PA Health & Wellness · 1 day ago
Senior Compliance Analyst - Program Integrity
United States
Full-time
Remote
Mid, Senior Level
$70K/yr - $126K/yr
3+ years expCentene is a diversified national organization focused on transforming the health of communities. They are seeking a Senior Compliance Analyst to assist in maintaining their Compliance Program, providing regulatory interpretation, performing compliance reporting, and leading special projects.
FitnessHealth CareWellness
Responsibilities
Respond to external requests for information required by the organization for its regulatory filings
Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies
Manage ethics and compliance projects or implementations
Review and synthesize regulatory requirements and create policy and/or position statements
Assist in managing annual code of conduct attestation and remediation
Communicate state and federal requirements to internal and external clients
Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions
Assist in the identification, analysis, and resolution of compliance issues
Maintain and review regulatory documentation necessary to maintain corporate standards
Assist in developing, producing and conducting compliance training programs
Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities
Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members
Assist management with interim health plan compliance officer responsibilities
Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed
Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives
Qualification
Required
Bachelor's degree in related legal field or equivalent experience
3+ years of related experience in compliance privacy and/or regulatory affairs
Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations
Preferred
Master's or Juris Doctorate degree preferred and maybe considered in lieu of experience
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Company
PA Health & Wellness
Established to deliver quality healthcare in the state of Pennsylvania through local, regional and community-based resources, PA Health & Wellness is a Managed Care Organization and subsidiary of Centene Corporation (Centene).
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Justin Davis
President and Chief Executive Officer
Recent News
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