Senior Compliance Analyst

Join us for an exciting career with the leading provider of supplemental benefits!Our PromiseThrough skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.The Senior Compliance Analyst is part of the Audit and Corrections team will be responsible for facilitating health plan and regulatory audits, as well as related corrective action plan (“CAP”) activities and will report to the Compliance Director, Correction. This individual will be responsible for driving best practices across the company to promote compliance with audit and correction processes. This role is part of the Avesis Compliance Department. The Compliance Department plays a pivotal role in ensuring that Avēsis adheres to federal and state regulations, as well as internal policies. It is responsible for preventing, detecting, and correcting compliance risks that could impact the Avesis’ operational effectiveness as well as legal and reputational standing. The Compliance Department works to promote a culture of ethics, transparency, and accountability across the enterprise, making sure that all employees understand their responsibilities and the importance of adhering to legal, regulatory and compliance standards. Additionally, it provides ongoing training and resources to help staff stay informed about regulatory updates and best practices.The Senior Compliance Analyst will be primarily responsible for managing health plan and regulatory audit activity including, but not limited to, audit deliverable coordination, on-site audit coordination and management, and mock audit activities. The individual will also manage the corrective action process for health plan and regulatory CAPs. This role requires collaboration with stakeholders at all levels of the organization; therefore, candidates should demonstrate skillful communication, flexibility, and conflict resolution skills. It is a telecommuter role and an individual contributor with minimal travel.Functional Competencies:Coordinate all aspects of regulatory and client audits (i.e., pre-site deliverables, mock audits, on-site visits, logistics, and written responses to audit reports and corrective actions) and coordinate across times to document and track completion to ensure audit success.Synthesize audit-related information (i.e., scope, findings, recommendations, corrective action plans, and status) and provide Compliance and business operations leadership written and oral reports of ongoing and completed auditsSimultaneously manage multiple audits and collaborate across multiple business areas to communicate gather necessary information within assigned due datesDevelop compliance communicationsProblem solve and work closely with business partners on issue resolutionResearch, understand, and articulate regulatory and contractual requirementsEducate business partners on regulatory audit processes as neededManage, track and report data related regulatory and client audits and CAPsCoordinate with Legal Counsel as neededPerform additional duties as requested or required by managementCore Competencies:Ability to manage time effectively and efficientlyAbility to analyze data for accuracyAbility to work independently and with minimal directionAbility to demonstrate managing of projectsProficient oral and verbal communication skillsAbility to demonstrate critical thinking skillsBehavioral Competencies:Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. Initiative: readiness to lead or take action to achieve goals.Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.Detail-oriented and thorough: managing and completing details of assignments without too much oversight.Flexible and responsive: managing new demands, changes, and situations.Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.Minimum Qualifications: Bachelor’s degree in business, healthcare, or related area of study, or equivalent education and work experience3+ years of experience in compliance, privacy and/or regulatory affairs or with supporting audits in a highly regulated industry; preferably a government, health care or managed care environmentIntermediate level of proficiency with MS Word, Excel, and PowerPointStrong attention to detailAble to work under pressureAble to meet deadlines consistentlyAble to work independentlyAs thi