Senior Compliance Analyst

Ankeny, IA - USA

Monthly Salary: $ 75101 - 90000

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

The Senior Compliance Analyst is responsible for supporting and overseeing the day-to-day operations and execution of the compliance and privacy programs within Moms Meals. Duties include managing formal client/payor grievances critical incident investigation and reporting policies and procedures and privacy incident response and remediation and supporting payor/agency audit response. Successful candidates contribute to a positive culture of compliance at Moms Meals.

This position can be remote with occasional visits (possibly quarterly) to our headquarters in Ankeny IA.

Salary Range: $75101 - 90000 plus 10% bonus

Benefits

Our employees enjoy a generous package of benefits that we are thrilled to provide and feel is part of what makes us different as an employer. We value our team members and this is one way we can show it.

Benefits include:

-PTO holiday pay and holiday of choice

-401(k) match

-Life insurance

-Short-term disability

-Health dental and vision insurance

-Maternity/paternity leave

-Health savings account (HSA)

-Flex spending accounts (FSA) health and dependent

Position Responsibilities may include but not limited to

Regularly review State and Federal laws rules in partnership with legal and notify internal business partners of applicable changes to ensure organizational compliance is maintained
Complete a regular review of policies and procedures to maintain alignment with state and federal compliance regulations; recommend updates work with leadership to complete
Ensure resolution of Critical Incidents with appropriate internal business partners and notify agency caseworkers/contacts according to contractual and regulatory obligations
Investigate and ensure resolution to Grievances received from clients agencies and third parties; provide any required follow-up education to employees or leaders; collaborate with leadership to determine and implement corrective actions
Compile compliance metrics and analyzes results for ongoing tracking and Board and Executive review
Manage general compliance email as needed
Execute regular Compliance Program Self-Assessments based on the Department of Justice recommendations; propose internal action plans to strengthen Compliance posture within organization
Provide employee compliance education including onboarding annual training both departmental-specific and role-based training; participates in annual education review and as rules and regulations change; develops Compliance Tips for general education
Assist in development of compliance audit program by planning and conducting second line of defense compliance audits; communicate results to applicable internal business
Review and investigate impermissible use/disclosure reports; provides employee re-education
Participate in breach notification process
Develop and provide employee privacy education including onboarding annual training both departmental-specific and role-based training; participate in annual review education review or as rules and regulations change; Privacy Tips for general education
Assist in development and oversee HIPAA Auditing/Monitoring Plan and annual revision; privacy aspects of HITRUST; monitoring of program using OCR Audit Protocol
Act as an internal compliance/privacy resource for Moms Meals employees
Engage in ongoing education and professional development to increase compliance expertise business acumen and regulatory knowledge
Collaborate with teammates leadership team and internal business partners to produce effective compliance and privacy program outcomes
Manage all external audit activity including: audit intake analysis information/document requests from internal business partners review and preparation submission auditor meetings results review and response
Draft Corrective Action Plans (CAP) and Audit Appeals with input from applicable internal business leaders and Compliance Leadership in response to audit findings
Identify track and trend in auditing to ensure proactive preparation for future audits and/or determinations resulting in CAPs
Maintain electronic audit resource library to ensure up-to-date documentation
Maintain external audit tracking database to house all audit activity and status and supports reporting and data analytics of audit data

Required Skills and Experience

Bachelors degree OR 8 years relevant experience
4-7 years experience in auditing payer relations compliance privacy information security or other relevant healthcare industry experience
Strong problem-solving skills including attention to detail
Ability to prioritize (and re-prioritize) projects in a fast-paced work environment
Effective written and verbal communication skills
Ability to work collaboratively to foster trust credibility and understanding
Ability to promote teamwork within department and organization
Exceptional personal organizational skills to meet deadlines complete work assignments and projects and/or accomplish time sensitive work prior to due dates
Maintain working knowledge and understanding of various state/federal compliance and privacy laws rules and regulations related to Medicare/Medicare Advantage plans Medicaid Managed Care Organizations
Proficient in Microsoft Office Applications including Word Excel PowerPoint and Outlook

Preferred Skills and Experience

Certification in compliance privacy or other relevant area

Physical Requirements

Repetitive motions that include the wrists hands and/or fingers
Sedentary work that primarily involves sitting remaining in a stationary position for prolonged periods
Visual perception to perform job including peripheral vision depth perception and the ability to adjust focus

We may use artificial intelligence (AI) tools to support parts of the hiring process such as reviewing applications analyzing resumes or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed please contact us.

Required Experience:

Senior IC