Senior Compliance Analyst

Job Description

A bit about this role:

• As the Sr. Compliance Analyst for Devoted Health, you will be reporting directly to our Director of Compliance. This means having the chance to work across multiple operational teams; which may include any internal area and those that have a relationship with vendor oversight functions (i.e. Claims, Payment Integrity, Appeals, etc.) 

•  You will be performing audits, tracking potential compliance issues, reviewing impact analysis reports, and working corrective action plans.

• You will be reviewing monitoring activities from the designated business areas, and assisting in the day to day monitoring activities of the operational area. 

• You will also support risk assessment activities, and audit planning processes.

• You have the ability to learn and adapt to using Gemini, LLM, Copilot AI prompts to enhance compliance functions. 

Your Responsibilities and Impact will include:

• Performing audits and managing corrective actions.

• Participating in monthly meetings with our internal teams as well as assigned workgroup sessions. 

• Updating and developing policies, procedures, and job aids.

• Collaborating with other departments for audits, corrective action, and compliance activities.

• Analyzing and evaluating data, identifying trends and risks, and making appropriate conclusions based on regulatory guidelines.

• Reviewing HPMS memos and regulatory guidance for adherence to regulatory processes.

• Reviewing dashboards and KPI reporting.

Required skills and experience:

• Health Plan/CMS ODAG auditing experience

• Ability to meet strict deadlines

• Professional verbal and written communication skills

• Ability to Travel 10% (onsite meetings, audits, and conferences)

Desired skills and experience:

• Medicare Advantage experience is strongly preferred

• Proficient in google products is a plus (slides, google docs, google sheets)

• Knowledge of Jira and Slack 

Salary Range: $55,000 - $80,000 annually
#LI-Remote

Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium

• Generous paid time off

• $100 monthly mobile or internet stipend

• Stock options for all employees

• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

• Parental leave program

• 401K program

• And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family.  We are committed to a diverse and vibrant workforce. 

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States.  And we've just started. So join us on this mission!

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.