Baycare

Compliance Analyst - Insurance Division - BayCare Health Plans

Baycare$80K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Minimum of 5 years of Medicare compliance experience required.
  • Bachelor's degree in Business, Finance, or a related field is mandatory.

Responsibilities

  • Assist in developing compliance and ethics programs for the Health Plan.
  • Plan and perform audits to ensure adherence to regulations and internal policies.
  • Monitor compliance through regular reviews and audits.
  • Identify deficiencies and develop corrective action plans.
  • Conduct follow-up reviews to validate compliance adherence.

Benefits

  • Hybrid work model allowing a mix of remote and in-office work.
  • Full-time position with a standard daytime schedule.
  • Opportunity to influence compliance and ethics initiatives.
Full Job Description
Summary:

  • Assists to continuously develop the Health Plan's compliance and ethics programs.
  • Plans, develops, and performs reviews and audits to monitor compliance with federal and state regulations/guidance, delegation oversight and internal policies and procedures.
  • Identifies root causes of deficiencies, creates corrective actions plans and conducts follow-up reviews to validate adherence.


Minimum Qualifications:

Experience:

  • A minimum of five years of Medicare compliance experience is required.

Education:

  • Required - Bachelors - Business; Or - Bachelors - Finance; Or - Bachelors - Related Field


Facility:
BayCare Health System, Admin-Compliance-BHS

Location: Park Place

Status: Full Time, Exempt: Yes

Shift Hours: Days, 8 hour shifts

Weekend Work: None

On Call: No


How often will this team member be working remotely? Hybrid

About Baycare

BayCare Ballpark is a baseball stadium located in Clearwater, Florida, in the United States. The stadium was built in 2004 and has a maximum seating capacity of 8,500 people. The ballpark is the spring training home of the Philadelphia Phillies, and also the home of their Class A affiliate, the Clearwater Threshers of the Florida State League. A sculpture titled The Ace—by artist Kevin Brady—stands at the ballpark's west entrance plaza.
Learn more about Baycare

Similar Jobs

More Jobs at Baycare

More Healthcare Jobs

Find similar Compliance Analyst - Insurance Division - BayCare Health Plans jobs: