Insurance Compliance Analyst

Job not on LinkedIn

November 13

Apply Now

Receive Emails with Similar Jobs

WVU Medicine

WebsiteLinkedInAll Job Openings

Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

10,000+ employees

⚕️ Healthcare Insurance

📋 Description

• Assist in compliance activities including monitoring, auditing, investigating, and updating policy and procedures • Assist in with vendor oversight activities • Improve existing processes, lead analysis, and provide cross-functional compliance support to business areas • Participate in and support compliance program activities including monitoring, investigations, exclusion screenings, policy preparation, communications, and training • Lead the compilation, tracking and reporting of deliverables; review deliverables for accuracy and facilitate corrections • Assist with compliance audits and related activities, including tracking documentation, coordination of interviews, and support the preparation of final reports • Provide analysis, interpretation, training, and education related to requirements as needed to ensure understanding and effective implementation of compliance requirements • Maintain and enhance current knowledge of compliance and best practices through attendance of meetings and seminars, study of reference materials, and updates to compliance rules and regulations

🎯 Requirements

• Bachelor’s Degree in healthcare administration, compliance, paralegal studies, business administration, or related field • Two (2) years of health care compliance experience • Two (2) years of health care regulatory experience • Certified in Healthcare Compliance (CHC) preferred • Understanding of compliance requirements for Medicare, Medicaid, and Commercial Lines of Business • CPA or audit and investigation experience • Vendor activity management a plus • Analyzing and communicating regulatory requirements

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Professional development opportunities • Flexible work arrangements