Senior Compliance Analyst

🔥 13 hours ago

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Identifying, distributing, and monitoring the implementation status of regulatory communications. • Researching regulations by reviewing regulatory guidance from CMS, the states, and other sources of information. • Supporting regulatory reporting requirements across multiple entities, states, and operational areas. • Independently verifying, investigating, and resolving complex research requests with high attention to detail. • Facilitating the exclusion screening program. • Supporting legal entity management, working closely with the legal and finance teams. • Proactively monitoring emergency declarations and ensuring compliance with applicable law and internal policy regarding emergency declarations. • Facilitating regulatory audits, supporting company-wide audit processes, and managing cross-departmental documentation requests. • Supporting All-Payer Claims Data (APCD) initiatives, providing compliance guidance. • Performing monthly metric analysis and translating data into actionable monthly reports. • Synthesizing complex data to create entity Board of Directors materials. • Participating in the implementation of Artificial Intelligence (AI) initiatives. • Preparing department reports by collecting, analyzing, and summarizing information. • Performing other duties as assigned to help the business compliance team achieve department Key Performance Indicators (KPIs).

🎯 Requirements

• Three or more years working in a heavily regulated healthcare environment. • Proficient in regulatory audit facilitation, internal compliance reviews, and coordinating responses to agency inquiries. • Project management skills, including the ability to prioritize multiple workstreams to meet due dates. • Ability to work in a fast-paced environment. • Strong written and verbal communication skills. • Medicare Advantage healthcare experience.

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program • And more....