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Compliance Analyst

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Gentech - MurtechPittsburgh, PA
  • 50,000 a year - Contract
  • The Compliance Analyst will partner with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or corporate entities.
  • The Compliance Analyst will provide consultation and analytic support to assigned functional areas.
  • The Compliance Analyst continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes.
  • Manage and coordinate compliance related processes.
  • Monitor governance and compliance of rules, regulations, policies, and procedures and assist with appropriate audits, as applicable.
  • Contacts may include legislators, consumers, special interest groups, advocacy agencies, CMS and other regulatory bodies such as DPW.
  • Ensure systems are updated and accurate for compliance.
  • Responsible for understanding and applying accreditation and regulatory requirements.
  • May support Regulatory Compliance department to ensure all state renewals, applications, and annual reports are completed accurately and timely.
  • Depending on department may be responsible for one of the following: the delegation oversight of subcontractors when applicable to ensure compliance with health plan standards and policies and regulatory bodies; performing and providing oversight of the care management delegation functions of multiple vendors through review of annual assessments, monthly performance reporting and analysis of reports to ensure adherence to regulatory and accreditation standards.
  • Other duties as assigned or requested.
  • Bachelor's Degree or Master's degree
  • Experience in one or more of the following: healthcare operations, compliance, auditing, investigations, regulatory accreditations, process improvement, project management and/or managed care operations
  • Job Type: Contract
  • Salary: $50,000.00 /year
  • Please review all application instructions before applying to Gentech-Murtech.

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