What are the responsibilities and job description for the Compliance Analyst position at Optimus Health Care, Inc.?
Optimus Healthcare- A community Health Center driven by one mission: to provide high quality, affordable healthcare to the underserved population regardless of their ability to pay. Optimus is the largest Federally Qualified Health Center providing primary care services in lower Fairfield County, in the cities of Stamford, Bridgeport, Stratford and surrounding areas. If you are a healthcare professional who wants to work in a meaningful, mission-driven workplace where people are committed and passionate about caring for others, OPTIMUS may be for you.
We are currently recruiting for a fulltime Compliance Analyst to join our team in Stratford, CT.
Under the direction of the Compliance and Risk Director, the Compliance Analyst will be responsible for monitoring, analyzing, and ensuring adherence to all relevant laws, regulations, and internal policies within Optimus Health Care, Inc. The Compliance Analyst will collaborate with various departments to assess compliance risks, develop, and implement compliance programs, and keep abreast of external and internal standards, regulations, and licensing requirements, while ensuring timely compliance with these guidelines. The main function of this role will involve conducting internal reviews (audits), investigating compliance concerns, and recommending corrective actions to mitigate risks and maintain a culture of compliance.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES
1. Monitor changes in healthcare laws, regulations, and industry standards to ensure organizational compliance.
2. Collaborate with internal stakeholders to interpret and implement compliance requirements.
3. Develop and maintain compliance policies, procedures, and training materials.
4. Conduct monthly and quarterly audits and assessments to identify compliance risks and areas for improvement.
5. Assist with the preparation and completion of the Annual Risk Assessment.
6. Assist with insurance audit requests.
7. Assist with investigating compliance violations, discrepancies, or concerns, and recommend corrective actions.
8. Keep abreast of emerging compliance issues and best practices in the healthcare industry.
9. Serve as a resource for compliance-related inquiries.
10. Assist with preparing reports and presentations on compliance activities, findings, and recommendations for management.
11. Monitor and update relevant company databases and document all procedures related to compliance, as needed.
12. Review and analyze compliance monitoring reports and other related source documents for any potentially suspicious/abnormal patterns of activity, as directed.
13. Ensuring timely and accurate reporting and responses to compliance-related issues and monitoring the implementation of corrective action plans related to such issues.
14. Assisting with the appropriate distribution of internal and external compliance financial/cash audit reports to relevant managers and monitoring corrective action plans related to such reports.
15. Assist with the Department of Public Health (DPH) applications for new licensures and renewal of existing licensures. Ensuring Optimus Health Care, Inc. remains in compliance with all licensing requirements.
JOB QUALIFICATIONS/REQUIREMENTS
- Previous experience in healthcare compliance, auditing, or related field.
- Strong understanding of healthcare laws, regulations, and compliance standards, such as HIPAA, Stark Law, Anti-Kickback Statute, and Medicare/Medicaid regulations.
- Excellent analytical skills with the ability to interpret complex regulations and apply them to organizational policies and procedures.
- Effective communication skills, both verbal and written, with the ability to convey complex information to diverse audiences.
- Detail-oriented with strong organizational, documentation skills and problem-solving abilities.
- Ability to work independently, prioritize tasks, and manage multiple projects simultaneously.
- Proficiency in Microsoft Office suite and familiarity with compliance software and tools.
- Ability to maintain strong working relationships while maintaining confidentiality.
- Strong research and reporting abilities.
- Understanding risk assessment and mitigation.
- Ability to implement comparative analysis and deliver logical recommendations or conclusions.
- Strong sense of ethics.
- Ability to work under time-pressure constraints.
EDUCATION:
Bachelor's degree in healthcare administration, business, law, or a related field. Advanced degree or certification in healthcare compliance preferred.
EXPERIENCE:
- Prior work experience in an FQHC or in a healthcare setting, a plus
- Prior experience with EPIC healthcare record system, a plus
- Prior experience with medical coding, a plus
- 3-5 years of experience in related field
LICENSURE / CERTIFICATION:
Certification in Healthcare Compliance (CHC), Healthcare Privacy Compliance (CHPC), or Healthcare Privacy and Security (CHPS), Medical Coding certification, a plus.
Working for Optimus:
- OHC provides a fun, fast-paced working environment, where our commitment to quality is present in every job function.
- 100% Outpatient Setting
- Excellent health & welfare benefit options
- Competitive Compensation
- Optimus and its caring, multilingual staff proudly serve our community in a patient-centered environment.
To be part of our organization, every employee should understand and share in Optimus’ Vision, support our Mission, and live our Values. These values-outstanding, patient-centered, trustworthy, integrity, multicultural, understanding, and supportive -help guide what we do, as individuals and professionals, every day.
We are proud to be an Equal Opportunity Employer
