Senior Compliance Analyst, Devoted Health

• Health Plan/CMS ODAG auditing experience
• Ability to meet strict deadlines
• Professional verbal and written communication skills
• Ability to Travel 10% (onsite meetings, audits, and conferences)

Desirable

• As the Sr. Compliance Analyst for Devoted Health, you will be reporting directly to our Director of Compliance. This means having the chance to work across multiple operational teams; which may include any internal area and those that have a relationship with vendor oversight functions (i.e. Claims, Payment Integrity, Appeals, etc.)
• You will be performing audits, tracking potential compliance issues, reviewing impact analysis reports, and working corrective action plans
• You will be reviewing monitoring activities from the designated business areas, and assisting in the day to day monitoring activities of the operational area
• You will also support risk assessment activities, and audit planning processes
• You have the ability to learn and adapt to using Gemini, LLM, Copilot AI prompts to enhance compliance functions
• Performing audits and managing corrective actions
• Participating in monthly meetings with our internal teams as well as assigned workgroup sessions
• Updating and developing policies, procedures, and job aids
• Collaborating with other departments for audits, corrective action, and compliance activities
• Analyzing and evaluating data, identifying trends and risks, and making appropriate conclusions based on regulatory guidelines
• Reviewing HPMS memos and regulatory guidance for adherence to regulatory processes
• Reviewing dashboards and KPI reporting