Compliance Analyst I or II

Cambia Health Solutions; United States; Remote; USD 68,000 - 94,000; Full time

Job summary

An established industry player is seeking a Compliance Analyst to join their dedicated team. This role is pivotal in ensuring compliance with state and federal regulations, contributing to a person-focused health care experience. As part of a collaborative environment, you will engage in project management, conduct audits, and perform risk assessments. The company values innovation and offers a supportive culture where your contributions can make a real difference. If you're passionate about compliance and eager to grow your career in a meaningful way, this opportunity is perfect for you.

Benefits

Medical, dental and vision coverage

Annual employer contribution to health savings account

Generous paid time off

Market-leading retirement plan

Up to 12 weeks paid parental time off

Award-winning wellness programs

Employee Assistance Fund

Commute and parking benefits

Qualifications

• Bachelor’s degree and 3-5 years of compliance experience preferred.
• Experience in health care or Medicare-regulated environment is a plus.

Responsibilities

• Manage compliance program activities including monitoring and auditing.
• Ensure compliance with laws and regulations to prevent issues.
• Participate in risk assessments and produce compliance documentation.

Skills

Compliance Activities

Project Management

Written and Oral Communication

Research and Analytics

Judgment and Decision-Making

Office Software (Word, Excel, PowerPoint, Outlook, Visio)

Discretion and Confidentiality

Organizational Agility

Education

Bachelor’s Degree

Tools

Microsoft Office Suite

Job description

Compliance Analyst I or II

Work from home within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia’s dedicated team of Compliance Analysts is living our mission to make health care easier and lives better. As a member of the Compliance team, our Compliance Analysts are counted on to deliver an effective compliance program. They design, implement, deliver, measure and refine activities and controls to prevent, detect and correct violations of state, federal and other laws – all in service of creating a person-focused health care experience.

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

Compliance Analyst I would have a Bachelor’s degree or equivalent experience and 3 years of experience in a role demonstrating success in compliance-related activities and controls (e.g., risk assessments, training, monitoring, auditing, investigations, root causes analysis, control assessments reporting or corrective actions) with experience in a health care or Medicare-regulated environment preferred.

Compliance Analyst II would have a Bachelor’s degree or equivalent experience; 5 years of compliance experience or equivalent related experience, with experience in a health care or Medicare-regulated environment preferred.

Skills and Attributes:

• Proven ability to deliver effective Core Compliance activities, including monitoring, auditing, root cause analyses, and corrective actions.
• Skilled in project management and delivery including proven ability to initiate and manage multiple projects and priorities.
• Excellent written and oral communication and presentation skills.
• Excellent research and analytics skills, with proven ability to distill actionable, practical advice from diverse sources and opinions. Legal research skills preferred.
• Proven ability to influence effectively at all levels of the organization.
• Excellent independent judgment and decision-making skills.
• PC literate with office computer software – Word, Excel, PowerPoint, Outlook, Visio, etc.
• Discretion and confidentiality.
• Agile, with high learning velocity.

Additional Requirements for Compliance Analyst II:

• Demonstrated fluency in organizational agility: knowledgeable how about organizations work and how to get things done through formal and informal channels.
• Practical familiarity with legal requirements relating to assigned compliance program, or for new hires, practical familiarity with analogous legal requirements.
• Demonstrated mastery of at least four Compliance functions, to include the core competencies: risk assessments, training, policies and procedures, monitoring, auditing, external audit coordination, control assessments, reporting, corrective actions, implementation oversight, and ability to perform those compliance functions effectively within that compliance program; or if assigned to a specialized function (e.g. FDR/DDE Compliance, Marketing Materials Review, Data Validations), mastery of all competencies related to that specialized function.
• Demonstrated ability to handle successfully at least medium-complexity, medium-difficulty matters end-to-end.
• Demonstrated ability to drive success with challenging partners.

What You Will Do at Cambia:

• Overall responsibilities include specific and/or portions of the following functions that relate to an effective compliance program utilizing as a basis the seven elements of compliance.
• Duties include aspects of the preparation, planning, coordination, project management, submission, administration, monitoring and auditing of the Cambia compliance program which serves to oversee activities related to requirements, laws and regulations to prevent, detect and remediate compliance issues of the company.
• Responsibility for producing and maintaining policies and desk manuals for position.
• Works as a team with other staff members assigned in either a supporting or leading role.
• Participating in the annual risk assessment process.
• Ensuring materials, reports, and other documents are written in an understandable and concise style.
• Project management and implementation.
• Participating, supporting and serving in regular meetings, including divisional and cross-divisional committees as needed.
• Core Competencies: risk assessments, training, policies and procedures, monitoring, auditing, root cause analysis, and corrective actions.
• Additional Competencies: external audit coordination, implementations, control assessments, delegation oversight, data validation, marketing material oversight, DDE/FDR oversight.

Work Environment:

• Travel rarely required, locally or out of state.
• May be required to work outside normal hours.

The expected hiring range for a Compliance Analyst I is $68,900.00 - $93,150.00 depending on skills, experience, education, and training; relevant licensure/certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $64,000.00 to $106,000.00.

The expected hiring range for a Compliance Analyst II is $75,700.00 - $102,350.00 depending on skills, experience, education, and training; relevant licensure/certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $71,000.00 to $116,000.00.

#LI-remote

About Cambia:

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

Learn more about our benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.