Regional Compliance Analyst (Hybrid - IL, CO, or OH)

About the role

This is a Hybrid role - 3 days a week in office (will consider locations in IL, CO, and OH)

Responsibilities

• Communicate and proactively monitor compliance with all applicable federal and state laws, regulations, policy directives and ethical requirements for all Quest Diagnostics staff and locations within the assigned Region.
• Complete action items for compliance and reimbursement Incident Reports (IRs), investigations and any required follow-up, training or other actions directed by the corporate IR team.
• Aid in Compliance training for assigned region including patient services, commercial, operations, logistics, customer solutions, sales support, etc.
• Regional contact for all compliance inquiries either in-person, via phone/e-mail or regional compliance mailbox.
• Regional contact for corporate audit team to perform document retrieval, analysis and audit remediation support, including assisting with Regional/Corporate Audits under the Director's supervision.
• Responsible for the performance of CCAP reviews such as Advance Beneficiary, Services Purchased, Services Sold, etc. following the corporate compliance review schedule.
• Responsible for the project management of 1Compliance assignments as required (i.e.; PHIIT, Charitable Contributions, Health Fairs, etc.).
• Responsible for supporting Regional Compliance Director with special assignments or projects, as needed.
• Ensure Regional understanding and alignment with Corporate Policies, SOPs and directives.
• Research and review systems info in QLS, QBS, Quanum, OptiMaxx and other relevant document storage applications.

Qualifications

• Preferred A.S. in Medical Technology, Business Administration or comparable experience
• B.S. or equivalent preferred
• 3+ years in the healthcare industry with a background in compliance, billing, operations and/or medical technology
• Experience conducting audits
• Experience with Quest Lab Information System and related business systems highly desirable
• Demonstrated project management experience and ability to prioritize activities
• Effective oral and written communications skills
• Concentrate on tasks
• Examine/observe details
• Ability to work independently in a virtual team environment

Other Attributes

• Understanding of all federal and state fraud and abuse laws and regulations
• Understanding of Compliance Policies and ability to explain and apply the policies
• Independently motivated with proven ability to follow through on initiatives
• Highly engaging and collaborative style in working in a team and cross-functionally
• Technical aptitude or experience with key MS Office and business applications expertise
• Training and presentation abilities
• Excellent interpersonal, customer service and oral communication skills, including the ability to communicate complex issues clearly and concisely
• Proven problem-solving and follow up skills, with the ability to develop appropriate resolutions to improve deliverables or processes
• Strong organizational and prioritization skills