Audit and Compliance Analyst - Remote jobs in United States
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Covenant Health · 4 hours ago

Audit and Compliance Analyst - Remote

Covenant Health is a comprehensive health care organization that focuses on patient-centered care. They are seeking an Audit and Compliance Analyst to manage program compliance, policy development, and auditing within the Health Care Services teams.

Hospital & Health Care

Responsibilities

Handles various elements of program compliance, policy development auditing, monitoring and report development within the Health Care Services teams including Care Management and Utilization Management

Qualification

Program compliance assessmentAuditing protocolsData analysisPolicy developmentManaged care complianceProject managementTechnical writingCommunication skillsTeam collaboration

Required

Bachelor's Degree Business Administration, Healthcare Administration, or other related field. Or Consideration may be given for candidates who have comparable experience in lieu of a bachelor's degree
3 years Demonstrated successful experience working with administrative, policy and/or operational aspects of managed care
Proven track record of assessing program compliance and establishing auditing and monitoring protocols
3 years Experience in project management, data analysis and policy and procedure development
Experience with managed care regulatory compliance matters in one or more of the following lines of business (Medicare, Medicaid, Commercial)
1 year Experience in technical or operational policy & procedure writing as it relates to regulatory requirements and accreditation standards

Preferred

Experience with CMS and State Medicaid regulations and programs as they relate to Medical Management

Benefits

Retirement 401(k) Savings Plan with employer matching
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
Voluntary benefits
Well-being resources

Company

Covenant Health

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Covenant Health is a member of St. Joseph Health System, one of the most successful not-for-profit health systems in the United States.

Funding

Current Stage
Late Stage

Leadership Team

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Chris Lancaster
Chief Executive Officer
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Adam Spivey
CFO
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Company data provided by crunchbase