Healthcare Compliance Analyst
Avalon Healthcare Solutions
7 reviews
Tampa, FL 33607
Full-time
Avalon Healthcare Solutions
7 reviews
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Job details
Job Type
Full-time
Full Job Description About the Company:
Avalon Healthcare Solutions, headquartered in Tampa, Florida, is a clinical services and information technology company using evidence-based medicine to develop and deploy medical policies and protocols in the high-volume, dynamic and complex diagnostic lab environment. The company manages the appropriate use of thousands of existing lab tests and researches new tests to determine efficacy and impact on patient care.
Studies show that 30% of clinical laboratory testing is unnecessary or overused. Inappropriate testing or missing a key screening can lead to complications and expense arising from unwarranted care, or not obtaining proper care when needed, leading to increased health risks and costs. Avalon helps ensure delivery of the right test, at the right time, and in the right setting. We seek to ensure the most effective patient treatment, improve clinical outcomes, and optimize cost and affordability.
Avalon is a portfolio company of Francisco Partners, a global private equity firm that specializes in investments in technology and technology-enabled service companies. Since its launch 15 years ago, FP has raised approximately $10 billion and invested in more than 150 companies.
Avalon is a high growth company where every associate has an opportunity to make a difference. You will be part of a team that shapes a new market and business. You’ll enjoy seeing the results of your work as we rapidly implement our plan. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.
For more about Avalon, please visit our web site at http://www.avalonhcs.com.
This position is located in Tampa, FL and is not a remote role. This is a full-time, W-2 position. At this time, we can consider only local candidates authorized to work in the US. No sponsorship is available. No recruiter calls, please.
The Compliance Analyst will serve as a healthcare regulatory compliance and privacy subject matter expert. This position is primarily responsible for the effective design, operation, and maintenance of all compliance program policies, procedures, and controls. Working under the direction of the Deputy Compliance Officer and Privacy Officer, the Compliance Analyst will ensure compliance with all federal and state laws, including HIPAA and HITECH requirements, licensing requirements, and internal compliance and privacy policies/procedures. This position will implement appropriate initiatives, policies and processes, risk assessments, compliance related reports, education/training, and audit/monitoring. The Compliance Analyst will investigate reports of non-compliance and monitor corrective action plans. The Compliance Analyst will perform special projects at the Deputy Compliance Officer and Privacy Officer’s direction.
The Compliance Analyst will also support the Deputy Compliance Officer and Privacy Officer with conducting risk assessments, performing compliance audits, creating and monitoring compliance related reports, and educating the business departments to ensure processes exist to demonstrate compliance with delegation and vendor oversight requirements. This role will serve as a resource to support the compliance program including, but not limited to, developing the compliance work plan, including without limitation projects relating to fraud, waste, and abuse, HIPAA/HITECH privacy compliance, state licensure requirements, third party oversight, and reports for the Board of Directors and Compliance Committee.
Healthcare Compliance Analyst - Essential Functions and Responsibilities:
• Drafting of new compliance policies, performing annual policies reviews, updating compliance training materials
• Drafting of new HIPAA policies, performing annual HIPAA policies reviews, updating HIPAA training materials
• Assisting in monitoring and assessing FDR compliance by distributing and collecting annual attestations from subcontractors and ensuring the Network Department collects the same from Avalon’s lab providers
• Preparing for monthly exclusion check runs; reviewing scan results, researching potential matches, receive and coordinate review of Preclusion List and client reporting, as appropriate
• Documenting and tracking compliance and HIPAA training
• Conducting certain compliance and HIPAA training sessions; assists in the development of new training or modifications to existing training courses
• Responding to medical record requests
• Maintaining sanctions log
• Conducting monthly destruction services for Avalon shred bins by escorting the provider and collecting and maintain records of the same
• Administrator – Power DMS
• Pulling documentation in support of compliance/privacy audit requests and preparing response for Deputy Compliance Officer review/approval
• Notarization of certain corporate documents, such as licensing applications and related attachments, certificate of authority applications, and others as needed
• Prepares and submits applications – TPA, URA/PRA, Rental, PPPA, Certificates of Authority, etc. and assists in the maintenance of Avalon’s licenses, certificates, etc.
• Coordinating with the business team to ensure that licenses necessitated by a new business proposal are applied for far enough in advance to avoid impact to service start dates
• Conducts and documents quarterly compliance hotline tests
• Prepare Compliance Dashboard
Healthcare Compliance Analyst - Qualifications:
• 5+ years’ health care compliance analyst experience
• 2+ years’ experience conducting audits, as well as experience in responding to external audits
• Current compliance certification, or will consider individuals currently working to attain such certification
• Strong working knowledge of laws, regulations, and related matters relevant to the operations of health plans
• Strong understanding of HIPAA, HITECH
• Excellent written and verbal communication skills
• Strong computer skills
• Proficiency with Excel, Word, PowerPoint
• Strong organizational skills
• Strong problem-solving and decision-making skills
• Detail oriented and accurate
• Ability to multitask and meet deadlines
• Strong research and reporting abilities
• Excellent interpersonal skills with ability to maintain effective working relationships with all levels of management
• Ability to excel in a collaborative team environment; as well as being a reliable, highly motivated self-starter with the ability to work independently