Compliance Analyst II

Job description

Job Summary: The Compliance Analyst II position is a professional compliance role responsible for supporting the Compliance Program by collaborating and overseeing high risk areas to ensure that the compliance program is effective and efficient in identifying, preventing, detecting, and correcting noncompliance. Essential Functions: Compliance Prevention: - Provide analysis, interpretation, training, and education related to requirements as needed to ensure understanding and effective implementation of compliance requirements - Support departments with requirement implementation, reporting development, policy and procedure development/review, and readiness testing - Collaborate with internal business owners to ensure implementation of the health plan’s business and contractual requirements - Work with Compliance leadership to interpret regulations and provide related guidance - Assists in review and dissemination to team of Regulatory Distribution Management items (new and changing regulations); works to understand and provide expertise to team on these items and the impact to our work with high-risk business areas Compliance Detection: - Provide Compliance Program support with aud...