The Senior Compliance Analyst is responsible for supporting and overseeing the day-to-day operations and execution of the compliance and privacy programs within Mom’s Meals. Duties include managing formal client/payor grievances, critical incident investigation and reporting, policies and procedures, and privacy incident response and remediation, and supporting payor/agency audit response. Successful candidates contribute to a positive culture of compliance at Mom’s Meals.
This position can be remote with occasional visits (possibly quarterly) to our headquarters in Ankeny, IA.
Salary Range: $75,101 - 90,000 plus 10% bonus
At this time, we are NOT considering applicants that require immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc.
Benefits
Our employees enjoy a generous package of benefits that we are thrilled to provide, and feel is part of what makes us different as an employer. We value our team members, and this is one way we can show it.
Benefits include:
-PTO, holiday pay and holiday of choice
-401(k) match
-Life insurance
-Short-term disability
-Health, dental and vision insurance
-Maternity/paternity leave
-Health savings account (HSA)
-Flex spending accounts (FSA) – health and dependent
Position Responsibilities may include, but not limited to
Regularly review State and Federal laws, rules, in partnership with legal and notify internal business partners of applicable changes to ensure organizational compliance is maintainedComplete a regular review of policies and procedures to maintain alignment with state and federal compliance regulations; recommend updates, work with leadership to completeEnsure resolution of Critical Incidents with appropriate internal business partners and notify agency caseworkers/contacts according to contractual and regulatory obligationsInvestigate and ensure resolution to Grievances received from clients, agencies, and third parties; provide any required follow-up education to employees or leaders; collaborate with leadership to determine and implement corrective actionsCompile compliance metrics and analyzes results for ongoing tracking and Board and Executive reviewManage general compliance email as neededExecute regular Compliance Program Self-Assessments based on the Department of Justice recommendations; propose internal action plans to strengthen Compliance posture within organizationProvide employee compliance education including onboarding, annual training, both departmental-specific and role-based training; participates in annual education review and as rules and regulations change; develops Compliance Tips for general educationAssist in development of compliance audit program by planning and conducting second line of defense compliance audits; communicate results to applicable internal businessReview and investigate impermissible use/disclosure reports; provides employee re-educationParticipate in breach notification processDevelop and provide employee privacy education including onboarding, annual training, both departmental-specific and role-based training; participate in annual review education review or as rules and regulations change; Privacy Tips for general educationAssist in development and oversee HIPAA Auditing/Monitoring Plan and annual revision; privacy aspects of HITRUST; monitoring of program using OCR Audit ProtocolAct as an internal compliance/privacy resource for Mom’s Meals employeesEngage in ongoing education and professional development to increase compliance expertise, business acumen, and regulatory knowledgeCollaborate with teammates, leadership team, and internal business partners to produce effective compliance and privacy program outcomesManage all external audit activity, including: audit intake, analysis, information/document requests from internal business partners, review and preparation, submission, auditor meetings, results review and responseDraft Corrective Action Plans (CAP) and Audit Appeals with input from applicable internal business leaders and Compliance Leadership in response to audit findingsIdentify, track, and trend in auditing to ensure proactive preparation for future audits and/or determinations resulting in CAPsMaintain electronic audit resource library to ensure up-to-date documentation Maintain external audit tracking database to house all audit activity and status and supports reporting and data analytics of audit data
Required Skills and Experience
Bachelor’s degree OR 8 years relevant experience4-7 years’ experience in auditing, payer relations, compliance, privacy, information security or other relevant healthcare industry experienceStrong problem-solving skills including attention to detailAbility to prioritize (and re-prioritize) projects in a fast-paced work environmentEffective written and verbal communication skillsAbility to work collaboratively to foster trust, credibility, and understandingAbility to promote teamwork within department and organizationExceptional personal organizational skills to meet deadlines, complete work assignments and projects and/or accomplish time sensitive work prior to due datesMaintain working knowledge and understanding of various state/federal compliance and privacy laws, rules and regulations related to Medicare/Medicare Advantage plans, Medicaid, Managed Care OrganizationsProficient in Microsoft Office Applications including Word, Excel, PowerPoint, and Outlook
Preferred Skills and Experience
Certification in compliance, privacy or other relevant area
Physical Requirements
Repetitive motions that include the wrists, hands and/or fingersSedentary work that primarily involves sitting, remaining in a stationary position for prolonged periodsVisual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus
