Compliance Analyst

Profile

Compliance Analyst

The candidate will respond to external requests for information required by the organization for its regulatory filings. Respond to inquiries from state and federal regulatory agencies. Monitor pending legislation and regulations affecting Centene Corporation services. Maintain database and other reference materials related to legislative and regulatory issues and compliance. Communicate state and federal requirements to internal and external clients. Provide development guidance and assists in the identification, implementation, and maintenance of compliance policies, procedures and work instructions. Assist in the identification, analysis, and resolution of compliance issues. Maintain and reviews regulatory documentation necessary to maintain corporate standards. Assist in developing, producing and conducting compliance training programs. Perform periodic compliance audits, and risk assessments and conducts related ongoing compliance monitoring activities. Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues that may negatively impact service to members. Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed. Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvement initiatives. Bachelor’s degree in a related field or equivalent experience. Master's or Juris Doctorate degree preferred and may be considered in lieu of experience. Should have 1+ years of related experience in compliance, privacy and/or regulatory affairs. Working knowledge of laws and/or regulations in area of compliance; in particular HIPAA, and state regulations.

Additional Information

Job Id 1359704.

Company info

California Health & Wellness
1740 Creekside Oaks Drive Suite 200
Sacramento
California
United States 95833
Website : http://www.cahealthwellness.com