Cambia Health Solutions

General Compliance Analyst I, II or III

Cambia Health Solutions$65K — $107K *
Boise, ID 83709In-Person
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience
  • 3-8 years of experience in compliance-related roles
  • Experience in a health care or Medicare-regulated environment preferred
  • Proven ability to deliver effective core compliance activities
  • Skilled in project management and managing multiple priorities
  • Excellent written and oral communication skills
  • Experience with AI tools for productivity and decision-making is highly desired

Responsibilities

  • Deliver and manage an effective compliance program
  • Conduct risk assessments, training, and audits
  • Produce and maintain compliance policies and procedures
  • Collaborate with team members in supportive or leadership roles
  • Participate in the annual risk assessment process
  • Ensure clarity and conciseness in documentation and reports
  • Oversee project management and implementation of compliance initiatives

Benefits

  • Hybrid work environment (3 days in office)
  • Valuable experience in a mission-driven team
  • Opportunity to influence compliance culture within an organization
  • Career growth and development opportunities
  • Engagement in community and collaborative initiatives
Full Job Description
Compliance Analyst I, II or III

Hybrid role (3 days/week in office) at our Portland, Medford, Fargo, Burlington, Vancouver, Renton, Boise, Lewiston or Salt Lake City offices. Candidates must reside within commutable distance of that location.

Every day, Cambia's dedicated team of Compliance Analysts is living our mission to make health care easier and lives better. As a member of the Compliance team, our Compliance Analysts responsible to deliver an effective compliance program. They design, implement, deliver, measure and refine activities and controls to prevent, detect and correct violations of state, federal and other laws. Duties may include, but are not limited to, risk assessment, training, monitoring, auditing, regulatory audit, and market conduct activities, audit coordination, investigation, root cause analysis, regulatory implementation, control assessment, reporting, and corrective actions - all in service of creating a person-focused health care experience.

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

Compliance Specialist I would have a Bachelor's degree or equivalent experience and 3 years of experience in a role demonstrating success in compliance-related activities and controls (e.g, risk assessments, training, monitoring, auditing, investigations, root causes analysis, control assessments reporting or corrective actions) with experience in a health care or Medicare-regulated environment preferred.

Compliance Specialist II would have a Bachelor's degree or equivalent experience; 5 years of compliance experience or equivalent related experience, with experience in a health care or Medicare-regulated environment preferred.

Compliance Specialist III would have at least a Bachelor's degree or equivalent experience; 8 years of compliance experience or equivalent related experience, with experience in a health care or Medicare-regulated environment or ACA-regulated environment preferred.

Skills and Attributes:
  • Proven ability to deliver effective Core Compliance activities, including, monitoring, auditing, root cause analyses, and corrective actions.
  • Skilled in project management and delivery including proven ability to initiate and manage multiple projects and priorities.
  • Excellent written and oral communication and presentation skills.
  • Excellent research and analytics skills, with proven ability to distill actionable, practical advice from diverse sources and opinions. Legal research skills preferred.
  • Proven ability to influence effectively at all levels of the organization.
  • Excellent independent judgment and decision-making skills.
  • PC literate with office computer software - Word, Excel, PowerPoint, Outlook, Visio, etc.
  • Discretion and confidentiality.
  • Agile, with high learning velocity.
  • Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired


Additional Skills and Attributes for Compliance Analyst II
  • Demonstrated fluency in organizational agility: knowledgeable how about organizations work and how to get things done through formal and informal channels.
  • Practical familiarity with legal requirements relating to assigned compliance program, or for new hires, practical familiarity with analogous legal requirements.
  • Demonstrated mastery of at least four Compliance functions , to include the core competencies: risk assessments, training, policies and procedures, monitoring, auditing, external audit coordination, control assessments, reporting, corrective actions, implementation oversight, and ability to perform those compliance functions effectively within that compliance program; or if assigned to a specialized function (e.g. FDR/ DDE Compliance, Marketing Materials Review, Data Validations), mastery of all competencies related to that specialized function.
  • Demonstrated ability to handle successfully at least medium-complexity, medium-difficulty matters end-to-end.
  • Demonstrated ability to drive success with challenging partners.


Additional Skills and Attributes for Compliance Analyst III
  • Demonstrated mastery of legal requirements relating to assigned compliance program; or for new hires, demonstrated mastery of analogous legal requirements.
  • Demonstrated mastery of at least 6 core compliance functions, including the core competencies and ability to deftly perform all compliance functions relating to assigned compliance program as needed.
  • Demonstrated ability to handle successfully the most complex, most difficult matters end-to-end.
  • Demonstrated ability to drive success with the most challenging and/or most elevated partners.
  • Demonstrated excellence in building effective relationships at all levels of the organization; influencing decision-making; effectively framing issues and dialogues; and driving successful outcomes.
  • Demonstrated, end-to-end operational knowledge relating to assigned compliance program.
  • Demonstrated peer mentoring and departmental leadership.
  • Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired


What You Will Do at Cambia:
  • Overall responsibilities include specific and/or portions of the following functions that relate to an effective compliance program utilizing as a basis the seven elements of compliance.
  • Duties include aspects of the preparation, planning, coordination, project management, submission, administration, monitoring and auditing of the Cambia compliance program which serves to oversee activities related to requirements, laws and regulations to prevent, detect and remediate compliance issues of the company.
  • Responsibility for producing and maintaining policies and desk manuals for position.
  • Works as a team with other staff members assigned in either a supporting or leading role.
  • Participating in the annual risk assessment process.
  • Ensuring materials, reports, and other documents are written in an understandable and and concise style.
  • Project management and implementation.
  • Participating, supporting and serving in regular meetings, including divisional and cross-divisional committees as needed.
  • Core Competencies: risk assessments, training, policies and procedures, training, monitoring, auditing, root cause analysis, and corrective actions.
  • Additional Competencies: external audit coordination, implementations, control assessments, delegation oversight, data validation, marketing material oversight, DDE/FDR oversight.


Work Environment
  • Travel rarely required, locally or out of state.
  • May be required to work outside normal hours.


Compliance Analyst I
  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $69,700.00 - $94,300.00, the full salary range is $65,000.00 - $107,000.00. and the bonus target is 10%.
  • North Dakota: The expected hiring range is $65,986.69 - $89,276.11, the full salary range is $59,716.46 - $95,546.34.


Compliance Analyst II
  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $84,200.00 - $113,900.00, the full salary range is 79,000.00 - $129,000.00. and the bonus target is 10%.
  • North Dakota: The expected hiring range is $81,679.31 - $110,507.30, the full salary range is $72,523.20 - $119,663.39.


Compliance Analyst III
  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $101,200.00 - $136,900.00, the full salary range is $95,000.00 - $155,000.00 and the bonus target is 15%.
  • North Dakota: The expected hiring range is $90,906.79 - $122,991.55, the full salary range is $80,716.23 - $133,182.10.


About Cambia Health Solutions

Cambia Health Solutions is a nonprofit healthcare company that provides health insurance, healthcare services, and technology solutions to individuals and organizations. The company was founded in 1917 and is headquartered in Portland, Oregon. Cambia Health Solutions operates in several states, including Oregon, Washington, Idaho, and Utah. The company's subsidiaries include Regence BlueCross BlueShield, BridgeSpan Health, and Asuris Northwest Health. Cambia Health Solutions is committed to improving the health and well-being of its members, and has received numerous awards for its innovative solutions.
Learn more about Cambia Health Solutions
Size
5,000 employees
Industry
Founded
1996

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