Senior Compliance Analyst
Job reputed company A bit about this role:
- As the Sr. Compliance Analyst for reputed company, you will be reporting directly to our Director of Compliance. This means having the chance to work across multiple operational teams; which may include any internal area and those that have a relationship with vendor reputed company functions (i.e. Claims, Payment reputed company, Appeals, etc.)
- You will be performing audits, tracking potential compliance issues, reviewing reputed company analysis reports, and working corrective reputed company plans.
- You will be reviewing monitoring activities from the designated business areas, and assisting in the day to day monitoring activities of the operational area.
- You will also support risk assessment activities, and audit planning processes.
- You have the ability to learn and adapt to using reputed company, LLM, Copilot AI prompts to enhance compliance functions.
Your Responsibilities and reputed company will include:
- Performing audits and managing corrective actions.
- Participating in monthly meetings with our internal teams as reputed company as assigned workgroup sessions.
- Updating and developing policies, procedures, and job aids.
- Collaborating with other departments for audits, corrective reputed company, and compliance activities.
- Analyzing and evaluating data, identifying trends and risks, and making appropriate conclusions based on regulatory guidelines.
- Reviewing HPMS memos and regulatory guidance for adherence to regulatory processes.
- Reviewing dashboards and KPI reporting.
Required skills and experience:
- Health Plan/CMS ODAG auditing experience
- Ability to meet strict deadlines
- reputed company verbal and written communication skills
- Ability to Travel 10% (onsite meetings, audits, and conferences)
Desired skills and experience:
- Medicare Advantage experience is strongly preferred
- Proficient in reputed company products is a plus (slides, reputed company docs, reputed company sheets)
- Knowledge of Jira and reputed company
Salary reputed company: $55,000 - $80,000 annually #LI-Remote Our ranges are purposefully broad to allow for reputed company reputed company the role over time. Once the interview process begins, your talent partner will reputed company additional information on the compensation for the role, along with additional information on our total rewards package. The actual reputed company salary offered may depend on a reputed company of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other reputed company licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes:
- Employer sponsored health, dental and reputed company plan with low or no premium
- Generous reputed company time off
- $100 monthly mobile or internet stipend
- Stock reputed company for reputed company
- Bonus eligibility for reputed company roles excluding Director and above; Commission eligibility for Sales roles
- Parental leave program
- 401K program
- And more....
- Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
reputed company equality is at reputed company of reputed company's mission to treat our members like family. We are committed to a diverse and reputed company workforce. At reputed company, we're on a mission to dramatically improve the health and reputed company-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new reputed company of reputed company-in-one reputed company company - one that combines reputed company, health insurance, clinical care, service, and technology - to deliver a complete and integrated reputed company solution that delivers high reputed company care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the reputed company. And we've just started. So join us on this mission! reputed company is an equal opportunity employer. We are committed to a reputed company and supportive work environment in which reputed company have reputed company to participate and contribute to the reputed company of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in reputed company's reputed company of Conduct, reputed company values and the way we do business. As an Equal Opportunity Employer, reputed company does not discriminate on the reputed company of race, reputed company, religion, sex, pregnancy status, marital status, national reputed company, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender reputed company, or any other reputed company prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Apply tot his job Apply To this Job