Rockledge, FL, 32956, USA
6 days ago
Integrity Analyst - HFHP Corporate Integrity
*POSITION SUMMARY* Maintain knowledge of corporate integrity issues and stay current on trends and developments in the field; conduct monitoring and audit initiatives while providing recommendations and guidance to enhance organizational corporate integrity and minimize risk. Take ownership of routine duties and assigned projects, discussing and seeking approval of complex matters on a limited basis. *PRIMARY ACCOUNTABILITIES* 1. Collaborate to investigate, direct and resolve compliance issues through appropriate existing channels 2. Organize, implement, and effectively meet the 7 Elements of the Compliance Program specific to guidelines adopted by both the Centers for Medicare & Medicaid Services and the Office of Inspector General. 3. Implement effective monitoring of appropriate compliance indicators to oversee high-risk areas, routinely reports areas of interest or concern to leadership. 4. Identify the types and quantity of information/evidence needed to complete assigned audit tasks, how to efficiently obtain such information, analyze it within the context of the audit objectives, and to formulate appropriate subsequent actions and recommendations. 5. Consistently document relevant facts and information to support the audit and conclusions so others can follow the logic and methodology. 6. Calculate and report findings and observations in a clear manner, identifying high risk areas for further auditing. 7. Document and track incidents appropriately providing updates and summarizing compliance activities and events monthly in clear and concise written reports. 8. Identify process improvements and areas of interest or potential risk effectively communicating points through clearly written correspondence or Compliance Memorandums. 9. Design, develop, and support compliance-based training and education curriculum to promote the integrity program and enhance organizational compliance. 10. Analyze and interpret government regulations to acquire and maintain knowledge. 11. Assist in assessing impact on current processes, review, create and/or revise policies and procedures and assist with education accordingly. *MINIMUM QUALIFICATIONS* * Education: Associate degree. * Licensure: None Required * Certification: None Required * Work Experience: Three years of compliance experience. * Work Experience in lieu of education: Additional two years compliance experience. * Knowledge/Skills/Abilities: o Proficient in Microsoft Office – Outlook, Word, Excel, PowerPoint. o Demonstrated proficiency in understanding and analyzing federal and state health care rules and regulations, including HIPAA. o Demonstrated ability to educate associates on compliance related matters. o Effective interpersonal, written, and verbal communication skills and ability to work with all levels of health care personnel, including Executive management. o Excellent time management, planning and organization skills, detail-oriented. o Strong critical thinking skills. o Ability to work independently with minimal supervision and exercise professional judgment regularly. o Self-confidence and composure to handle stressful, emergent, and dynamic work situations in a team environment often while managing multiple, concurrent, high priority tasks. o Persistence and attention to detail to produce high-quality, professional-looking work products and to continuously improve personal performance. o Demonstrates strong customer service skills. *PREFERRED QUALIFICATIONS* * Education: Bachelor’s Degree in Healthcare Administration. * Licensure: None Required * Certification: Certification in Compliance by recognized accrediting organization. * Work Experience: Three years executive communication in healthcare. * Knowledge/Skills/Abilities: Decision-making, Financial acumen. *PHYSICAL REQUIREMENTS*Sedentary – Office Workers * Majority of time involves sitting or standing; occasional walking, bending, stooping. * Long periods of computer time or at workstation. * Light work that may include lifting or moving objects up to 20 pounds with or without assistance. * May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise. * Communicating with others to exchange information. * Visual acuity and hand-eye coordination to perform tasks. * Workspace may vary from open to confined, on site or remote. * May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. **Job:** **Integrity* **Organization:** **Health First Shared Svcs Inc* **Title:** *Integrity Analyst - HFHP Corporate Integrity* **Location:** *Florida - Brevard County-Rockledge* **Requisition ID:** *075164*
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