Senior Compliance Analyst, Devoted Health

• Health Plan auditing experience
• Medicare Advantage experience
• Ability to meet strict deadlines
• Professional verbal and written communication skills

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, Enrollment, Appeals, Grievances, Call Center, Utilization Management, 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 may conduct both internal and external (FDR) audit and monitoring oversight activities for Medicare Advantage and SNP plans
• Performing audits and managing corrective actions
• Participating in monthly meetings with our internal teams as well as assigned work-group sessions
• Updating and developing policies, procedures, and job aids
• Collaborating with other departments for audits, corrective action, and compliance activities
• Analyze and evaluate data, identify trends and risks, and make appropriate conclusions based on regulatory guidelines
• Review HPMS memos and regulatory guidance for adherence to regulatory processes