Compliance Analyst-Compliance and Privacy Service
Apply NowCompany: MaineHealth
Location: Westbrook, ME 04092
Description:
- Under the direction of the Chief Compliance Officer, the Compliance Analyst will monitor and ensure compliance with state and federal regulatory requirements by building and maintaining a compliance infrastructure (including creating and updating of database and tracking logs), data mining, develop and implement an internal audit plan, and develop a Compliance mandatory training program including implementation minimally for new employees. The Compliance Analyst is responsible for distributing, analyzing and monitoring the implementation of new or updated regulatory guidance; oversight of monitoring activities and conducting audits, as needed. The Compliance Analyst will be responsible for monitoring and proactively auditing changes within the organization to ensure compliance with policies and procedures, and state and federal guidelines, with an emphasis on federal CMS requirements. This individual will be responsible for drafting and monitoring corrective action plans to address areas of non-compliance, monitoring and auditing compliance with policies, procedures and best practices, and monitoring management action plans to help ensure compliance with policies and procedures, applicable laws and contractual obligations.
- Required Minimum Knowledge, Skills, and Abilities (KSAs)
- Education: Bachelor's degree required with a minimum of 4 years of work experience in a similar role. 8-10 years' directly relevant experience focused on compliance may be accepted in lieu of the Bachelor's degree. Master's Degree in Business or Healthcare Administration preferred.
- License/Certifications: Certification in Professional and Hospital Coding highly desired or within one year of employment. Certification in Healthcare Compliance within 1 year of employment.
- Experience: Five to seven years' experience in analyzing data and managing data systems required. Three to five years of experience in healthcare preferred. Five years' experience in or with Recovery Audit Contractors.
- Strong intellectual curiosity and ability to solve difficult problems with minimal supervision. Ability to manage multiple concurrent activities.
- Possess effective verbal, presentation, and written communication skills, including the ability to present results to both technical and non-technical audiences.
- Knowledge of healthcare financial analytics (particularly as they relate to quality improvement) and/or statistical analysis is helpful.
- Demonstrated experience and proficiency with (Microsoft Office Suite) MS Word, Excel, PowerPoint and Visio.
- Analytical Skills: Demonstrated ability to analyze problems, triage issues, collect data, draw valid conclusions, understand and interpret sophisticated technical concepts
- Ability to learn new software or other data tools independently, as needed.
- Strong analytical and problem solving skills and high attention to detail with the demonstrated ability to produce high-quality output that is complete, accurate and suitable for distribution to high-level audiences.
- Ability to clearly, concisely, and accurately communicate complex data in both written and oral form. Written analyses to include summary of data and strategic recommendations