Legal Compliance Analyst

Advance Health

Chantilly , VA 20151

Job Overview: The Legal and Compliance & Quality Departments are responsible for ensuring that the company maintains optimal compliance with appropriate federal, state and local requirements that touch and impact every business function within the company.

Advance Health is in search of a Legal and Compliance Analyst who will report directly to the General Counsel and work closely with the Compliance Officer. Primary responsibilities of the Compliance and Legal Analyst include: ensuring compliance with all Medicare and Medicaid program requirements, and responsible for obtaining and maintaining Advance Health's Medicaid participation in states where Advance Health may perform services for Medicaid customers; working with the Compliance Officer to ensure that all policies and procedures are implemented, well documented and updated as necessary; aiding In the identification of compliance problems; assisting with customer and internal audits/monitoring; participation in company oversight for HIPAA and fraud, waste and abuse; conducting legal research as necessary; reviewing simple contracts under attorney supervision; and other projects that fall under the jurisdiction of the Legal & Compliance Departments. You will be part of a young and rapidly growing organization.

We provide a fun and motivational work environment with a variety of incentives to appeal to your competitive nature. You will be provided with initial training and thereafter receive ongoing training and performance reviews designed to further develop your skills. We value and appreciate your hard work and professional dedication as a Compliance and Legal Analyst and will reward you with a competitive benefits package that includes medical, dental, vision and life insurance, 401k, 20 days of PTO annually, personal days, FSA, paid holidays, etc. Responsibilities: + Prepares State Medicaid program applications for Advance Health + Ensures ongoing compliance with state Medicaid and Medicare program requirements; + Aids in developing and maintaining policies and procedures

  • Assists in confidential Legal and Compliance investigations + Works with the General Counsel and Compliance Officer to identify compliance gaps within the company and work with appropriate business functions to correct and/or mitigate potential issues + Assist in compliance monitoring of, testing of, and reporting on key internal processes + Aids in the development of risk management strategies to avoid non-compliance + Maintain and manage contracts in Advance Health's contract management system + Assist General Counsel with drafting legal documents/agreements + Prepare initial agreements and contracts based on templates (e.g., NDAs, BAAs, etc.) + Reviews simple contracts under attorney supervision

  • Assists with drafting and proofreading various other documents + Handles various administrative tasks, ad-hoc legal and compliance projects + Other duties as assigned. Qualifications: + Bachelor's Degree - Paralegal Certification a plus + Experience with managing a health care provider's enrollment and ongoing participation in Medicare and State Medicaid programs; + Experience in healthcare compliance or in the health insurance industry a plus + Quick learner, ability to identify and proactively resolve problems + Ability to think and work independently as well as be a collaborative team player + Strong written communication skills (writing sample required) + Exceptional interpersonal and verbal communication skills + Ability to effectively organize resources and establish priorities + Must be detail-oriented + This position is exposed to confidential records on an ongoing basis and must be able to maintain discretion and confidentiality at all times + Proficient in spreadsheet creation and analysis + Proficient with Microsoft Office Advance Health is an Equal Opportunity Employer ID: 2017-2011 External Company URL: http://www.advancehlth.com/

Create a job alert for Legal Compliance Analyst at Chantilly, VA.

Similar Jobs

View All
Senior Revenue Assurance And Billing Analyst

Intersections Inc.

Posted 1 days ago

VIEW JOBS 10/21/2017 12:00:00 AM 2018-01-19T00:00 <h3>Job Description</h3><div><p>We are currently seeking a Senior Revenue Assurance and Billing Analyst<strong> </strong>to work at our corporate office located in Chantilly, VA. Under the direction of the Billing Manager, this job requires a systematic approach by someone with exceptional problem-solving skills who has the ability to work independently and under stress. This role also requires strong Excel skills. The Senior Revenue Assurance and Billing Analyst utilizes Excel to prepare billing analysis reports in graph and pivot table formats, and reports on billing trends and variance analysis month over month. The successful Senior Revenue Assurance and Billing Analyst prepares invoices and commissions, obtains billing consent and calculates amount dues. In addition, this employee participates in and assists with billing audits and month-end closing, calculates billing earnings and prepares client-customer statements for the next month.</p><p><strong>To apply for this role, please complete a short profile on our website and upload your resume directly to our system: https://careers-<span class="long-word">intersections.icims.com/jobs/1178/senior</span>-revenue-assurance-and-billing-<span class="long-word">analyst/job?mode=job</span>&amp;iis=Job+Board&amp;iisn=ZipRecruiter</strong></p><p><strong>You must copy and paste the link above and submit your resume through our website. Resumes that are only submitted through ZipRecruiter <em>will not</em> be reviewed.</strong></p><p>Responsibilities:</p><ul><li>Ensure contract compliance and accurate billing for assigned customers, including the establishment of processes, procedures and documentation to validate contract compliance and adherence to internal financial controls</li><li>Exhibit ownership for the administration of billing based on contract specifications and ensure quality and audit controls are in place and adhered to</li><li>Build and maintain good working relationships with other departments; provide constant communication on contract statuses, issues, and deadlines</li><li>Work closely with Client Services, IT Reporting &amp; Development, Operations and Customer Service to promote billing quality</li><li>Provide billing analysis, trend analysis, revenue and variance analysis support as well as revenue and variance explanations</li><li>Create, maintain and update billing process and procedures documentation</li></ul><p>Qualifications:</p><ul><li>BS/BA in a business-related field, or equivalent experience</li><li>5+ years of experience</li><li>Strong working knowledge of Excel (pivot tables, V &amp; H look up, and macros), account reconciliation, batch reconciliation, ability to work with big spreadsheets of data utilizing enhanced Excel skills</li><li>Knowledge of GAAP and SOX guidelines is required</li><li>Ability to multi-task with multiple systems and applications</li><li>Great Plains experience a plus</li><li>Employee benefits billing and invoicing a plus</li><li>Knowledge of billing payment processing systems, products and processes are a plus</li><li>Strong analytical, interpersonal and communication skills are essential</li><li>Must exhibit a sound understanding and ability to carry out billing file reconciliations and revenue tie outs</li><li>Experience in trouble ticket tracking and support</li><li>Detail-oriented with strong work ethic</li><li>Ability to work independently with general instructions on assignments</li></ul></div><h3>Company Description</h3><div>Intersections Inc. (NASDAQ: INTX) is a leading provider of identity risk management, privacy protection and other subscription based services for consumers. Our core services monitor personal information for our consumers, aggregate it into digestible, consumer-friendly reports and alerts, and provide personalized education and support to help our customers understand their information and take the actions they deem appropriate. Since its business was founded in 1996, Intersections has protected the identities of more than 47 million consumers.</div> Intersections Inc. Chantilly VA

Legal Compliance Analyst

Advance Health