Senior Compliance Analyst

2 months ago


Southfield, Michigan, United States CVS Health Full time

Job Summary

The Senior Compliance Analyst will play a critical role in supporting the development and implementation of compliance programs and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect, and mitigate compliance risks.

Key Responsibilities

  • Ensure regulatory requirements of an effective compliance program are met, including but not limited to oversight and/or performance of auditing and monitoring, validation of the successful implementation of regulatory guidance, ongoing consultation and guidance with business to lead and address compliance matters.
  • Interpret and advise on regulatory mandates, guidance and contracts.
  • Assist with establishing and implementing results-based programs and innovative initiatives for the Medicare compliance area, under general supervision, with a focus on Special Needs Plans.
  • Apply in-depth knowledge of Medicare and Medicaid compliance to offer feedback for decisions and innovation strategies that enhance organizational growth and visibility.
  • Complete, track and regularly maintain system data for internal and external report filings and follow-ups; support regulatory review and audit activities.
  • Identify opportunities to support and monitor moderately complex compliance business process reviews, implementation of mandates and corrective actions, and other projects involving internal and external constituents.
  • Control regulatory interactions including drafting regulatory correspondence and responding to routine regulatory inquires.
  • Manage and ensure timely and accurate responses.
  • Able to remove barriers, drive decision making and communicate with constituents internally and externally to maintain a positive, productive relationship and effectively communicate and influence decision-making and ethical and compliant outcomes at various levels necessary to accomplish goals.
  • Appropriately escalate issues requiring resolution.

Requirements

  • 3+ years of related working experience
  • 2+ years of experience working in compliance and risk management systems
  • 2+ years of Microsoft office experience

Preferred Qualifications

  • Experience managing projects
  • Experience with Quickbase
  • Experience with SharePoint

Education

Bachelor's degree required or equivalent years of experience



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