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Senior Compliance Analyst (INTERNAL)

Ankeny, IA | Corporate | Legal, Regulatory, & Compliance | Full-Time, Remote

Summary

The Senior Compliance Analyst is responsible for supporting and overseeing the day-to-day operations and execution of the compliance and privacy programs within Mom’s Meals. Duties include managing formal client/payor grievances, critical incident investigation and reporting, policies and procedures, and privacy incident response and remediation, and supporting payor/agency audit response. Successful candidates contribute to a positive culture of compliance at Mom’s Meals. This position can be remote with occasional visits (possibly quarterly) to our headquarters in Ankeny, IA.

Position Responsibilities may include, but not limited to

  • Regularly review State and Federal laws, rules, in partnership with legal and notify internal business partners of applicable changes to ensure organizational compliance is maintained
  • Complete a regular review of policies and procedures to maintain alignment with state and federal compliance regulations; recommend updates, work with leadership to complete
  • Ensure resolution of Critical Incidents with appropriate internal business partners and notify agency caseworkers/contacts according to contractual and regulatory obligations
  • Investigate and ensure resolution to Grievances received from clients, agencies, and third parties; provide any required follow-up education to employees or leaders; collaborate with leadership to determine and implement corrective actions
  • Compile compliance metrics and analyzes results for ongoing tracking and Board and Executive review
  • Manage general compliance email as needed
  • Execute regular Compliance Program Self-Assessments based on the Department of Justice recommendations; propose internal action plans to strengthen Compliance posture within organization
  • Provide employee compliance education including onboarding, annual training, both departmental-specific and role-based training; participates in annual education review and as rules and regulations change; develops Compliance Tips for general education
  • Assist in development of compliance audit program by planning and conducting second line of defense compliance audits; communicate results to applicable internal business
  • Review and investigate impermissible use/disclosure reports; provides employee re-education
  • Participate in breach notification process
  • Develop and provide employee privacy education including onboarding, annual training, both departmental-specific and role-based training; participate in annual review education review or as rules and regulations change; Privacy Tips for general education
  • Assist in development and oversee HIPAA Auditing/Monitoring Plan and annual revision; privacy aspects of HITRUST; monitoring of program using OCR Audit Protocol
  • Act as an internal compliance/privacy resource for Mom’s Meals employees
  • Engage in ongoing education and professional development to increase compliance expertise, business acumen, and regulatory knowledge
  • Collaborate with teammates, leadership team, and internal business partners to produce effective compliance and privacy program outcomes
  • Manage all external audit activity, including: audit intake, analysis, information/document requests from internal business partners, review and preparation, submission, auditor meetings, results review and response
  • Draft Corrective Action Plans (CAP) and Audit Appeals with input from applicable internal business leaders and Compliance Leadership in response to audit findings
  • Identify, track, and trend in auditing to ensure proactive preparation for future audits and/or determinations resulting in CAPs
  • Maintain electronic audit resource library to ensure up-to-date documentation
  • Maintain external audit tracking database to house all audit activity and status and supports reporting and data analytics of audit data

Required Skills and Experience

  • Bachelor’s degree OR 8 years relevant experience
  • 4-7 years’ experience in auditing, payer relations, compliance, privacy, information security or other relevant healthcare industry experience
  • Strong problem-solving skills including attention to detail
  • Ability to prioritize (and re-prioritize) projects in a fast-paced work environment
  • Effective written and verbal communication skills
  • Ability to work collaboratively to foster trust, credibility, and understanding
  • Ability to promote teamwork within department and organization
  • Exceptional personal organizational skills to meet deadlines, complete work assignments and projects and/or accomplish time sensitive work prior to due dates
  • Maintain working knowledge and understanding of various state/federal compliance and privacy laws, rules and regulations related to Medicare/Medicare Advantage plans, Medicaid, Managed Care Organizations
  • Proficient in Microsoft Office Applications including Word, Excel, PowerPoint, and Outlook

Preferred Skills and Experience

  • Certification in compliance, privacy or other relevant area 

Physical Requirements

  • Repetitive motions that include the wrists, hands and/or fingers
  • Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
  • Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus

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EEO Statement: Mom’s Meals provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, immigration status, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Equity and Diversity Statement: At Mom’s Meals, we recognize our team members possess a wealth of experience and talent beyond the technical requirements of a job. Our employees are amazing people who come from a wide variety of backgrounds—it’s what sets us apart and makes us stronger as a company. Diversity of experience and skills combined with passion and desire to help others is essential in our success. That is why we encourage team members from all backgrounds to apply to our open positions. Please contact us if you have questions or require accommodations during the interview process.

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