Compliance Consultant delivering high - quality compliance consultancy services and tailored solutions for financial advice firms. Involves supporting regulatory requirements and ensuring effective governance.
About the role
- Compliance Analyst conducting fraud and privacy investigations for Addus HomeCare, supporting all aspects of the Compliance Program with a hybrid work schedule.
Responsibilities
- Conducts, documents, and reports on compliance related investigations (primarily fraud and privacy)
- Responds to external investigations including gathering and preparing the documentation
- Develops and conducts internal audits based on the companys identified compliance risks
- Performs research of regulations and requirements from multiple sources including federal and state laws
- Creates and maintains databases to demonstrate an effective compliance program
- Receives and responds timely to medical record requests from external parties
- Develops and maintains standardized tools for documenting and reporting compliance activity throughout the enterprise
- Develops and produces written communications, emails, training materials, policies, standard operating procedures and guidance documents
- Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
- Follows all Medicare, Medicaid, state, federal, HIPAA and privacy regulations and requirements
Requirements
- Bachelors degree in Health Care, Health Care Administration, Public Health, Public Administration, Public Policy, or other related field and/or a combination of relevant work experience preferred
- Investigation experience required
- Reimbursement knowledge preferred
- 2+ years of experience in health care compliance, in a provider or payer setting preferred
- Working knowledge of compliance and privacy related issues preferred
- Ability to work independently
- Excellent verbal and written communications skills
- Ability to effectively analyze, interpret, apply and communicate policies, procedures and regulations
- Ability to operate PC-based software programs including proficiency in Word, Excel, and PowerPoint
Benefits
- Medical, Dental and Vision Benefits
- Continued Education
- PTO Plan
- Retirement Planning
- Life Insurance
- Employee discounts
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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