- Overall responsibilities include specific and/or portions of the following functions that relate to an effective compliance program utilizing as a basis the seven elements of compliance.
- Duties include aspects of the preparation, planning, coordination, project management, submission, administration, monitoring and auditing of the Cambia compliance program which serves to oversee activities related to requirements, laws and regulations to prevent, detect and remediate compliance issues of the company.
- Coordinate regulator inquiries, audits, and investigations, managing compliance and regulatory audit and market conduct activities.
- Responsibility for producing and maintaining policies and desk manuals for position.
- Works as a team with other staff members assigned in either a supporting or leading role.
- Participating in the annual risk assessment process.
- Ensuring materials, reports, and other documents are written in an understandable and concise style.
- Project management and implementation.
- Participating, supporting and serving in regular meetings, including divisional and cross-divisional committees as needed.
- Core Competencies: Risk assessments, training, policies and procedures, training, monitoring, auditing, root cause analysis, and corrective actions.
- Additional Competencies: External audit coordination, implementation of complex requirements, control assessments, data validation,.
- Proven ability to deliver effective Core Compliance activities, including, monitoring, auditing, root cause analyses, and corrective actions.
- Skilled in project management and delivery including proven ability to initiate and manage multiple projects and priorities.
- Excellent written and oral communication and presentation skills.
- Excellent research and analytics skills, with proven ability to distill actionable, practical advice from diverse sources and opinions. Legal research skills preferred.
- Proven ability to influence effectively at all levels of the organization.
- Excellent independent judgment and decision-making skills.
- PC literate with office computer software - Word, Excel, PowerPoint, Outlook, Visio, etc.
- Discretion and confidentiality.
- Agile, with high learning velocity.
- Demonstrated fluency in organizational agility: knowledgeable how about organizations work and how to get things done through formal and informal channels.
- Demonstrated mastery of legal requirements relating to assigned compliance program; or for new hires, demonstrated mastery of analogous legal requirements.
- Demonstrated mastery of at least 6 core compliance functions, including the core competencies and ability to deftly perform all compliance functions relating to assigned compliance program as needed.
- Demonstrated ability to handle successfully the most complex, most difficult matters end-to-end.
- Demonstrated ability to drive success with the most challenging and/or most elevated partners.
- Demonstrated excellence in building effective relationships at all levels of the organization; influencing decision-making; effectively framing issues and dialogues; and driving successful outcomes.
- Demonstrated, end-to-end operational knowledge relating to assigned compliance program.
- Demonstrated peer mentoring and departmental leadership.
- Travel rarely required, locally or out of state.
- May be required to work outside normal hours.
-
Business Analyst III
1 day ago
CodeForce Portland, United StatesSummary · Our client is seeking a 'ARCOS Business Analyst/System Administrator' who can act as a liaison between IT, the business, and vendor to elicit, document, analyze, and validate processes, problems, and requirements for enhancement of existing system. Provides Tier 2 supp ...
-
Applications Analyst III
2 weeks ago
City of Portland Portland, United StatesTransfer List. The purpose of this posting is to gather interest for future opportunities. Please note there may not be an existing vacancy at the time of your submission. You will be notified when your lateral transfer materials are submitted to a b Application, Analyst, General ...
-
Business Analyst III
1 week ago
Everest Consultants Portland, United StatesJob Title: Business Analyst IIIDuration: 8-month contract (possible extension)Location: Portland, ORPay Range: $ $ · 62.97 per hour · The Business Analyst will play a key role in streamlining and standardizing project and portfolio management within the team. They will gather h ...
-
Business Operations Analyst III
1 day ago
DISH Network L.L.C Portland, United StatesDISH, an EchoStar Company, has been reimagining the future of connectivity for more than 40 years. Our business reach spans satellite television service, live-streaming and on-demand programming, smart home installation services, mobile plans and pro Operations Analyst, Business ...
-
Business Analyst III/IV
4 days ago
The Standard Portland, United StatesAt The Standard, you'll join a team focused on putting our customers first. · Our continued success is driven by a high-performance culture. We're looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what's right – across t ...
-
Business Operations Analyst III
12 hours ago
National Guard Employment Network Portland, United StatesJob Description · Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post. · DISH, an EchoStar Company, has been reimagining the future of connectivity for more than 40 years. Our business reach spans satellite television service, li ...
-
Business Operations Analyst III
2 weeks ago
DISH Network L.L.C Portland, United States**Company Summary** · DISH, an EchoStar Company, has been reimagining the future of connectivity for more than 40 years. Our business reach spans satellite television service, live-streaming and on-demand programming, smart home installation services, mobile plans and products, a ...
-
Medicare Compliance Analyst II or III
1 week ago
Cambia Health Solutions, Inc Portland, United StatesCompliance Analyst II or III · Work Remotely from Oregon, Washington, Idaho or Utah · Primary Job Purpose · As a member of the Compliance team, the Compliance Analyst is responsible to deliver an effective compliance program. They design, implement, deliver, measure and refine ac ...
