Covenant Health · 9 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
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
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 StageRecent News
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