Healthcare Compliance Analyst Jobs

About The Position

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