[Hiring] Compliance Analyst II @CareSource

Role Description

The Compliance Analyst II position is a professional compliance role responsible for supporting the Compliance Program by collaborating and overseeing high risk areas to ensure that the compliance program is effective and efficient in identifying, preventing, detecting, and correcting noncompliance.

Qualifications

• Bachelor’s degree in business or related field, or equivalent years of relevant work experience is required
• Minimum of three (3) years of compliance and/or regulatory experience including one (1) year in Government Program products is required

Requirements

• Strong familiarity with government-funded healthcare programs, including Medicaid, and the compliance standards imposed upon First Tier, Downstream and Related (FDR) entities
• Familiarity with Healthcare operations and/or clinical concepts, practices and procedures is preferred
• Data analysis ability to produce meaningful insight and drive appropriate action
• Demonstrated understanding of Compliance and Regulatory fundamentals specifically related to managed care and government programs (CMS/HHS/DOI/Medicaid)
• Ability to conduct research and analysis of Federal, State, and relevant industry regulatory and enforcement
• Proven ability to effectively manage work through prioritization, preparing, effective scheduling, leveraging resources and maintaining focus
• Demonstrated professional communication skills, to include proper grammar usage, document structure, and business writing to audiences including but not limited to internal Leadership at all levels, internal and external Legal Counsel, Corporate Compliance, State and Federal Regulators
• Advanced organizational, project management and scheduling skills
• Strong decision making and problem-solving skills
• Ability to work independently and within a team environment
• Demonstrated success in working in a matrixed environment
• Detail oriented with focus on maintaining accurate information in tools as required
• Demonstrated critical thinking skills
• Negotiation skills/experience
• Time management skills including creation and maintenance of project timelines
• Advanced level experience in Microsoft Word, Excel and PowerPoint

Benefits

• Compensation Range: $72,200.00 - $115,500.00
• In addition to base compensation, you may qualify for a bonus tied to company and individual performance
• We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time
• Must be able to accommodate for Eastern Standard Time Zone work hours

Licensure and Certification

• Certified in Healthcare Compliance (CHC) or Certified Compliance and Ethics Professional (CCEP) preferred

Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.