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Compliance Analyst I
CareSource. Support the Compliance Program through internal or external audits, monitoring, departmental projects, and data analytics .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in compliance program support, including data analytics, audit coordination, and regulatory communication. Proficient in managing compliance requests and fostering cross-functional collaboration to enhance workflow efficiencies.
Highest-signal resume keywords
Compliance Program SupportData AnalyticsAudit CoordinationRegulatory CommunicationHealthcare Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryRoot Cause AnalysisGap AnalysisRegulatory InterpretationBusiness Continuity ProcessesDocument ManagementStatistical ReportingWorkflow Efficiency IdentificationCompliance Vulnerability ReportingProject Scheduling
Soft Skills
Strong Interpersonal SkillsVerbal Communication SkillsWritten Communication SkillsAnalytical Problem SolvingAttention to Detail
Tools & Technologies
SharePointOnBaseAdobeMicrosoft WordMicrosoft ExcelMicrosoft PowerPoint
Certifications & Qualifications
Certified Records Analyst (CRA)Certified Healthcare Compliance (CHC)Certified Compliance Ethics Professional (CCEP)
Industry Keywords
Healthcare OperationsRegulatory EnvironmentManaged CarePolicy DevelopmentRecords Management
About the role
Key responsibilities & impact- Support the Compliance Program through internal or external audits, monitoring, departmental projects, and data analytics
- Perform data entry and manage compliance requests in designated compliance tools
- Support and coordinate audit activities with business owners and subject matter experts
- Coordinate delivery of accurate documents, reports, and data universes to regulatory agencies
- Identify irregular trends and communicate improvement opportunities to management
- Track and report key statistics for internal and external requirements
- Identify workflow efficiencies with Internal Business Partners
- Perform recurring business continuity and audit processes related to physical content
- Support internal projects and collaborate with cross-functional teams on deliverables
- Assist with developing, reviewing, and delivering compliance support training
- Maintain corrective action plan information through issue resolution
- Conduct research, root cause analysis, and gap analysis
- Interpret regulations and provide guidance with Compliance leadership
- Coordinate internal quality review processes for regulatory submissions and communications
- Identify and report compliance vulnerabilities, risks, non-compliance, and alleged violations
- Build relationships with Business Departments to support a culture of compliance
- Collaborate across Compliance functions, corporate teams, markets, plans, assurance functions, and business partners
- Analyze business and delegate/FDR performance data and prepare reports
- Manage complaints received through regulators or governing bodies as needed
- Maintain the Records & Information Management Program and Corporate Policy & Procedure Governance as needed
- Perform other job-related instructions as requested
Requirements
What you’ll need- Bachelor’s degree or equivalent years of relevant work experience is required
- One (1) to two (2) years in a health care related field is required, or equivalent experience in managed care, compliance, regulatory environment, policy and procedure development and oversight, and/or records and information management
- Ability to work independently in a fast-paced cross-functional environment with changing priorities
- Strong interpersonal and verbal/written communication skills
- Professional communication skills, including proper grammar usage, document structure, and business writing
- Ability to work independently and within a team environment
- Success working in a matrixed environment
- Strong analytical, problem solving, and critical thinking skills, with attention to detail
- Knowledge of regulatory environment and general understanding of audit protocols
- Ability to read, comprehend, and adhere to process documents, contractual requirements, and technical specifications required by auditors and regulators
- Ability to evaluate business partners’ adherence to procedures, contractual requirements, and technical specifications
- Familiarity with healthcare operations and/or clinical concepts, practices, and procedures
- Ability to manage multiple responsibilities and projects with competing priorities and deadlines
- Understanding of data analysis and trending techniques
- Ability to develop, prioritize, leverage resources, and accomplish goals
- Strong time management and project scheduling skills, including creation and maintenance of project timelines
- Knowledge of IT and enterprise software applications and platforms such as SharePoint, OnBase, and Adobe
- Proficient in Microsoft Word, Excel, and PowerPoint
- Certified Records Analyst (CRA), Certified Healthcare Compliance (CHC), or Certified Compliance Ethics Professional (CCEP) certification preferred
Benefits
Comp & perks- Bonus tied to company and individual performance may be available
- Substantial and comprehensive total rewards package
- Remote work arrangement