Operational Compliance Analyst
A company is looking for an Operational Compliance Analyst. Key Responsibilities Respond to internal and external compliance-related requests and reporting Track and report compliance and contractual metrics to demonstrate performance Create and update Policies and Procedures (P&Ps) and Standard Operating Procedures (SOPs) Required Qualifications Bachelor's degree or relevant experience equivalency At least 4 years of health plan experience, preferably in Compliance or Operations Working knowledge of CMS regulatory and sub-regulatory regulations Subject matter expertise in Claims, Risk Adjustment, Appeals and Grievances, and/or Billing is preferred Ability to manage multiple tasks and deliverables in a fast-paced environment
A company is looking for an Operational Compliance Analyst.
Key Responsibilities
Respond to internal and external compliance-related requests and reporting
Track and report compliance and contractual metrics to demonstrate performance
Create and update Policies and Procedures (P&Ps) and Standard Operating Procedures (SOPs)
Required Qualifications
Bachelor's degree or relevant experience equivalency
At least 4 years of health plan experience, preferably in Compliance or Operations
Working knowledge of CMS regulatory and sub-regulatory regulations
Subject matter expertise in Claims, Risk Adjustment, Appeals and Grievances, and/or Billing is preferred
Ability to manage multiple tasks and deliverables in a fast-paced environment
