Risk Analyst

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $77.5k - $102.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

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Public Partnerships | PPL

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Public Partnerships | PPL is a provider of financial management and administrative services that enable self-directed Medicaid long-term care. The company helps eligible Medicaid participants hire and manage caregivers (including family or friends), handles payroll, payments, tax and compliance paperwork, and offers online tools and support to participants, caregivers, and program administrators. PPL partners with state Medicaid agencies and managed care organizations to administer self-directed care programs across multiple states, aiming to simplify program administration and keep people in their homes.

📋 Description

• Support enterprise-wide risk assessments, structured risk interviews, and enterprise risk register maintenance • Research regulatory, contractual, operational, financial, legal, and reputational implications of identified risks • Conduct environmental scanning of enforcement actions, OIG work plans, CMS guidance, state regulatory actions, and emerging industry risks • Assist with enterprise risk profiles, risk scoring methodologies, mitigation recommendations, control effectiveness, and residual risk assessments • Research healthcare regulations, enforcement trends, litigation, settlements, corrective action plans, Corporate Integrity Agreements, audit findings, and industry best practices • Prepare evidence-based summaries and recommendations for leadership • Maintain a repository of research, source materials, analyses, and conclusions • Collaborate with Legal, Corporate Compliance, Operations, Information Security, Human Resources, and other subject matter experts • Support intake, documentation, triage, classification, and monitoring of incidents, audit findings, control deficiencies, and corrective action plans • Participate in root cause analysis and trend recurring findings across the organization • Monitor corrective-action implementation and escalate overdue or ineffective remediation • Support planning and coordination of regulatory, client, external, and SOC audits • Assist with audit deliverables and develop dashboards, reports, and governance materials for executive leadership and compliance committees • Analyze trends across audits, investigations, incidents, and risk assessments

🎯 Requirements

• Bachelor's degree required in Public Health, Healthcare Administration, Health Policy, Compliance, Business Administration, Data Analytics, or related field • Five years of relevant healthcare compliance, public health, research, quality, analytics, audit, or risk management experience; or two years of relevant professional experience combined with a Master's degree in a related field • Substantial professional experience may be substituted in lieu of a professional degree • Strong research and analytical capabilities • Knowledge of healthcare compliance, Medicaid, public health, healthcare policy, or regulatory environments • Experience evaluating regulatory guidance, enforcement actions, or healthcare policy • Excellent written communication and technical writing skills • Strong data analysis and reporting capabilities • Ability to evaluate control design and effectiveness • Strong organizational and project management skills • Curiosity, critical thinking, and continuous improvement mindset • Experience conducting healthcare regulatory research strongly preferred • Medicaid or consumer-directed services experience preferred • Occasional business travel required • Master of Public Health, Master of Health Administration, Master of Public Policy, Juris Doctor, or similar graduate degree strongly preferred