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Compliance Analyst (Medical Management)

at HMSA

Posted: 10/2/2019
Job Reference #: 5000518049506
Keywords: government

Job Description

Employment Type

Full-time

Exempt or Non-Exempt

Exempt

Job Summary

Conduct activities under minimal direction that support government regulations, accreditation standards and specific HMSA line of business requirements; lead/participate on project teams to share expertise and facilitate completion of deliverables.

Minimum Qualifications

  1. Bachelor's Degree and two years of related work experience; or equivalent combination of education and related work experience.
  2. Proficient in the use of all Microsoft Office applications and Internet searches.
  3. Strong verbal and written communication skills;
  4. Excellent analytical, organizational and time-management skills.
  5. Recognized leadership abilities.

Duties and Responsibilities

  1. Monitor and analyze regulatory/accreditation/business requirements to invoke recommendations for program and/or policy changes as appropriate for various lines of business.
  2. Lead/coordinate activities, which include internal audits, quality assurance control, quality improvement, provider satisfaction and department policies and procedures, to meet and/or maintain regulatory/accreditation/line of business requirements.
  3. Serve as a resource to internal and external staff regarding issues relating to administrative policies and procedures, medical policies, and researching and resolving problems.
  4. Edit all documentation generated by unit e.g., QIAs, reports, executive summaries, presentation materials, workplans, evaluations, annual plans, policies and procedures, minutes, agendas, provide feedback, and develop/generate monitoring reports/tools.
  5. Coordinate/schedule training opportunities and develop/present related reports and various documentation.
  6. Coordinate, support and document various department activities to ensure deliverables are completed by due date.
  7. Perform other duties (e.g., attend meetings) as assigned.