Note: The job is a remote job and is open to candidates in USA. Cohere Health is a company that delivers AI-powered solutions to streamline access to quality care. They are seeking a Sr. Compliance Reporting Analyst who will be responsible for performing compliance reporting reviews and audits, ensuring adherence to federal and state regulations, and assisting with data collection and analysis for process improvement.
Responsibilities
- Ensures compliance with regulations by examining and analyzing records, reports, operating practices, and documentation; will provide recommendations for improvement and coaching as necessary
- Manages quality assurance for monthly ODAG universe submissions; reviews client validation results and ensures appropriate follow-up and closure of issues; manages any subsequent corrective actions and ensures appropriate root cause analysis is conducted
- Review and manage the collation of quarterly Part C report and other client-required and mandatory report submissions; ensure timely communication of issues to process owners; track findings to resolution
- Completes audit work papers and memorandums by documenting audit findings
- Maintains excellent documentation of all audits, methodologies employed, results, corrective action plans implemented, and monitoring
- Assists with non-clinical elements of client pre-delegation audits and accreditation
- Communicates audit progress and findings by preparing reports, discussions with management and providing information in meetings
- Presents audit findings to stakeholders as needed
- Analyzes quality assurance and compliance data and assists in preparing reports
- Assists in designing and implementing solutions to quality management issues
- Maintains a strong working knowledge of state and federal legislation, statutes and regulations, as well as various client service level agreements
- Other tasks as assigned
Skills
- Associate's/Bachelor's degree preferred or equivalent work experience
- Minimum 2 years in a healthcare auditing, reporting or operations role
- Strong attention to detail and accuracy in fast-paced environment
- Strong oral and written communication skills
- Strong interpersonal and leadership skills
- Certification in Healthcare Compliance (CHC)
- Intellectual curiosity and ability to research issues, solve problems and develop solutions
- Ability to be flexible and evolve the role to accommodate new operational approaches
- Ability to generate new ideas, iterate on existing ones and identify trends & patterns that improve clinical quality and ensure compliance
- Ability to thrive in high-growth, rapidly changing health-tech environment
- Cross-functional collaboration skills
Benefits
- Fully remote opportunity with about 10% travel
- Medical, dental, vision, life, disability insurance, and Employee Assistance Program
- 401K retirement plan with company match; flexible spending and health savings account
- Flexible Time Off + Company Holidays
- Up to 14 weeks of paid parental leave
- Pet insurance