Senior Compliance Analyst

Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

The Senior Compliance Analyst will be primarily responsible for managing health plan and regulatory audit activity including, but not limited to, audit deliverable coordination, on-site audit coordination and management, and mock audit activities. The individual will also manage the corrective action process for health plan and regulatory CAPs. This role requires collaboration with stakeholders at all levels of the organization; therefore, candidates should demonstrate skillful communication, flexibility, and conflict resolution skills. It is a telecommuter role and an individual contributor with minimal travel.

Competencies:

Functional:

• Coordinate all aspects of regulatory and client audits (i.e., pre-site deliverables, mock audits, on-site visits, logistics, and written responses to audit reports and corrective actions) and coordinate across times to document and track completion to ensure audit success.
• Synthesize audit-related information (i.e., scope, findings, recommendations, corrective action plans, and status) and provide Compliance and business operations leadership written and oral reports of ongoing and completed audits
• Simultaneously manage multiple audits and collaborate across multiple business areas to communicate gather necessary information within assigned due dates
• Develop compliance communications
• Problem solve and work closely with business partners on issue resolution
• Research, understand, and articulate regulatory and contractual requirements
• Educate business partners on regulatory audit processes as needed
• Manage, track and report data related regulatory and client audits and CAPs
• Coordinate with Legal Counsel as needed
• Perform additional duties as requested or required by management

Core:

• Ability to manage time effectively and efficiently
• Ability to analyze data for accuracy
• Ability to work independently and with minimal direction
• Ability to demonstrate managing of projects
• Proficient oral and verbal communication skills
• Ability to demonstrate critical thinking skills

Behavioral:

• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
• Initiative: readiness to lead or take action to achieve goals.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
• Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
• Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive: managing new demands, changes, and situations.
• Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
• Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
• Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.

Minimum Qualifications:

• Bachelor's degree in business, healthcare, or related area of study, or equivalent education and work experience
• 3+ years of experience in compliance, privacy and/or regulatory affairs or with supporting audits in a highly regulated industry; preferably a government, health care or managed care environment
• Intermediate level of proficiency with MS Word, Excel, and PowerPoint
• Strong attention to detail
• Able to work under pressure
• Able to meet deadlines consistently
• Able to work independently
• As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.
• Ability to travel as necessary (up to 25%)

Preferred Qualifications:

• Experience working with Medicare, Medicaid or Commercial benefits and regulations
• Working knowledge of managed care and dental/vision benefit plans

FLSA Status: Salary/Exempt

National Salary Range: $55,790 - $109,040

Bonus Eligible: Annual Incentive Plan (AIP)

Avesis is aware of fraudulent activity by individuals falsely representing themselves as Avesis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avesis recruiters will come from a verified email address ending in @Avesis.com.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.

To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avesis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

We Offer

• Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
• Competitive compensation package.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

Equal Employment Opportunity

At Avsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avsis, where We See You!