Compliance Analyst-Hybrid

Location

Brentwood, TN | United States

Job description

Description

Healthcare Without Rival  

Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions.   

Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations.   

Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for a Compliance Analyst to join our team in Brentwood, TN.   

About the role: The Compliance Analyst is responsible for all the continuous activities that involve creating, applying, keeping up, and following the organization's compliance and privacy programs, policies, and procedures that cover compliance, privacy, and healthcare laws at the federal and state level.  

Essential Functions:   

• Performs privacy and compliance audits and develops recommendations to improve business processes, controls, efficiencies, and effectiveness to ensure that Premise is following applicable regulations.
• Performs quality assurance reviews; makes recommendations for quality assurance and improvement programs.
• Assist with hotline and occurrence system investigations. 
• Performs interviews as needed to investigate an occurrence or for quality assurance of a process.
• Performs risk assessment to determine the root cause and ensure procedures and training material addresses root cause to prevent further loss of protected health information.
• Develops policies and procedures to maintain compliance with company standards, as well as applicable laws and regulations.
• Develops training material and provide ongoing training to employees.
• Responds to employee inquiries regarding appropriate uses and disclosures of Protected Health Information (PHI); ensures consistent application of policies in response to such inquiries and consistent documentation of such requests.
• Reviews contractual language to determine if Premise Health can comply with privacy and data terms.
• Reviews contracts and extract requests to determine if legal agreements are needed.
• Tracks and manages project tasks and work plan.
• Predicts resources needed to reach objectives. 
• Develops and manage a detailed project schedule. 
• Prepares reports and present findings.
• Works across all departments to identify compliance and privacy risks, trends, vulnerabilities, and research solutions for risk mitigation.
• Coordinates project meetings, status updates, and document findings from meetings. 

Job Requirements:   

• Bachelor’s Degree or equivalent work experience. 
• At least 2 years’ experience working in healthcare setting.
• Demonstrate experience in performing compliance risk assessments.

Preferred Experience:  

• Knowledge of healthcare operations
• Information systems or technology knowledge desirable
• Excellent communication skills, both written & verbal. Ability to effectively present information & respond to inquiries from management, employees, and others, as necessary.
• Excellent organizational skills. Ability to manage & prioritize multiple tasks/projects, work autonomously, and meet deadlines.
• Ability to operate with considerable initiative, applying an important level of discretion & confidentiality. 
• Ability to analyze & document processes and make appropriate recommendations for improvement.
• Strong leadership & problem-solving skills. Ability to demonstrate a high degree of professionalism & maturity.
• Ability to work well in a team environment that promotes inclusiveness & communication among team members.
• Willingness to participate openly & honestly with management team to make or accept appropriate recommendations for quality improvement.
• Strong familiarity with standard concepts, practices, and procedures related to healthcare provider licensing requirements. Paralegal or legal experience preferred.
• Proficiency with Microsoft Office, specifically Excel and Access.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you.   

Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.  

Job tags

Salary