Compliance Analyst in LTC
3 hours ago
Summary:
The Compliance Analyst supports the company in maintaining business compliance with applicable federal and state rules, regulations, statutes, and contractual obligations. This position serves as an independent resource and point of contact for compliance matters, ensuring that client and contractual requirements are consistently met. Experience in LTC
Essential Duties and Responsibilities:
- Review, research, and provide information in response to regulatory and non-regulatory complaints in accordance with contractual provisions.
- Analyze complaints to ensure compliance with applicable regulations, policies, and procedures.
- Identify process gaps and collaborate with business units to implement and document quality improvement measures.
- Maintain accurate and complete records for compliance tracking and reporting.
- Review, distribute, and process legal correspondence, record requests, and similar documentation in accordance with company and client requirements.
- Monitor, interpret, and summarize proposed or enacted federal and state laws, regulations, and statutes as they relate to company products, services, and procedures.
- Serve as a liaison with clients and partner organizations to support compliance-related functions.
- Deliver high-quality customer service to both internal and external stakeholders.
- Foster a collaborative team environment within the Compliance department and demonstrate ethical leadership.
- Build and maintain cross-functional relationships to serve as a valued compliance resource.
- Perform other duties as assigned.
Qualifications:
Education and Experience:
- Associate degree (two-year college) or an equivalent combination of education and business-related experience.
- Experience in the insurance industry or within a regulatory environment preferred.
- Completion of industry-related training or certifications (e.g., AHIP, LOMA) is desirable.
Skills and Abilities:
- Excellent written and verbal communication skills.
- Strong analytical skills with the ability to perform complex compliance research and make independent decisions.
- Proven ability to manage multiple priorities in a fast-paced environment without compromising quality or deadlines.
- Ability to work independently with minimal supervision and collaboratively within teams.
- Professional interpersonal skills for interacting with internal and external clients.
- Proficiency in Microsoft Office tools, including Word, Excel, and PowerPoint.
- Ability to read, analyze, and interpret legal and regulatory materials, industry publications, financial reports, and other relevant documents.
- Capable of responding effectively to inquiries and complaints and presenting information to customers, regulatory agencies, and senior leadership.
Job Type: Full-time
Pay: $45, $52,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Vision insurance
Work Location: Remote
-
Compliance Analyst
4 days ago
Remote, Oregon, United States CRYPTO Full time $60,000 - $120,000 per yearThis is a unique opportunity for a full time Analyst to join our Compliance team. The Compliance Team is responsible for ensuring that the FCM (Futures Commission Merchant) office continues to comply with its obligations under National Futures Association ("NFA") rules and regulations as well as regulations under the Commodity Exchange Act ("CEA").In this...
-
Pharmacy Compliance and Data Analyst
3 days ago
Remote, Oregon, United States Heartland Community Health Center Full time $60,000 - $90,000 per yearJob titlePharmacy Compliance and Data AnalystReports toDirector of PharmacyStatusFull-Time, Non-Exempt (Hourly $18 - $24)Job PurposeThe Pharmacy Compliance and Data Analyst is responsible for ensuring compliance, oversight, and optimization of Heartland Community Health Center's 340B Program. This role blends program coordination with healthcare data...
-
Medicare Compliance Analyst
2 days ago
Remote, Oregon, United States National Indemnity Company Full time $70,000 - $80,000 per yearWe are actively seeking a Medicare Compliance Analyst to join our Claims Compliance team, supporting Medicare regulatory compliance across multiple property and casualty lines of business. The ideal candidate will bring a strong working knowledge of Medicare regulations as they relate to P&C Claims.This role requires a proactive and detail-oriented...
-
Sr. Security Compliance Analyst
4 days ago
Remote, Oregon, United States Bamboo Health Full time $120,000 - $140,000 per yearBamboo Health is the leader in Real-Time Care Intelligence solutions aimed at improving lives for everyone experiencing physical and behavioral health challenges. We are driven by our mission to empower clients to deliver seamless, high-quality and cost-effective care during pivotal moments to improve health outcomes. From coast to coast, Bamboo Health...
-
IT Compliance Manager
2 days ago
Remote, Oregon, United States Green Dot Corporation Full time $118,800 - $178,200 per yearWe're looking for talented professionals, anywhere in the United States, to join us in bringing smart money management and payment solutions to everyone's fingertips.At Green Dot, we are evolving to a new and permanent "Work from Anywhere" model designed to maximize the benefits of remote work, promote and enable a strong culture of performance and...
-
Cyber Analyst
4 days ago
Remote, Oregon, United States Cyber Boss Consulting Full time $50,000 - $80,000 per yearAbout Cyber Boss Consulting LLCCyber Boss Consulting LLC is a business consulting and management firm that supports technology ventures and emerging digital initiatives. Our projects include Kyora IQ, a cybersecurity education and talent platform that provides instructor-led courses, mentorship, and hands-on experience designed to prepare professionals for...
-
Compliance and Privacy Officer
4 days ago
Remote, Oregon, United States GSR Business Services Full time $75,000 - $150,000 per yearOverviewWe are seeking a dynamic and detail-oriented Compliance and Privacy Officer (CCPA) to lead our organization's efforts in maintaining the highest standards of regulatory adherence and data privacy. In this pivotal role, you will champion compliance initiatives, oversee privacy practices, and ensure our operations align with federal, state, and...
-
Medical Review Analyst
4 days ago
Remote, Oregon, United States Verve LLC Full time $40,000 - $60,000 per yearJob SummaryThe Medical Review Analyst is responsible for analyzing medical data, reports, and case documentation to ensure compliance with regulatory standards and organizational policies. This role supports the medical review process by developing, maintaining, and reporting on medical review activities, identifying trends, and implementing corrective...
-
Integration analyst
4 days ago
Remote, Oregon, United States Tech Interacts Inc Full time $124,800 per yearPosition: Integration Analyst (FHIR)Location: RemoteContract: 12 MonthsW2 onlyCandidates with employer please do not applyJob SummaryWe are seeking a skilled and detail-oriented Integration Analyst (FHIR) to join our healthcare technology team. In this role, you will be responsible for analyzing, designing, and implementing solutions that enable seamless...
-
Billing Analyst
2 days ago
Remote, Oregon, United States TruBridge Full time $60,000 - $120,000 per yearThe Billing Analyst- COE will lead and support key initiatives across billing operations through process improvement, system enhancements, and cross-functional collaboration. In this mid-level role, you'll play a critical part in ensuring accurate and compliant financial transactions, mentoring team members, and driving operational excellence. The Billing...