Compliance Risk Management Specialist

6 days ago


Orlando, Florida, United States Health First Full time

**Job Title:** Compliance Risk Management Specialist

 

**Job Summary:

We are seeking a highly skilled Compliance Risk Management Specialist to join our team at Health First. This role will be responsible for supporting the Corporate Integrity program through the facilitation and administration of compliance activities related to the operation of the compliance program.

**Key Responsibilities:

  • Regulatory Review and Compliance: Perform regulatory reviews, data analysis, and investigations to identify potential compliance risks and ensure compliance with regulatory requirements.
  • Compliance Tracking and Reporting: Track all issues/potential risks submitted to the regulatory integrity team, including up to resolution, and provide regular reports to management on compliance activities.
  • Communication and Documentation: Support the management of the regulatory communications process, ensuring all regulatory communications and updates are received, summarized, documented, and acted upon.
  • Annual Corporate Integrity Plan: Lead the maintenance, execution, and documentation of the annual corporate integrity plan.
  • Investigations and Data Analysis: Conduct or facilitate performance of reviews and investigations, including design and documentation of the review/investigatory methodology, and perform data collection and analysis for investigations of potential compliance issues.
  • Risk Identification and Mitigation: Use analytical review, computer analytics, and statistical sampling techniques to identify compliance risk areas, recommend remediation plans and risk mitigation plans in response to investigative findings and/or review results, and collaborate with various departments to obtain information needed in conducting risk reviews, risk assessments, and investigations.
  • Reporting and Feedback: Provide result feedback summary reports to appropriate leadership and key stakeholders, and prepare quarterly reports for corporate integrity committees regarding the compliance review activities and actions taken.
  • Policies and Procedures: Develop department policies, procedures, and tools for effective data mining, implementation of compliance reviews and risk reviews, and investigation plans and reporting of results.

 

**Requirements and Qualifications:

The ideal candidate will have a strong understanding of compliance regulations and risk management principles, excellent analytical and problem-solving skills, and the ability to work effectively in a fast-paced environment.

 

**Estimated Salary Range:

$85,000 - $110,000 per year, depending on experience.

 



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