St. Luke's Health System · 1 day ago
Compliance Analyst - St. Luke's Health Plan - 141217
Boise, ID
Full-time
Onsite
Mid Level
3+ years expSt. Luke's Health System is dedicated to fostering a diverse and supportive workplace culture. The Compliance Analyst will assist in developing and implementing a proactive compliance program, conduct audits, and provide guidance on compliance issues to ensure adherence to regulations.
Health CareHospitalNon ProfitPrimary and Urgent Care
Responsibilities
Assists in the development and implementation of the annual risk-based compliance work plan. Identifies ways to improve work processes and customer satisfaction. Makes recommendations to leadership and implements and monitors results as appropriate in support of the overall goals of the Health Plan
Leads assigned investigations of potential compliance incidents in collaboration with Compliance and Health Plan leadership
Investigation activities include conducting incident risk assessments, interviews, phone calls, meetings with involved parties, and detailed reporting of investigation activities
Conducts internal and external audits, including development of audit tools, submission of audit notices, analyzing audit requests, developing audit work plans and assignments, completion of audits, ensuring compliance with Health Plan audit requirements, and developing audit findings reports with any necessary corrective action plan(s) and support(s). Ensures compliance with corrective action plan and initiates further action(s) as necessary for failure to comply or meet timelines
Prepares all documentation and supporting evidence according to audit quality standards in a consistent manner and in accordance with Health Plan policies and procedures
Designs and delivers compliance training and orientation to employees, volunteers, medical and professional staff, and applicable business associates. Develops and disseminates topic-specific education to Health Plan personnel based on identified risks or changes to policies and procedures or regulating authorities
Coordinates the oversight of compliance programs of all First Tier, Downstream, and Related Entities (FDRs) and identified vendors to ensure compliance with state and federal regulations and effective compliance program elements to prevent, detect, and re-mediate noncompliance
Develops and manages Health Plan policies and procedures. Facilitates and provides subject matter expertise to recommend updates to best/evidence-based practices and implementation guidance
Compiles information for compliance reporting, including reports for management and state/federal regulators. Depending on the complexity of the request, may perform analysis, identify trends, and follow up on opportunities for enhancement
Contributes to the development of new and/or enhanced compliance programs and enterprise-wide initiatives. Assists broadly in supporting overall compliance program initiatives as assigned by leadership. Builds and maintains strong collaborative working relationships with key stakeholders on compliance issues, including the implementation of standards and requirements
Maintains current knowledge of applicable federal and state laws to ensure ongoing compliance by the organization
Performs other duties and responsibilities as assigned
Qualification
Required
Bachelor's Degree or experience in lieu of degree
Three (3) years' relevant experience
Benefits
Robust benefits package
Competitive salary
Retirement plans
Medical, dental, and vision offerings
On-site massages
On-site counseling via our Employee Assistance Program
Access to the Personify Health Wellness tool
Formal training and career development offerings
Company
St. Luke's Health System
St. Luke's Health System is a healthcare facility offering internal medicine and urgent care services.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Kate Fowler, FACHE, CPA
SVP, Chief Financial Officer
Dani Jones, M.Coun
Chief Operating Officer, Health Partners
Recent News
HealthCareIT News
2025-11-21
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