Healthfirst

A Compliance Analyst is responsible for maintaining and fostering an environment that enhances and promotes regulatory compliance. This position works with the Manager of Compliance to ensure Healthfirst is in compliance with applicable federal and state laws, contract requirements, and internal policies and procedures.

Assists in implementation of companywide compliance initiatives, policies and procedures such as Conflict of Interest, Vendor Compliance Program, Compliance Training and Compliance Program Effectiveness. Utilize project management skills to assess compliance program risks, facilitate and monitor task completion, and ensure projects achieve desired compliance program objectives. Communicates compliance requirements to business teams. Requests Corrective Action Plans (CAPs) as appropriate and ensures they are fully implemented to support ongoing compliance and improvement opportunities based on industry best practices. Creates detailed reports that inform management of Compliance deficiencies identified in departmental processes during compliance monitoring and CAP testing activities. Supports CAP related activities in gathering evidence of compliance and completes evidentiary review forms prior to closing out. Proactively cultivates and maintains strong, positive working relationships with internal and external customers. Maintains confidentiality of all information related to members, medical staff, employees, integrity issues, audits and as appropriate, other information. Follows established and newly implemented changes in departmental policy as well as Federal and State government requirements. Additional duties as assigned.

Intermediate and/or advance Microsoft Software Knowledge (i.e. Word, Excel, PowerPoint) - Excellent written and verbal communication skills- Detail Oriented- Ability to analyze and understand data - Experience in one or more subjects related to Compliance Program delivery; healthcare experience a plus- Knowledge of Federal and State Regulatory Compliance Programs- Proficient in identifying Regulatory Deficiencies and Opportunities for Process Improvement-

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $76,000 - $109,820

• All Other Locations (within approved locations): $67,600 - $100,555

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.