Audit Specialist (Healthcare Audits)

We are in search for a Compliance Specialist. Compliance works to ensure controls and safeguards are in place to promote adherence to applicable federal and state laws, assess risks to the organization, and maintain the security and privacy of patient and customer data. DUTIES AND RESPONSIBILITIES: Assists the Compliance Manager with performing internal reviews, research and/or audits to verify compliance with government laws/regulations, client requirements, accreditations/certifications, audit frameworks, and/or organizational policies/procedures. Documents findings and organizes data for identification of potential risk areas. Stays informed of applicable rule and regulation changes in the healthcare and pharmaceutical industries. Assists in the day-to-day operations of the Document Management System (DMS) and Learning Management System (LMS). Coordinates with appropriate departments and/or cross-functional teams to ensure all applicable documents are reviewed and revised within the specified timeframes. Has attention to detail, organization skills, excellent proofreading skills, prompt response to action items, and the ability to handle change. Performs document control functions, including tracking, processing, review, formatting, distribution, and archiving of documents. Evaluate document organization, proofread, and provide additional quality checks before document finalization. Assists the Compliance Manager in the review and management of third-party audits. Verifies compliance with insurer rules, Medicare, Medicaid, HIPAA, and other applicable regulations. Assists in Incident Management and CAPA process. Assists Compliance Manager in conducting enterprise-wide Risk Assessment. Receives, investigates, and resolves compliance and/or privacy related complaints or concerns. Maintains Compliance & Privacy logs as required. Assists the Compliance Manager in training efforts and initiatives, including preparation of materials and presenting training through a variety of methods Performs other related duties as assigned by management. CHC or other relevant certifications preferred. Computer skills: Microsoft Office suite, including Word, Excel, Outlook, PowerPoint, Visio. Experience with Jira Service Desk a plus. High degree of emotional intelligence. Excellent communication skills, both written and oral. Collaborates with colleagues as one team. Assumes positive intent in others. Makes commitments and keeps commitments. Advanced problem solving and decision-making skills. Takes initiative to plan milestones, track progress, and prioritize workload. Flexible, detail-oriented team play that has proven success in a fast-paced environment. Strong attention to detail with the ability to work effectively under pressure. Bachelor's Degree from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience. COMPETENCIES: Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures. Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals. Change Management - Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan. Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce. Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed. Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention. Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions. Leadership - Exhibits confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate recognition to others. Managing People - Includes staff in planning, decision-making, facilitating and process improvement; Takes responsibility for subordinates' activities; Makes self available to staff; Provides regular performance feedback; Develops subordinates' skills and encourages growth; Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products and services.; Continually works to improve supervisory skills. Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans. Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics. Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others. Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. Supportive, progressive, fast-paced environment Competitive pay structure Matching 401(k) with immediate vesting Medical, dental, vision, life, & short-term disability insurance AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire