Senior Compliance Analyst

Avesis; United States; Remote; USD 55,000 - 110,000; Full time

Job summary

Join a forward-thinking company as a Senior Compliance Analyst, where you will play a key role in ensuring adherence to regulations and promoting a culture of ethics. This position offers the chance to manage health plan audits and corrective action plans while collaborating with diverse stakeholders. With minimal travel and a telecommuting setup, you can enjoy a work-life balance while contributing to a mission-driven organization that values integrity and accountability. If you have a passion for compliance and a desire to make a difference in the healthcare industry, this role is perfect for you.

Qualifications

• 3+ years in compliance or regulatory affairs, preferably in healthcare.
• Proficiency in MS Office tools and strong attention to detail.

Responsibilities

• Manage health plan and regulatory audit activities and CAPs.
• Provide reports on audit findings and collaborate with stakeholders.

Skills

Audit Coordination

Data Analysis

Time Management

Communication Skills

Project Management

Education

Bachelor's degree in business or healthcare

Tools

MS Word

MS Excel

MS PowerPoint

Job description

Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise

Through skill-building, leadership development, and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

The Senior Compliance Analyst is part of the Audit and Corrections team and will be responsible for facilitating health plan and regulatory audits, as well as related corrective action plan (CAP) activities. This individual will report to the Compliance Director, Correction, and will drive best practices across the company to promote compliance. This role is part of the Avesis Compliance Department.

The Compliance Department ensures adherence to federal and state regulations and internal policies, preventing, detecting, and correcting compliance risks. It promotes a culture of ethics, transparency, and accountability, providing ongoing training and resources to staff.

The Senior Compliance Analyst will manage health plan and regulatory audit activities, including coordination of deliverables, on-site audits, mock audits, and managing CAPs. Collaboration with stakeholders at all levels is essential. This is a telecommuter role with minimal travel.

Competencies

Functional

• Coordinate all aspects of audits and document and track completion to ensure success.
• Provide reports on audit findings, recommendations, and corrective actions.
• Manage multiple audits and collaborate across business areas.
• Develop compliance communications and educate partners on audit processes.
• Manage and report data related to audits and CAPs.
• Coordinate with Legal Counsel as needed.

Core

• Effective time management and data analysis skills.
• Ability to work independently and manage projects.
• Strong oral and written communication skills.

Behavioral

• Build strong relationships, mentor, and support team growth.
• Take initiative and lead efforts.
• Communicate clearly and effectively.
• Be detail-oriented, flexible, and responsive.
• Demonstrate critical thinking and integrity.

Minimum Qualifications

• Bachelor's degree in business, healthcare, or related field, or equivalent experience.
• 3+ years in compliance or regulatory affairs, preferably in healthcare or a regulated industry.
• Proficiency in MS Word, Excel, and PowerPoint.
• Attention to detail, ability to meet deadlines, and work independently.
• Reliable internet connection (minimum 50 Mbps download, 10 Mbps upload).
• Willingness to travel up to 25%.

Preferred Qualifications

• Experience with Medicare, Medicaid, or Commercial benefits.
• Knowledge of managed care and benefit plans.

Additional Information

FLSA Status: Salary/Exempt

Salary Range: $55,790 - $109,040

Bonus Eligible: Annual Incentive Plan (AIP)

We advise caution against fraudulent activity; Avesis will never request purchases or personal information during the application process. Contact [e-mail] for verification concerns.