Job description

Why This Role is Important to Us

Under the direction of the Compliance Director, Shared Services, the primary focus of this position is to support compliance-related programs such as internal Compliance Training, Education, and Communication, Conflict of Interest, Compliance Effectiveness program and others as developed. This position is also responsible for updating and tracking metrics/data for completion rates, engagement, and effectiveness.

What We're Looking For

Education Required:

• Bachelor's degree or equivalent work experience is required.

Experience Required:

• 1-2 years' work experience

Experience Desired:

• Regulatory compliance experience preferred; health care compliance programs experience strongly preferred.

Knowledge, Skills & Abilities Required:

• Project management skills - having the ability to effectively manage multiple priorities simultaneously by maintaining established timeframes, adhering to work plans, and communicating changes effectively, demonstrate attention to detail.
• Strong written, verbal, listening and communication skills -- having the ability to understand and communicate appropriately to the targeted audience. Must be able to effectively communicate with colleagues, internal customers, and vendors.
• Data analytical skills.
• Strong analytical skills -- having the ability to identify an issue, conduct an analysis to determine business impact (including gap analysis), troubleshoot and identify solutions.
• Candidate must be able to prioritize work and use independent judgment.
• Self-directed with proven initiation skills.
• Ability to initiate and develop new solutions to problems, to identify new opportunities; and have organizational perspective to see how the pieces fit and reflect that perspective in day-to-day decisions.

Knowledge, Skills & Abilities Desired:

• A background with Medicare, Medicaid and/or health plan operations is preferred. Experience with health care compliance programs is also preferred.

What You'll be Doing

Serve as a core member of the compliance department, supporting organizational projects aimed at promoting and maintaining an effective Compliance Program. Elements of the Training and Education Program include:

• Coordinate compliance training programs and facilitate education and awareness campaigns around compliance
• Assist in the development of Annual Compliance Education Training for the Workforce and Board of Directors
• Maintain accurate training records, as required for compliance program effectiveness
• Identify need for and develop ad hoc trainings as needed
• Conduct regulatory and contractual research as requested
• Assist in the development and delivering of compliance training content
• Maintain tracking and dashboard metrics of compliance reporting status
• Assist in maintaining Compliance, Training, Education, and Communication Program including:
• Develop, maintain, and update Standard Operating Procedures for Compliance Training and Education Program
• Document training activities and maintain appropriate training records
• Develop and implement an effective Compliance Month educational experience for CCA workforce
• Work collaboratively with Health Plan Compliance team to assist with maintaining oversight of first tier, downstream and related entities to monitor compliance with required training components
• Develop regulatory and enterprise-wide communication content as needed for publication
• Represent Compliance department at meetings
• Assist in the development and delivery of Compliance Tips of the Month and other compliance education initiatives (Lunch & Learns/ Corporate Compliance week)
• Assist in the creation of training guides and delivering training on CCA's developing Governance, Risk and Compliance platform.
• Lead and/or assist with training in classroom settings, one-on-one, meetings, webinars, and workshops
• Perform other job-related duties as assigned

Focused Compliance Responsibilities:

• Develop/monitor individual module project plans to ensure established schedule is maintained
• Develop/maintain system roles-based access requirements where needed
• Develop reports within the system for distribution among the organization
• Point person for end-user questions for reporting
• Identify and scope identified, needed system enhancements
• Develop/maintain process documentation
• Become subject matter expert relating to training, education, and communications activities

Analyst Responsibilities:

• Serve as a liaison between data analysts and business departments to translate business functions needing compliance oversight into data requirements for reports and dashboards
• Proactively clarify scope and requirements to provide accurate status of projects and timely delivery of reports
• Develop relevant metrics and alerts for prospective data issues
• Ensure consistency / standards across all reports, dashboards, and tools through extensive quality control and review process
• Ensure appropriate data gathering, reports, and analysis are in place to meet certain CMS and State requirements
• Track, analyze and resolve data inaccuracies and/or negative data trends (duplicates, incomplete information, inconsistencies, etc.) and engage appropriate stakeholders
• Record, respond, and help resolve data issues in a proactive manner

Data Analysis:

• Identify key data findings and trends in projects through graphical visualizations
• Interpret data accurately and produce clear and comprehensive written analyses, dashboards, graphs, tables, etc. for diverse internal and external audiences
• Create data visualizations to effectively display performance trends using tools such as Excel (pivot tables), Tableau, Looker, and SQL server
• Develop and analyze quantitative reports to assess performance on key measures

Process Improvement:

• Partner with business units to develop and track performance towards achieving benchmarks on key regulatory requirements
• Facilitate exploratory sessions to develop a shared understanding of a business problem, the possible solutions and next steps. Document requirements based on the outcome of the sessions
• Identify opportunities for continuous improvement based on data findings

Development of metrics and reporting to demonstrate effectiveness of CCA's Compliance Program:

• Identify, develop, and produce metrics to demonstrate effectiveness of CCA's Compliance Program. Work collaboratively with all divisions within Compliance Department
• Prepare metrics and reports for consumption by different levels within the organization.
• Review certain issue notifications/disclosures and assign compliance risk level. Work collaboratively with impacted departments to identify root cause and make recommendations for corrective actions, as identified.

Review and analyze state and federal regulations and requirements:

• Assist in processing regulatory guidance, including but not limited to, HPMS Memoranda, Federal Register, and/or OIG notifications and other regulatory guidance. Create summaries of changes to requirements and regulations, and identify business owners, impacted departments and required next steps for implementation. Coordinate distribution, comment collection and submission process for updated regulations

Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift

Work Location: Remote

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