Compliance Analyst

Parkland Community Health Plan; Dallas, Northern (TX, KY); Hybrid; USD 70,000 - 95,000; Full time

Job summary

Parkland Community Health Plan is seeking a Compliance Analyst to advance the compliance program with a focus on investigations, reporting, auditing and monitoring. The role requires a Bachelor's degree and healthcare compliance experience, including development of corrective action plans and data analysis.

Applicants must hold or obtain within 18 months one of several healthcare compliance certifications and demonstrate strong written and oral communication, integrity, and critical thinking in

Qualifications

• Requires Bachelor's degree.
• 2+ years in healthcare compliance supervising investigations, audits or monitoring activities.
• Must be certified in a healthcare compliance-related specialty or obtain within 18 months of placement.

Responsibilities

• Research regulatory requirements and guidance.
• Prepare written communications, assessment tools and reports.
• Collect, analyze, and summarize information for investigations and audits.
• Schedule compliance-related meetings and manage documentation for incident management and audits.
• Support monitoring of corrective action plans and remediation activities.
• Assist with risk assessment in developing annual compliance work plans.
• Collaborate across departments to support program initiatives.
• Assist with investigations in response to third party inquiries.

Skills

Investigations

Audits

Data analysis

Report writing

Communication skills

Critical thinking

Time management

Integrity

Education

Bachelor's degree

Job description

PRIMARY PURPOSE

The Compliance Analyst is responsible for performing a variety of activities in support of compliance program initiatives, with a focus on investigations and reporting; and auditing and monitoring.

MINIMUM SPECIFICATIONS

Education Must have a Bachelor's degree. Experience Minimum two (2) years' experience in healthcare compliance, preferably with a large, multi-faceted healthcare company or academic medical center. Experience with compliance investigations, audits and ongoing monitoring activities, including the development and monitoring of corrective active plans, data collection and analysis, or other healthcare compliance-related activities required.

Certification/Registration/Licensure

Certification in a healthcare compliance-related specialty is required. Must be currently certified and in good standing with one of the following or obtain within 18 months of placement in the position: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified in Healthcare Privacy Compliance (CHPC) Certified in Healthcare Research Compliance (CHRC) Certified Professional Compliance Officer (CPCO) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) Renewals must be submitted no later than 7 calendar days after the current expiration date.

Skills or Special Abilities

Able to write clear, detailed reports summarizing the scope of a purpose of audits and compliance investigations, conclusions or findings and the application of the compliance risk analysis and corrective action recommendations. Strong oral and written communication skills and interpersonal skills. Able to communicate thoughts, ideas, information and messages with clear language, style, organization and format appropriate to the subject matter, purpose and audience. An active listener with the exercise of sound professional judgement. Possesses excellent critical thinking skills, including the ability to identify a problem, determine the root cause, communicate findings and participate in the development of the solution. Detailed-oriented with strong organizational and time management skills and the ability to effectively prioritize daily tasks. Capable of managing difficult conversations with sensitivity and the ability to respond to confidential information with objectivity and discretion. Demonstrates a high degree of integrity and practice ethical standards.

Responsibilities

This position performs a variety of activities in support of compliance program initiatives, with a focus on investigations and reporting; and auditing and monitoring.

• a. Researching regulatory requirements and guidance.


• b. Preparing written communications, assessment tools and formal reports.


• c. Collect, analyze and summarize information relevant to the investigative process and scope of audits.


• d. Schedule compliance-related meetings, such as audit entrance conferences and investigative fact‑gathering sessions.


• e. Organizes compliance department materials, including electronic file management and data entry into incident management and audit application(s).


• f. Assists in monitoring project timeline and resources, milestone achievements and deliverables.


• g. Assists in monitoring the completion of corrective action plan tasks and remediation activities.


• h. Assists with the compliance risk assessment process used in the development of the annual compliance department work plan.


• i. Assists with other compliance program activities and initiatives as needed.


• j. Assists in the investigative and audit activities in response to third party inquiries, including government agencies and contractors.


• k. Assists in the preparation of reports detailing incident management and auditing and monitoring activities for various compliance committees.


• l. Work collaboratively with others, both inter and intra‑departmentally, with a team‑centered approach, while exhibiting a professional and approachable demeanor.

Job Accountabilities

Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

Parkland Health, one of the nation’s largest public hospital systems, is dedicated to delivering exceptional care to the Dallas community. A career at Parkland means joining a collaborative, engaged team focused on excellence, innovation, and patient‑centered service. Our employees are supported with resources to grow, succeed, and make a meaningful impact every day.