| Title: Compliance Analyst
|
| Location: Alexandria, VA
|
| Job Type: Direct Hire
|
| Compensation: $40,000.00 to $60,000.00 per Year
|
| Reference Code: 951022-AQG
|
Description: Our client is seeking a Compliance Analyst.
Essential Job Functions (Include but are not limited to):
- Direct, develop and conduct quality control programs for the Operations Division. This includes measurement criteria, reviewing protocol and reporting
- Develop processes in support of corporate objectives in the areas of regulatory/legislative Compliance. May directly manage/coordinate such projects after implementation
- Performs data analysis and develops summaries and/or recommendations on programs and projects for corporate officers
- Analyzes all state and federal legislation that will impact service operations, coverage, or require product modifications; lead cross-disciplinary work groups to ensure cost effective Compliance
- Ensures and oversees that processes are in place to respond to customer complaints, grievances and appeals and expressions of dissatisfaction directed to the President and other officers, as well as attorney correspondence
- Builds and maintains collaborative relationships and alliances with internal customers corporate-wide including, but not limited to, service center management, network development, underwriting, sales, and finance to achieve business goals
- Develops strategic, operational and tactical business plans to achieve desired business goals for responsible operational areas
- Performs other duties as required
|
Requirements: Qualifications:
- Bachelor's Degree (preferred) in Accounting, Finance, and / or Economics
- Significant experience within the healthcare arena (4-6 years)
- Intermediate/expert computer skills including word processing, spreadsheet and presentation applications
- Ability to conduct individual and group presentations
- Knowledge of state and federal laws and regulations affecting insurance operations
- Must have top notch analytical and problem solving skills
- Able to meet strict timelines and capable of interfacing with clients, management, peers and subordinates
|
|
|
|
|
|
|