Compliance Analyst (Medicaid / Medicare)- CA
Job Details
Experienced
Irvine, CA or Long Beach, CA - Irvine or Long Beach, CA
Full Time
None
Day
Legal
Description

Fast-paced and growing dental insurance company seeks a Compliance Analyst.

 

Opportunity to work in our **Irvine or Long Beach, CA** locations.

 

The Compliance Analyst is responsible for ensuring LIBERTY’s compliance program meets regulatory and contractual standards for Commercial, Exchange, Medicaid, and Medicare lines of business. The successful individual must demonstrate integrity, credibility, strong interpersonal skills, and a command of regulatory requirements impacting government managed healthcare. 

 

Essential Duties:

  • Coordinates preparation and submission of timely and accurate regulatory filings involving multi-department or cross-functional teams of subject matter experts, managing deliverables from the design process through completion. 
  • Maintains LIBERTY’s Compliance Central system, including coordinating all triage notifications and requests, routing to and working with business owners ensuring high quality timely deliverables.
  • Coordinates all aspects of client and regulatory audit preparation and the development of reports/tools to monitor and track implementation and completion of corrective action plans.
  • Communicates and collaborates with business areas to analyze regulatory guidelines and deliver the appropriate artifacts as needed.
  • Maintains a compliance dashboard, weekly compliance status summaries, compliance status tracking tools, etc. 
  • Leads large, complex projects to achieve a variety of compliance objectives.
  • Interprets and analyzes state and federal regulatory guidance.
  • Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
Qualifications

Qualifications:

  • Bachelor's degree and relevant industry certifications OR equivalent experience
  • Experience working for a health or dental insurance plan highly preferred
  • 2+ years of regulatory compliance and oversight experience
  • Direct experience in government managed or regulated healthcare compliance (e.g. Medicare, Medicaid, DMHC, DHCS, CMS, etc.) 
  • Experience with compliance audits and corrective action plans (CAPs) preferred
  • Strong to expert computer skills – MS Office (Excel, Word, PowerPoint)
  • Excellent critical thinking and problem solving skills
  • Ability to analyze and present data in a meaningful way to executives
  • Ability to effectively communicate at all organizational levels, both orally and in writing
  • Ability to manage multiple tasks and deliverables in a fast-paced environment

 

Sponsorship and Relocation Specifications:

LIBERTY Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.

Apply