Compliance Analyst supporting federal customer's mission - critical compliance functions at WOOD in Annapolis Junction, Maryland. Seeking highly experienced candidate with expertise in compliance and analytical skills.
About the role
- Audit and Compliance Analyst responsible for program compliance and policy development within healthcare services teams. Collaborating on auditing, monitoring, and report development regarding Care Management and Utilization Management.
Responsibilities
- Handles various elements of program compliance, policy development auditing, monitoring, and report development within the Health Care Services teams including Care Management and Utilization Management
Requirements
- Bachelor's Degree in Business Administration, Healthcare Administration, or other related field, or consideration may be given for candidates who have comparable experience in lieu of a bachelor's degree
- 3 years of demonstrated successful experience working with administrative, policy and/or operational aspects of managed care
- Proven track record of assessing program compliance and establishing auditing and monitoring protocols
- 3 years experience in project management, data analysis and policy and procedure development
- Experience with managed care regulatory compliance matters in one or more of the following lines of business (Medicare, Medicaid, Commercial)
- 1 year experience in technical or operational policy & procedure writing as it relates to regulatory requirements and accreditation standards
Benefits
- Comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching
- Health care benefits (medical, dental, vision)
- Life insurance
- Disability insurance
- Time off benefits (paid parental leave, vacations, holidays, health issues)
- Voluntary benefits
- Well-being resources
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