Compliance Analyst

Madison WI 53703

Job Description

TMG by Magellan Health is seeking a Compliance Analyst who is responsible for assisting with the implementation of TMG’s Compliance Program under the direction of the Compliance Manager and in collaboration with members of TMG management and lead employees. This position is a vital member of the TMG Compliance team by leading projects in focused areas of compliance, supporting compliance audits, developing reports for TMG management and the Compliance Committee and creating training resources for all employees.
  • Advance the goals of the TMG Compliance Program to find, detect and prevent compliance risks of the organization.
  • Support the development and maintenance of the TMG Compliance program infrastructure which will include reviewing policy and procedures, conducting regulatory research, developing corrective action plans and developing employee training materials.
  • Attend Compliance Committee meetings and assist with development of agendas and meeting materials.
  • Lead projects in focused compliance areas, such as contract compliance, HIPAA compliance and Civil Rights Compliance, to mitigate TMG exposure to risk in those focus areas.
  • Conduct initial investigations into reported HIPAA privacy and security incidents and produce notifications when required.
  • Compile and review compliance-related data and assist with producing reports showing compliance evidence to a variety of audiences including TMG supervisory staff, the Compliance Committee and other senior leaders.
  • Participate in the annual compliance risk assessment process, and assist with the development of annual work plans.
  • Partner with the Compliance Auditor to participate in audits of compliance risk areas and serve as an additional coordination point for internal compliance audits.
  • Coordinate with the Compliance Manager regarding inquiries, complaints/grievances, and flags for review with potential violations of internal/external regulatory policies.
  • Develop, implement and monitor TMG’s Business Continuity Management (BCM) program. Serve as liaison and primary contact with managers and employees in the event of an interruption or disaster and periodically revise the BCM Program as determined necessary.

General Job Information

Title

Compliance Analyst

Grade

21

Job Family

Legal Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

9/27/2019

Date Requisition Created

9/24/2019

Work Experience

Compliance, Healthcare

Education

Associates (Required)

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

Preferred Qualification

  • Bachelor of Arts or 2-3 years of health care compliance experience.

Required Qualifications

  • 1-2 years of healthcare compliance experience.
  • Working knowledge of CMS requirements related to Medicaid (managed long term care).
  • Strong verbal, written, research and analytical skills.
  • Strong Microsoft Office skills (e.g. Word, Excel, PowerPoint, Outlook, Access, etc.).
  • Exceptional project management and interpersonal skills.
  • Demonstrated communication, critical thinking, and decision making abilities.
  • Knowledge of process improvement precepts.
  • Ability to manage multiple projects, often under time constraints, and motivate colleagues towards a common goal.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

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