Sr. Analyst, Compliance and Privacy

ArchWell Health•Nashville, TN

About The Position

The Sr. Analyst, Compliance and Privacy provides support for all operations and initiatives critical to enterprise-wide Compliance and Privacy Program needs. Through effective partnerships with business unit stakeholders, this individual supports team functions, which include, but are not limited to, preparation for, and coordination of regulatory and other external audits, investigations and response to allegations of non-compliance, delivery of compliance and privacy related education, compliance and privacy related policy and procedure drafting and maintenance, and auditing work plan and monitoring activities. This experienced professional effectively responds to privacy and compliance inquiries of high complexity while assessing and mitigating elements of organizational risk. The Sr. Analyst, Compliance and Privacy demonstrates exercise of independent judgment related to situations of a sensitive, confidential nature and is responsible for varied and extensive duties requiring considerable initiative and ability to make decisions relative to efficient program operations. At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members. ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Requirements

Ability to review, analyze, and interpret regulatory requirements in a clear and concise manner.
Demonstrated organization, analytical, facilitation, communication, presentation skills.
Excellent interpersonal skills with the ability to build relationships that effectively influence behavior.
Detail-oriented with excellent follow-through to drive inquiries, consultations, and investigations to resolution.
Demonstrated knowledge related to federal and state laws and regulations.
Demonstrated ability to consult, advise, and translate customer needs into solution alternatives.
Demonstrated knowledge of and skill in communication, problem solving, project management, and risk assessment.
Demonstrated knowledge of and skill in word processing, multimedia presentations, spreadsheet, database, project management, and desktop applications.
Ability to analyze and respond to complex compliance subject area scenarios independently.
Advanced professional writing skills.
Bachelor’s degree in healthcare, Business Administration, or another approved related field required.
Two (2) to five (5) years of experience working in an outpatient care setting
Two (2) to five (5) years of compliance, privacy, risk, auditing, or legal experience required
Experience using compliance platforms such as SAI 360 or other compliance software strongly preferred

Nice To Haves

Graduate level degree preferred
HCCA certification preferred

Responsibilities

Independently manages compliance and privacy projects of high complexity to the desired outcome.
Establishes and executes on program work plan items within compliance specialty area.
Develops, implements, and maintains compliance policies and procedures.
Serves as compliance auditing, investigation and consulting resource to organization. Provides consultation on internal and external requirements. Evaluates regulatory requirements and potential operational impacts. Advises operational units on policy, procedure, and operational work plans development.
Provides project management, coordination, and analytical support for compliance projects.
Performs risk assessment and mitigation activities and audits related to compliance. Conducts initial and periodic assessments, risk analysis, and audits.
Develops and monitors corrective action strategies and action plans. Communicates status of same to leadership.
Monitors and keeps leadership abreast of regulatory issues, deficiencies, or potential problems that may have financial impacts or involve regulatory intervention activities.
Communicates regulatory issues, deficiencies, or potential problems as they relate to possible financial impacts and/or regulatory intervention activities. Develops implements and coordinates training programs.
Assists in identification of compliance program needs. Recommends and develops strategies and plans to address the same. Develops supporting documentation for compliance program. Reviews and revises Compliance department work plan on regular basis.
Assist with investigating allegations of non-compliance or regulatory violations, including those received from the anonymous or confidential hotline. Reports findings and resolutions to leadership.
Assist with the implementation of Compliance program communication and training plans, including collaborating with other corporate support teams’ business units.
Provide guidance with interpreting regulations and health plan guidelines.
Trains and develops staff and appropriately discerns and escalates issues that require management and communication upward.