Job Description
A bit about this role:
As the Sr. Compliance Analyst for Devoted Health, you will report directly to our Associate Director of Business Compliance. You'll have the opportunity to work cross-functionally with a focus on ensuring regulatory compliance. You will assist with legislative and regulatory compliance communication management, audit facilitation, exclusion screening, entity management, regulatory reporting, and monitoring emergency declarations.
Your Responsibilities and Impact will include:
- 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).
Required skills and experience:
- Maintains quality service by establishing and enforcing organization standards.
- The ability to work independently and get the job done!
- Curious and inquisitive.
- Detail-oriented.
- Consistently meets deadlines.
- Passionate about Medicare and the members we serve.
Desired skills and experience:
- 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.
#LI-Remote
Salary Range: $58,000-$90,000 per year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
- 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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going - all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
