Sr Analyst, Corp Compliance

This teammate will be responsible for daily oversight and management of the Compliance QUESTionLine by providing clear and consistent guidance to teammates who seek answers to compliance-related questions. They will work collaboratively within the Compliance Department as a compliance policy subject matter expert (SME) and with other teammates throughout the Village. Areas of focus include Anti-Kickback Statute, Antitrust, Beneficiary Inducement and the False Claims Act.
Additionally, this teammate will provide support for our regulatory compliance monitoring program that conducts monitoring against compliance policies. This support will include making recommendations to improve existing processes, lead the analysis of related data, and develop relationships with internal stakeholders.
Our evolving health care regulatory landscape. As a Compliance Senior Analyst, you will join a team of highly motivated individuals and will be a key player in enhancing compliance oversight.
Overarching responsibilities:
Become a SME of compliance policies. Management and oversight of day-to-day operations of the Compliance QUESTionLine. Ownership and maintenance of data and reporting for the Compliance Policies Team. Support to the department’s policy monitoring activities aimed at mitigating compliance risk. Support Compliance Director on special projects as needed.
QUESTionLine Responsibilities:

• Review inquiries received and triage as appropriate. For compliance questions, provide timely policy guidance to teammates and document clearly within system (EthicsPoint).
• Understand and be able to interpret compliance policies to provide appropriate guidance.
• Communicate policies, procedures, and potential risk in an easily digestible manner.
• Analyze data to define and understand problems, perform research, and evaluate alternatives to assist leadership in decision making regarding program enhancements or areas of improvement.
• Escalate issues to leadership, legal, and/or the Investigations team, as appropriate.
• Review and track compliance forms and approvals related to policies.
• Help review and provide feedback for compliance policies, trainings and job aids as needed.
• Participate in committees or independently review forms and requests for compliance risk and provide appropriate guidance and/or approvals.

Monitoring Responsibilities:

• Perform compliance monitoring activities to verify accuracy of data and adherence to policies and processes.
• Analyze, investigate, and resolve concerns that arise from monitoring activities.
• Develop and maintain detailed documentation of monitoring activities.
• Collect data, analyze, and summarize metrics and trends for upper management.
• Provide education, guidance, and corrective action to teammates of various levels.
• Develop and project manage initiatives that include clear objectives, milestones, and action items.
• Maintain appropriate confidentiality with personal and sensitive data.

Qualifications/Skills/Behaviors Required for Success in this Position:

• Bachelor’s Degree required.
• Minimum of 4 years of professional work experience required. Compliance and/or health care experience strongly preferred.
• Excellent problem-solving, decision-making, and critical thinking skills; Proven ability to synthesize/analyze diverse information, develop recommendations and solutions, and articulate them clearly to business partners and leadership.
• Proven experience in managing multiple requests for support while ensuring stakeholders are satisfied with completeness, accuracy, and timeliness.
• Strong written, verbal, and interpersonal communications skills including ability to listen attentively and to communicate information clearly and effectively.
• Strong organizational skills and attention to detail are critical for success in this role.
• Demonstrated strength in time management required; ability to respond to urgent requests, prioritize appropriately, manage multiple projects and priorities at one time and meet deadlines.
• Able to function in a team environment, being flexible and responsive to changing priorities, and having an appropriate sense of urgency in completing tasks and projects.
• Ability to deal with confidential information and/or issues using discretion and judgment.
• Proficiency in data analysis, development, and maintenance of relational databases, and/or building complex queries and macros.
  • Experience with MS Access, SQL, VBA, Tableau or similar, a plus.