Senior Analyst, Medicare Compliance

Responsibilities

• Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals/regulations, including risk assessment, auditing and monitoring and corrective action oversight.
• Develop and manage compliance strategies, programs, and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect, and mitigate compliance risks.
• Track, analyze, and work open issues in a timely manner
• Maintain in-depth working knowledge and expertise in Medicare regulations
• Build and maintain positive relationships at senior levels to drive decision‑making and influence ethical and compliant outcomes
• Monitor and audit as outlined in Medicare Compliance Work Plan and direct other projects as assigned to evaluate compliance, propose remediation where necessary and monitor implementation of corrective action
• Support broader compliance initiatives and needs as assigned to ensure that effective compliance programs are achieved and maintained.

• 2+ years’ experience in Medicare Compliance or regulatory work
• Willingness to travel up to 10% (including by plane)
• Extensive knowledge of Medicare compliance programs and rules
• Experience in validation, auditing and monitoring, root cause analysis and corrective action oversight
• Outstanding time management and project management
• Proficient in utilization of information systems
• Adept at execution and delivery (planning, delivering, and supporting) skills
• Adept at collaboration and teamwork
• Bachelor’s Degree; equivalent work experience may substitute