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Mom's Meals | A Purfoods Company · 1 day ago

Senior Compliance Analyst

Ankeny, IA

Full-time

Hybrid

Mid, Senior Level

$75K/yr - $90K/yr

4+ years exp

Mom's Meals is a company focused on compliance and privacy programs, and they are seeking a Senior Compliance Analyst to oversee these operations. The role involves managing grievances, conducting compliance audits, and ensuring adherence to state and federal regulations while fostering a culture of compliance within the organization.

Food and BeverageHealth CareNutritionWellness

Responsibilities

Regularly review State and Federal laws, rules, in partnership with legal and notify internal business partners of applicable changes to ensure organizational compliance is maintained

Complete a regular review of policies and procedures to maintain alignment with state and federal compliance regulations; recommend updates, work with leadership to complete

Ensure resolution of Critical Incidents with appropriate internal business partners and notify agency caseworkers/contacts according to contractual and regulatory obligations

Investigate and ensure resolution to Grievances received from clients, agencies, and third parties; provide any required follow-up education to employees or leaders; collaborate with leadership to determine and implement corrective actions

Compile compliance metrics and analyzes results for ongoing tracking and Board and Executive review

Manage general compliance email as needed

Execute regular Compliance Program Self-Assessments based on the Department of Justice recommendations; propose internal action plans to strengthen Compliance posture within organization

Provide employee compliance education including onboarding, annual training, both departmental-specific and role-based training; participates in annual education review and as rules and regulations change; develops Compliance Tips for general education

Assist in development of compliance audit program by planning and conducting second line of defense compliance audits; communicate results to applicable internal business

Review and investigate impermissible use/disclosure reports; provides employee re-education

Participate in breach notification process

Develop and provide employee privacy education including onboarding, annual training, both departmental-specific and role-based training; participate in annual review education review or as rules and regulations change; Privacy Tips for general education

Assist in development and oversee HIPAA Auditing/Monitoring Plan and annual revision; privacy aspects of HITRUST; monitoring of program using OCR Audit Protocol

Act as an internal compliance/privacy resource for Mom’s Meals employees

Engage in ongoing education and professional development to increase compliance expertise, business acumen, and regulatory knowledge

Collaborate with teammates, leadership team, and internal business partners to produce effective compliance and privacy program outcomes

Manage all external audit activity, including: audit intake, analysis, information/document requests from internal business partners, review and preparation, submission, auditor meetings, results review and response

Draft Corrective Action Plans (CAP) and Audit Appeals with input from applicable internal business leaders and Compliance Leadership in response to audit findings

Identify, track, and trend in auditing to ensure proactive preparation for future audits and/or determinations resulting in CAPs

Maintain electronic audit resource library to ensure up-to-date documentation

Maintain external audit tracking database to house all audit activity and status and supports reporting and data analytics of audit data

Qualification

Compliance auditingHIPAA knowledgeHealthcare industry experienceMicrosoft Office proficiencyProblem-solving skillsEffective communicationTeamworkOrganizational skillsAttention to detail

Required

Bachelor's degree OR 8 years relevant experience

4-7 years' experience in auditing, payer relations, compliance, privacy, information security or other relevant healthcare industry experience

Strong problem-solving skills including attention to detail

Ability to prioritize (and re-prioritize) projects in a fast-paced work environment

Effective written and verbal communication skills

Ability to work collaboratively to foster trust, credibility, and understanding

Ability to promote teamwork within department and organization

Exceptional personal organizational skills to meet deadlines, complete work assignments and projects and/or accomplish time sensitive work prior to due dates

Maintain working knowledge and understanding of various state/federal compliance and privacy laws, rules and regulations related to Medicare/Medicare Advantage plans, Medicaid, Managed Care Organizations

Proficient in Microsoft Office Applications including Word, Excel, PowerPoint, and Outlook