Audit Specialist (Healthcare Audits)

About the role

We are in search for a Compliance Specialist. Compliance works to ensure controls and safeguards are in place to promote adherence to applicable federal and state laws, assess risks to the organization, and maintain the security and privacy of patient and customer data.

Responsibilities

• Assists the Compliance Manager with performing internal reviews, research and/or audits to verify compliance with government laws/regulations, client requirements, accreditations/certifications, audit frameworks, and/or organizational policies/procedures
• Documents findings and organizes data for identification of potential risk areas
• Stays informed of applicable rule and regulation changes in the healthcare and pharmaceutical industries
• Aids in the day-to-day operations of the Document Management System (DMS) and Learning Management System (LMS)
• Coordinates with appropriate departments and/or cross-functional teams to ensure all applicable documents are reviewed and revised within the specified timeframes
• Has attention to detail, organization skills, excellent proofreading skills, prompt response to action items, and the ability to handle change
• Performs document control functions, including tracking, processing, review, formatting, distribution, and archiving of documents
• Evaluates document organization, proofreads, and provides additional quality checks before document finalization
• Aids in third-party audits
• Verifies compliance with insurer rules, Medicare, Medicaid, HIPAA, and other applicable regulations
• Assists in Incident Management and CAPA process
• Aids in enterprise-wide Risk Assessment
• Receives, investigates, and resolves compliance and/or privacy related complaints or concerns
• Maintains Compliance & Privacy logs as required
• Aids in training efforts and initiatives, including preparation of materials and presenting training through a variety of methods
• Performs other related duties as assigned by management

Requirements

• CHC or other relevant certifications preferred
• Computer skills: Microsoft Office suite, including Word, Excel, Outlook, PowerPoint, Visio. Experience with Jira Service Desk a plus
• Experience with healthcare and pharmaceutical compliance preferred
• High degree of emotional intelligence
• Excellent communication skills, both written and oral
• Collaborates with colleagues as one team
• Assumes positive intent in others
• Makes commitments and keeps commitments
• Advanced problem solving and decision-making skills
• Takes initiative to plan milestones, track progress, and prioritize workload
• Flexible, detail-oriented team play that has proven success in a fast-paced environment
• Strong attention to detail with the ability to work effectively under pressure
• Bachelor's Degree from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience

Competencies

• Adaptability
• Analytical
• Business Acumen
• Change Management
• Customer Service
• Dependability
• Diversity
• Ethics
• Initiative
• Innovation
• Interpersonal Skills
• Judgment
• Leadership
• Planning/Organizing
• Problem Solving
• Professionalism
• Quality
• Teamwork
• Technical Skills
• Written Communication
• Managing People

Benefits

Supportive, progressive, fast-paced environment
Competitive pay structure
Matching 401(k) with immediate vesting
Medical, dental, vision, life, & short-term disability insurance