The
Compliance Analyst position is responsible for assisting in meeting regulatory and accreditation/certification and supporting contract administration activities including the management, administration, and tracking of all approved contracts.
This is a non-clinical position located on site in the Philippines, available only to applicants residing in the Philippines.At Carenet Health, we're relentlessly focused on delivering clinically driven, consumer-centric engagement solutions rooted in powerful, one-on-one connections. One in five (65 million) Americans has access to our services, and we connect with 70,000 consumers daily about their health and wellness, coverage and benefits, care coordination and more.
Responsibilities- Become a subject matter expert for ensuring compliance and privacy related questions contained in RFPs and customer due diligence questionnaires are responded to timely and accurately.
- Ensure the privacy and compliance questionnaire knowledge library is periodically refreshed to ensure high quality, accurate responses are readily available.
- Assists with planning and executing audits to meet client, regulatory, and accreditation requirements including preparing audit materials from different departments and tracking time for billing purposes.
- Facilitates process for assuring that company policies and procedures are maintained and that appropriate processes to monitor and assure compliance are in place and effective. Manages, develops, administers and tracks all policies and procedures supports the Policy and Procedure Review Committee.
- Maintains current knowledge of accreditation, regulatory compliance, security certification, and licensure requirements such URAC, NCQA, Registered Nurse licensing, WFA, HIPAA, HITRUST, SOC 2, and other applicable regulations.
- Tracks and manages ongoing state and federal regulatory reporting.
- Conducts various internal compliance reviews, risk assessments, gap assessments or maturity assessments that will be used to enhance the compliance program and/or prepare for new and upcoming requirements.
- Audits business practices across the organization isolate potential risks or liabilities and develop mitigation plans. Actively participates in audit activities in the organization.
- Leads and supports various day to day privacy and compliance tasks and projects.
Qualifications- High School diploma or general education degree (GED) and 3+ years of equivalent combination of education and experience with program management or Bachelors degree (in business, or a related field).
- Experience and interest working in healthcare, HIPAA, HITRUST, SOC 2, URAC, NCQA and call centers is preferred.
- This position requires strong analytical skills and the ability to assist with complex projects.
- Exceptional communication and negotiation skills are vital
We're searching for the market's strongest candidate to join our group of innovators, collaborators, and builders in pioneering the next phase of Carenet's place in healthcare history. If this sounds like you, we need to connect! More About Carenet Health
Carenet Health delivers multi-dimensional value to healthcare organizations in areas such as revenue optimization, cost containment and consumer experience. Our clients choose us-and stay with us for an average of seven years or more-because of our clinical expertise and our experience creating meaningful connections that deliver impact and ROI.
Our solutions include multi-channel consumer engagement programs that support quality and satisfaction performance metrics, as well as on-demand clinical engagement and telehealth services that improve care and lower costs. Intelligent contact strategies, empathy-focused interactions, high-touch navigation assistance and best-in-class partners are a few of the key factors in our success.
Learn more at carenethealthcare.com
