Regulatory Compliance Analyst
It’s a great time to put the strength of Coventry Health Care behind your career!
Coventry Health Care is a $12 billion growth oriented national managed health care company based in Bethesda, MD with 14,000 employees in 48 states. We provide a full range of risk and fee-based managed care products and services to a broad cross section of employer and government-funded groups, government agencies, and other insurance carriers and administrators.
Coventry is currently seeking a Regulatory Compliance Analyst to work with our corporate vendor compliance team. Location dependent on skills and qualifications.
In the role as Regulatory Compliance Analyst you will assist with oversight of Coventry’s corporate vendor compliance program. This position will be responsible for ensuring all aspects of the company’s compliance and ethics program components are satisfied through its vendor relationships, including ongoing monitoring and auditing, risk assessment, and training initiatives. This will include analysis of risk associated with new vendors, communication to key stakeholders, conducting ongoing vendor assessments, and ensuring regulatory and corporate training requirements are satisfied.
The ESSENTIAL RESPONSIBILITIES of the Regulatory Compliance Analyst will be:
- Maintains an awareness of corporate compliance and ethics practices, developments and trends, notably within a managed health care environment.
- Utilizes information management tools, such as surveys/questionnaires, metrics, reports, and interview questions to assist with ensuring appropriate data is gathered for further assessment.
- Assists with development of assessments to identify risk areas and effectively and strategically mitigate or eliminate such risks
- Conduct monitoring and auditing initiatives to assess proper oversight of vendor operations or regulatory requirements
- May conduct external on-site audits to assess compliance with contractually delegated functions and/or regulatory requirements.
- May develop audit reports to identify areas of noncompliance, propose recommendations and obtain responses and corrective action plans from functional areas.
- Contributes to development and provision of vendor specific training materials, monitors progress of training completion, and ensures deficiencies are properly accounted for, reported, and corrected.
- Prepares reports in accordance with analytical results.
- May review contracts with new and existing vendors and provide input on required provisions.
- Collaborate with business units and functional areas to ensure key vendor issues or risks are understood
- May work independently or as a part of a project team.
- Contributes to problem solving, process design and analytical support.
- Performs other duties as required.
The ideal Regulatory Compliance Analyst will possess the following:
- Bachelors degree or equivalent experience.
- Previous (2-5 years) related experience required; vendor compliance experience a plus.
- Demonstrates solid analytical skills, self initiative and innovation.
- Demonstrated ability to conduct and interpret quantitative/qualitative analysis.
- Must demonstrate effective communication, interpersonal, and presentation skills.
- Proficient with MS Office (Word, Excel, PowerPoint)
- Minimal travel may be requested
This position requires excellent communication, analytical and problem solving skills and the ability to work in a fast paced environment.
CHC offers an excellent compensation and benefits package including medical, dental, vision, and 401k. If you are a results oriented individual who is willing and able to make a difference, please submit your resume & salary requirements to our online Career Center at http://jobs.coventryhealthcare.com/ (reference job requisition number 1212268)
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: Urbandale, IA, US
Other Locations: Salt Lake City-Utah-United States,Plano-Texas-United States,Franklin-Tennessee-United States,King of Prussia-Pennsylvania-United States,Cranberry Township-Pennsylvania-United States,Harrisburg-Pennsylvania-United States,Pittsburgh-Pennsylvania-United States,Gastonia-North Carolina-United States,5757 Phantom Drive-Suite 400-63042-Hazelwood-Missouri-United States,10 S. Broadway-Suite 1200-63102-St. Louis-Missouri-United States,6705 Rockledge Drive-Suite 900-20817-Bethesda-Maryland-United States,Burlington-Massachusetts-United States,Downers Grove-Illinois-United States,Sunrise-Florida-United States,Tampa-Florida-United States,
Organization: 10900 - CMS - STAR Corporate
Schedule: Full-time
Job Posting: 2013-01-14 00:00:00.0
Job ID: 1212268