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CarepathRx · 23 hours ago

Compliance Analyst

OH_Cleveland

Full-time

Onsite

Mid, Senior Level

5+ years exp

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs. The Compliance Analyst is responsible for ensuring compliance with client, CMS, HIPAA, and licensing requirements, and will manage tasks related to compliance programs, audits, and training materials.

DeliveryHealth CarePharmaceutical

Responsibilities

Work with Compliance Department to maintain elements of an effective Compliance Program using various internal tools

Develop and administer training materials for Compliance Training on HIPAA, FWA, General Compliance and ad-hoc compliance procedural training

Continuous monitoring of Corrective Action Plans; work with business leaders to develop remediation plans for newly identified CAPs

Produce client reports

Serve as Compliance Representative in meetings with Client Compliance professionals

Lead Compliance initiatives in organization by developing project plans and seeing projects through to completion

Manage Policy and Procedure database; ensure that policies are reviewed timely, track employee acknowledgement of key policies

Assist departments in developing Work Instructions/Procedures on undocumented processes

Chair applicable Compliance Subcommittees

Work with Compliance Specialists to assure completion of Compliance Program Elements

Oversees Compliance program reviews and audits related to compliance with regulatory or third-party audits

Participate in certification reviews

Maintain State and Federal licenses for all company entities as well as wholesalers

Other duties as assigned

Qualification

Compliance MonitoringPolicy ManagementTechnical WritingMicrosoft ExcelHealthcare SystemsInterpersonal SkillsProject ManagementProblem Solving

Required

A minimum of a High School Diploma or G.E.D. with five (5) years of compliance-related experience

A minimum of 2 years in an Auditor, Compliance Monitoring, or legal/paralegal role

Experience leading the development of and/or roll out of a key business initiative and/or program

Experience tracking large numbers of initiatives with differing and concurrent deadlines

Ability to motivate employees, resolve issues, and make difficult decisions

Advanced skills and understanding of computer software, healthcare systems and programs

Proficient in Microsoft Office: specifically, MS Excel

Advanced skills and understanding in utilizing organizational systems, programs, and software

Ability to communicate effectively and professionally through written, verbal, and interpersonal skills as applied when interacting with employees, clients, or agency representatives; successfully conveying and exchanging information in a positive manner

Proven ability to manage multiple assignments and projects, meeting deadlines and budget constraints in a dynamic business environment