses to agency inquiries.
• Project management skills, including the ability to prioritize multiple workstreams to meet due dates.
• Ability to work in a fast-paced environment.
• Strong written and verbal communication skills.
• Medicare Advantage healthcare experience.

Responsibilities

• Identifying, distributing, and monitoring the implementation status of regulatory communications.
• Researching regulations by reviewing regulatory guidance from CMS, the states, and other sources of information.
• Supporting regulatory reporting requirements across multiple entities, states, and operational areas.
• Independently verifying, investigating, and resolving complex research requests with high attention to detail.
• Facilitating the exclusion screening program.
• Supporting legal entity management, working closely with the legal and finance teams.
• Proactively monitoring emergency declarations and ensuring compliance with applicable law and internal policy regarding emergency declarations.
• Facilitating regulatory audits, supporting company-wide audit processes, and managing cross-departmental documentation requests.
• Supporting All-Payer Claims Data (APCD) initiatives, providing compliance guidance.
• Performing monthly metric analysis and translating data into actionable monthly reports.
• Synthesizing complex data to create entity Board of Directors materials.
• Participating in the implementation of Artificial Intelligence (AI) initiatives.
• Preparing department reports by collecting, analyzing, and summarizing information.
• Performing other duties as assigned to help the business compliance team achieve department Key Performance Indicators (KPIs).

Benefits

• Employer sponsored health, dental and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed