Highmark Health · 2 months ago
Senior Compliance Analyst
United States
Full-time
Remote
Senior Level
$50K/yr - $91K/yr
5+ years expHighmark Inc. is a healthcare organization focused on compliance with governmental and corporate regulations. The Senior Compliance Analyst will partner with business units to ensure adherence to rules and regulations, provide consultation and analytic support, and monitor regulatory changes.
Health CareHospital
Responsibilities
Manage and coordinate compliance related processes
Monitor governance and compliance of rules, regulations, policies, and procedures and assist with appropriate audits, as applicable. Contacts may include legislators, consumers, special interest groups, advocacy agencies, CMS, state Medicare/Medicaid administrators, and other regulatory bodies such as DPW
Ensure or participate in ensuring that systems are updated and accurate for compliance
Responsible for understanding and applying accreditation and regulatory requirements. May support Regulatory Compliance department to ensure all state renewals, applications, and annual reports are completed accurately and timely
Depending on department may be responsible for one of the following: the delegation oversight of subcontractors when applicable to ensure compliance with health plan standards and policies and regulatory bodies; performing and providing oversight of the care management delegation functions of multiple vendors through review of annual assessments, monthly performance reporting and analysis of reports to ensure adherence to regulatory and accreditation standards
Other duties as assigned or requested
Qualification
Required
Bachelor's Degree or relevant experience and/or education as determined by the company in lieu of Bachelor's degree
5 years of relevant, progressive experience in the area of specialization
Strong written and oral communication skills
Strong customer orientation with excellent interpersonal skills, including interview techniques, good judgment, initiative, and discretion in confidential or sensitive matters
Self-starter with the ability to work under pressure independently and as part of a team
Superior decision-making abilities under a variety of circumstances and creative thinking and effective risk mitigation abilities
Strong process improvement and project management skills
Strong analytical ability
Demonstrated ability to effectively interact with all levels within the organization
Proficiency with Microsoft Office software programs and database query tools, and other Internet and Intranet applications and databases
Preferred
Master's Degree
Experience in one or more of the following: healthcare operations, compliance, auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations
Company
Highmark Health
Highmark Health is an integrated health care delivery and financing network.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$6.75MKey Investors
Henry L. Hillman FoundationRichard King Mellon Foundation
2025-06-11Grant· $1.75M
2021-05-10Grant· $5M
Leadership Team
David Holmberg
President and Chief Executive Officer
Karen Hanlon
Executive Vice President, Chief Operating Officer
Recent News
Seattle TechFlash
2025-12-29
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