Senior Analyst, Corporate Compliance
Description:
• Maintain the systems and tools to track, monitor, review, and submit required regulatory and compliance related deliverables and responses to state Medicaid agencies on or before required due dates.
• Conduct research and develop recommendations to help develop compliant business operations, processes and policies in accordance with state specific Medicaid program requirements.
• Develop compelling and appropriate compliance related communications on behalf of the health plan in response to state Medicaid agency inquiries or requests.
• Manage and support the external audit review process.
• Maintain current resource tools and other internal deliverables such as current contract library, regulatory reporting assignments, risk assessments, and other department wide tools.
• Utilize systems unique to job functions, including standard-issue software such as Microsoft products and compliance specific tools such as Archer.
• Conduct oversight and monitoring to evaluate levels of compliance with Medicaid managed care organization requirements across the business.
• Maintain positive, productive relationships with internal and external constituents.
• Provide training and guidance to less experienced team members.
• Other duties as assigned.
Requirements:
• 3+ years of regulatory compliance position in managed care, health care, or insurance.
• 3+ years of Project Management experience.
• Experience with Medicaid or Medicaid managed care. (Preferred)
• Audit experience. (Preferred)
Benefits:
• Affordable medical plan options
• A 401(k) plan (including matching company contributions)
• An employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Apply Now
Apply Now
• Maintain the systems and tools to track, monitor, review, and submit required regulatory and compliance related deliverables and responses to state Medicaid agencies on or before required due dates.
• Conduct research and develop recommendations to help develop compliant business operations, processes and policies in accordance with state specific Medicaid program requirements.
• Develop compelling and appropriate compliance related communications on behalf of the health plan in response to state Medicaid agency inquiries or requests.
• Manage and support the external audit review process.
• Maintain current resource tools and other internal deliverables such as current contract library, regulatory reporting assignments, risk assessments, and other department wide tools.
• Utilize systems unique to job functions, including standard-issue software such as Microsoft products and compliance specific tools such as Archer.
• Conduct oversight and monitoring to evaluate levels of compliance with Medicaid managed care organization requirements across the business.
• Maintain positive, productive relationships with internal and external constituents.
• Provide training and guidance to less experienced team members.
• Other duties as assigned.
Requirements:
• 3+ years of regulatory compliance position in managed care, health care, or insurance.
• 3+ years of Project Management experience.
• Experience with Medicaid or Medicaid managed care. (Preferred)
• Audit experience. (Preferred)
Benefits:
• Affordable medical plan options
• A 401(k) plan (including matching company contributions)
• An employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Apply Now
Apply Now