Integrity Analyst

3 days ago


Orlando, United States Health First Full time

POSITION SUMMARY

Maintain knowledge of corporate integrity issues and stay current on trends and developments in the field; conduct monitoring and audit initiatives while providing recommendations and guidance to enhance organizational corporate integrity and minimize risk. Take ownership of routine duties and assigned projects, discussing and seeking approval of complex matters on a limited basis.

PRIMARY ACCOUNTABILITIES

  1. Collaborate to investigate, direct and resolve compliance issues through appropriate existing channels
  2. Organize, implement, and effectively meet the 7 Elements of the Compliance Program specific to guidelines adopted by both the Centers for Medicare & Medicaid Services and the Office of Inspector General.
  3. Implement effective monitoring of appropriate compliance indicators to oversee high-risk areas, routinely reports areas of interest or concern to leadership.
  4. Identify the types and quantity of information/evidence needed to complete assigned audit tasks, how to efficiently obtain such information, analyze it within the context of the audit objectives, and to formulate appropriate subsequent actions and recommendations.
  5. Consistently document relevant facts and information to support the audit and conclusions so others can follow the logic and methodology.
  6. Calculate and report findings and observations in a clear manner, identifying high risk areas for further auditing.
  7. Document and track incidents appropriately providing updates and summarizing compliance activities and events monthly in clear and concise written reports.
  8. Identify process improvements and areas of interest or potential risk effectively communicating points through clearly written correspondence or Compliance Memorandums.
  9. Design, develop, and support compliance-based training and education curriculum to promote the integrity program and enhance organizational compliance.
  10. Analyze and interpret government regulations to acquire and maintain knowledge.
  11. Assist in assessing impact on current processes, review, create and/or revise policies and procedures and assist with education accordingly.


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