Compliance Advisor

Job not on LinkedIn

🔥 12 hours ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

HarmonyCares

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1993

🏥 Healthcare

⚕️ Healthcare Insurance

💰 Venture Round on 2021-11

Healthcare • Healthcare Insurance • Home Health

HarmonyCares is a leading provider of comprehensive, home-based healthcare services across 15 states in the U. S. The company specializes in in-home physician care, skilled nursing, therapy, and hospice care for patients, particularly those with Medicare and complex medical conditions. HarmonyCares aims to offer dignified, patient-centered care, allowing individuals to maintain their health and independence in the comfort of their own homes.

📋 Description

• Support oversight and compliance activities related to health plan relationships and value-based care arrangements, including Medicare Advantage, Medicaid, ACOs, and other risk-based reimbursement programs, ensuring adherence to applicable contractual, regulatory, and operational requirements • Assist with identifying, assessing, and mitigating compliance risks across the organization in assigned subject matter areas • Partner with operational teams to support implementation of regulatory requirements and corrective actions • Participate in compliance monitoring and oversight activities • Monitor state and federal regulatory developments impacting health plan relationships and healthcare operations; research and interpret regulatory requirements; and develop and communicate regulatory updates, guidance, summaries, and educational materials to support organizational compliance and stakeholder awareness • Serve as a resource to business partners on compliance-related matters • Conduct and support investigations of potential compliance, regulatory, and ethical concerns through document reviews, interviews, research, and other fact-finding activities, and prepare investigation summaries, findings, and recommendations • Drive root cause analysis and sustainable corrective actions • Track and monitor corrective action plans related to investigations and audit/monitoring findings • Support Compliance Committee and Board reporting activities by assisting with the preparation of agendas, presentations, dashboards, meeting materials, minutes, and follow-up documentation to promote effective compliance governance and oversight • Contribute to periodic compliance reports and compliance program updates to managers, directors, senior and executive leadership • Review internal, external, member, provider, patient, and marketing communications for compliance and regulatory considerations by collaborating with operational teams to ensure materials align with applicable standards and organizational policies • Provide feedback and recommendations to business partners regarding regulatory and compliance requirements and collaborate with business partners and compliance team members to support compliance program objectives • Coordinate assigned compliance projects and workstreams to ensure timely completion of deliverables • Assist with audits, monitoring activities, risk assessments, writing policies, and special projects • Employees will be required to perform other job-related assignments as requested

🎯 Requirements

• Bachelor’s degree in healthcare administration, Business, Public Health, Legal Studies, Paralegal Studies, or a related field • Certified in Healthcare Compliance (CHC) through HCCA or equivalent compliance certification required or the ability to obtain certification within six months of hire • 3+ years of experience in healthcare compliance, health plan compliance, healthcare regulatory affairs, healthcare legal support, paralegal work, or a related field • Experience interpreting and applying healthcare laws, regulations, and compliance requirements • Strong written, verbal, organizational, and analytical skills • Ability to manage multiple priorities and work independently while collaborating effectively with cross-functional teams • Proficiency in preparing reports, presentations, and written communications for leadership audiences • Medicare regulatory experience preferred • Experience supporting compliance investigations and corrective action activities preferred • Experience working within both payer and care delivery environments preferred • Knowledge of compliance program operations, auditing, monitoring, and risk assessment processes preferred • Prior experience with process and quality improvement preferred

🏖️ Benefits

• Health, Dental, Vision, Disability & Life Insurance, and much more • 401K Retirement Plan (with company match) • Tuition, Professional License and Certification Reimbursement • Paid Time Off, Holidays and Volunteer Time • Paid Orientation and Training • Great Place to Work Certified