Healthcare Compliance Analyst
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Overview
Job Description
- Support internal monitoring, auditing, and compliance oversight activities
- Partner with business units and subject matter experts to ensure compliance processes align with regulatory standards
- Assist in developing and maintaining compliance policies, procedures, and program documentation
- Coordinate data collection, analysis, and reporting for audits and regulatory requirements
- Track and report on corrective actions resulting from internal and external audits
- Support Mental Health Parity analysis, responses, and regulatory filings
- Serve as a liaison for internal departments on delegation oversight activities
- Identify and escalate potential compliance concerns and risks
- Support compliance communications, events, and special projects
- Maintain confidentiality and ensure compliance with HIPAA and other privacy requirements
- Organize and maintain compliance-related documentation and records
- Perform other duties and special projects as assigned
- Bachelor’s degree in Compliance, Healthcare Administration, Legal/Regulatory Affairs, or a related field
- 3 years of experience in healthcare compliance, regulatory, auditing, quality, or related roles
- Familiarity with regulatory frameworks such as NCQA, Knox-Keene, HIPAA, Covered California, or similar
- Willingness to obtain professional certification such as Certified Healthcare Compliance (CHC)
- Strong analytical, organizational, and problem-solving skills
- Ability to manage multiple priorities and collaborate across teams
- Proficiency with business tools such as email, spreadsheets, and Smartsheet
Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law. (EOE)
Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you — and excellent customer service for our members.
*WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Western Health Advantage will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option.’
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Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
