Remote Compliance Analyst- COI & Code of Conduct

Note: The job is a remote job and is open to candidates in USA. AmeriHealth Caritas is a leading health care solutions provider dedicated to helping people get care, stay well, and build healthy communities. The Compliance Analyst supports the implementation of compliance programs including policy development, compliance oversight, and Code of Conduct investigations. This role involves reviewing compliance activities, supporting risk assessments, and assisting with documentation and reporting to ensure regulatory compliance in a managed healthcare environment.ResponsibilitiesSupports the review and revision process of policies, procedures, and practices designed to make sure the business is in compliance with the contract and state and federal laws and regulations at the direction of the Compliance DirectorMaintains documentation of policies, procedures, and practicesAccountable for documentation of all regulatory issued memos, notices, bulletins, contractual requirements, reports and regulatory requests to promote effective and timely communication to associates, contractors, and subcontractor-vendors and timely responsesSupports the Compliance Committees by scheduling meetings, preparing documents, and presenting at the direction of the Compliance DirectorSupports development of annual work plans and execution of work plan activitiesSupports risk assessment development and analysisLeads and/or perform contract/regulatory research as neededMonitors and tracks compliance with contractual education and training programsAssist and/or leads activities and investigations related to the completion of requirements (e.g., Code of Conduct, Conflict of Interest, etc.)Responsible for monitoring compliance communication tools and timely responses to inquiries and requests for technical assistance to promote open lines of communication with associates, contractors, and subcontractor-vendorsAssist with compliance monitoring and auditing activities to ensure contract complianceAssist with documenting process gaps, weaknesses and deficiencies, and issues corrective actions as appropriate to document root cause and remediation(s)Assists with responses to Request for Information and responses to internal and external auditsSupports compliance-related reviews, including Code of Conduct investigations and Data Loss Prevention cases, by reviewing applicable documents, policies, procedures, and related information to identify issues and support appropriate follow-upAssist with conducting compliance assessments/reviews to test established and newly executed operational processes and controlsAssist with conducting Plan-level audits and focused reviews, including but not limited to identifying, gathering, and organizing Plan-level documentation and organizing meetings with Plan staffSupports disciplinary actions requested by Compliance Director, Compliance Committee, and/or executive leadershipDocuments corrective action plans identified through audits, monitoring departmental performance indicators, or by recommendation of business owner, management or the Board of DirectorsSupports the Compliance Director with the management of State-initiated corrective actionsSkillsHigh School Diploma or GED requiredMinimum of 1 year of experience in a managed health care environment, including experience in the areas of compliance oversightBachelor's Degree preferred or equivalent combination of education and experiencePrior compliance, managed care, regulatory, or investigative support experience preferredProficiency in Microsoft Excel and/or Microsoft Access preferredBenefitsFlexible work solutions including remote optionsHybrid work schedulesPaid time off including holidays and volunteer eventsHealth insurance coverage for you and your dependents on Day 1401(k)Tuition reimbursementCompany OverviewAmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill. It was founded in 1982, and is headquartered in Philadelphia, Pennsylvania, USA, with a workforce of 10001+ employees. Its website is http://www.amerihealthcaritas.com. Apply To this Job .