Medicare Compliance Analyst II or III
Medicare Compliance Analyst II or III
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Medicare Compliance Analyst II or III
Work from Home within Oregon Washington Idaho or Utah
Build a career with purpose. Join our Cause to create a personfocused and economically sustainable health care system.
Who We Are Looking For:
Every day Cambias dedicated team of Medicare Compliance Analysts is living our mission to make health care easier and lives better. As a member of the Compliance team our Medicare Compliance Analysts are responsible to deliver an effective compliance program. They design implement deliver measure and refine activities and controls to prevent detect and correct violations of state federal and other laws. Duties may include but are not limited to risk assessment training monitoring auditing external audit coordination investigation root cause analysis regulatory implementation control assessment reporting and corrective actions all in service of creating an economically sustainable health care system.
Do you have a passion for serving others and learning new things Do you thrive as part of a collaborative caring team Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Compliance Analyst II would have a Bachelors degree or equivalent experience; 5 years of compliance experience or equivalent related experience with experience in a health care or Medicareregulated environment preferred.
Compliance Analyst III would have at least a Bachelors degree or equivalent experience; 8 years of compliance experience or equivalent related experience with experience in a health care or Medicareregulated environment or ACAregulated environment preferred.
Skills and Attributes:
Proven ability to deliver effective Core Compliance activities including monitoring auditing root cause analyses and corrective actions.
Skilled in project management and delivery including proven ability to initiate and manage multiple projects and priorities.
Excellent written and oral communication and presentation skills.
Excellent research and analytics skills with proven ability to distill actionable practical advice from diverse sources and opinions. Legal research skills preferred.
Proven ability to influence effectively at all levels of the organization.
Excellent independent judgment and decisionmaking skills.
PC literate with office computer software Word Excel PowerPoint Outlook Visio etc.
Discretion and confidentiality.
Agile with high learning velocity.
Demonstrated fluency in organizational agility: knowledgeable how about organizations work and how to get things done through formal and informal channels.
Practical familiarity with legal requirements relating to assigned compliance program or for new hires practical familiarity with analogous legal requirements.
Demonstrated mastery of at least four Compliance functions to include the core competencies: risk assessments training policies and procedures monitoring auditing external audit coordination control assessments reporting corrective actions implementation oversight and ability to perform those compliance functions effectively within that compliance program; or if assigned to a specialized function (e.g. FDR/ DDE Compliance Marketing Materials Review Data Validations) mastery of all competencies related to that specialized function.
Demonstrated ability to handle successfully the most complex most difficult matters endtoend.
Demonstrated ability to drive success with the most challenging and/or most elevated partners.
Additional Minimum Requirements (Compliance Analyst III)
Demonstrated mastery of legal requirements relating to assigned compliance program; or for new hires demonstrated mastery of analogous legal requirements.
Demonstrated mastery of at least 6 core compliance functions including the core competencies and ability to deftly perform all compliance functions relating to assigned compliance program as needed.
Demonstrated excellence in building effective relationships at all levels of the organization; influencing decisionmaking; effectively framing issues and dialogues; and driving successful outcomes.
Demonstrated endtoend operational knowledge relating to assigned compliance program.
Demonstrated peer mentoring and departmental leadership.
What You Will Do at Cambia:
Overall responsibilities include specific and/or portions of the following functions that relate to an effective compliance program utilizing as a basis the seven elements of compliance.
Duties include aspects of the preparation planning coordination project management submission administration monitoring and auditing of the Cambia compliance program which serves to oversee activities related to requirements laws and regulations to prevent detect and remediate compliance issues of the company.
Responsibility for producing and maintaining policies and desk manuals for position.
Works as a team with other staff members assigned in either a supporting or leading role.
Participating in the annual risk assessment process.
Ensuring materials reports and other documents are written in an understandable and concise style.
Project management and implementation.
Participating supporting and serving in regular meetings including divisional and crossdivisional committees as needed.
Core Competencies: risk assessments training policies and procedures training monitoring auditing root cause analysis and corrective actions.
Additional Competencies: external audit coordination implementations control assessments delegation oversight data validation marketing material oversight DDE/FDR oversight.
Work Environment
- Travel rarely required locally or out of state.
- May be required to work outside normal hours.
The expected hiring range for a Compliance Analyst II is $75700.00 $102350.00 depending on skills experience education and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10. The current full salary range for this role is $71000.00 to $116000.00.
The expected hiring range for a Compliance Analyst III is $91800.00 $123100.00 depending on skills experience education and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15. The current full salary range for this role is $86000.00 to $141000.00.
#LIremote
About Cambia
Working at Cambia means being part of a purposedriven awardwinning culture built on trust and innovation anchored in our 100 year history. Our caring and supportive colleagues are some of the best and brightest in the industry innovating together toward sustainable personfocused health care. Whether were helping members lending a hand to a colleague or volunteering in our communities our compassion empathy and team spirit always shine through.
Why Join the Cambia Team
At Cambia you can:
- Work alongside diverse teams building cuttingedge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambiasupported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck and your compensation should be too. Our compensation package includes competitive base pay as well as a marketleading 401(k) with a significant company match bonus opportunities and more.
In exchange for helping members live healthy lives we offer benefits that empower you to do the same. Just a few highlights include:
- Medical dental and vision coverage for employees and their eligible family members including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 companypaid holidays.
- Marketleading retirement plan including a company match on employee 401(k) contributions with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
- Awardwinning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobaccofree workplace. All qualified applicants will receive consideration for employment without regard to race color national origin religion age sex sexual orientation gender identity disability protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability please email . Information about how Cambia Health Solutions collects uses and discloses information is available in our .
Required Experience:
IC
Employment Type
Full-Time