-
FP&A Financial Strategy Analyst III
1 week ago
The Standard Portland, United StatesAt The Standard, you'll join a team focused on putting our customers first. · Our continued success is driven by a high-performance culture. We're looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what's right – across t ...
-
Business Analyst III
1 week ago
APR Staffing Tualatin, United StatesJob Title: Business AnalystJob #: 3268 · Duties: · Business Analyst support for corporate Digital Channels, iuncluding Mobile apps an the Public Facing portion of the corporate Website. Support includes both project and production support work. · Required Skills · Is utilitie ...
-
Revenue Accounting Analyst III
1 day ago
ZoomInfo Technologies LLC Vancouver, United StatesJob Description · Job DescriptionAt ZoomInfo, we encourage creativity, value innovation, demand teamwork, expect accountability and cherish results. We value your take charge, take initiative, get stuff done attitude and will help you unlock your growth potential. One great choic ...
-
Securities Claims Analyst III Pipeline
2 weeks ago
The Adecco Group Beaverton, United StatesWe are seeking a highly motivated individual who is dedicated to quality and efficiency in claims processing. If you meet the qualifications listed below and are interested in joining a dynamic team, please submit your resume for consideration. JOB Claims Analyst, Pipeline, Claim ...
-
Securities Claims Analyst III Pipeline
2 weeks ago
Adecco US, Inc. Beaverton, United StatesWe are seeking a highly motivated individual who is dedicated to quality and efficiency in claims processing. If you meet the qualifications listed below and are interested in joining a dynamic team, please submit your resume for consideration. · JOB RESPONSIBILITIES · + Follows ...
-
Securities Claims Analyst III Pipeline
1 week ago
Adecco USA Beaverton, United StatesWe are seeking a highly motivated individual who is dedicated to quality and efficiency in claims processing. If you meet the qualifications listed below and are interested in joining a dynamic team, please submit your resume for consideration. · JOB RESPONSIBILITIES · Follows ...
-
Securities Claims Analyst III Pipeline
6 days ago
Adecco USA Beaverton, United StatesWe are seeking a highly motivated individual who is dedicated to quality and efficiency in claims processing. If you meet the qualifications listed below and are interested in joining a dynamic team, please submit your resume for consideration.JOB RESPONSIBILITIESFollows written ...
-
General Compliance Regulatory Consultant
1 week ago
Cambia Health Solutions Portland, United StatesGeneral Compliance Analyst II/III · Work Remotely from Oregon, Washington, Idaho or Utah · Primary Job Purpose · As a member of the Compliance team, the Compliance Analyst II/III is responsible to deliver an effective compliance program. They design, implement, deliver, measur ...
-
Area Pricing Manager
1 week ago
wm Portland, United StatesAs an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. · I. Job Summary · Directs the develop ...
-
Area Pricing Manager
2 weeks ago
wm Portland, United StatesAs an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. · I. Job Summary · Directs the devel ...
-
Multimodal Transportation Engineer
1 day ago
Trilon Group Portland, OR, United StatesMultimodal Transportation Engineer · Department: Engineering · Employment Type: Full Time · Location: Portland, OR · Compensation: $67,500 - $107,500 / year · Description · Alta is looking for a Multimodal Transportation Engineer to join our growing Portland office design team. ...
-
Multimodal Transportation Engineer
3 days ago
Alta Planning + Design Portland, United StatesJob Description · Job DescriptionDescriptionAlta is looking for a Multimodal Transportation Engineer to join our growing Portland office design team. This production-level position is a fantastic opportunity for someone who believes in the importance of active, multimodal, and su ...
General Compliance Analyst II or III - Portland, United States - Cambia Health Solutions, Inc
Description
General Compliance Analyst II/III
Work Remotely from Oregon, Washington, Idaho or Utah
Primary Job Purpose
As a member of the Compliance team, the Compliance Analyst II/III is responsible to deliver an effective compliance program. They design, implement, deliver, measure and refine activities and controls to prevent, detect and correct violations of state, federal and other laws. Duties may include, but are not limited to, risk assessment, training, monitoring, auditing, regulatory audit, and market conduct activities, audit coordination, investigation, root cause analysis, regulatory implementation, control assessment, reporting, and corrective actions.
Grade level at hire and upon promotion will be based on such factors as experience, performance, complexity and scope of work assigned, knowledge, and influence skills. This role may be specific to a product line or area, or may have a broader scope. Special projects may be assigned as needed.
General Functions and Outcomes
Minimum Requirements
Normally to be proficient in the competencies listed above
Compliance Specialist II would have a Bachelor's degree or equivalent experience; 5 years of compliance experience or equivalent related experience, with experience in a health care or Medicare-regulated environment preferred.
Compliance Specialist III would have at least a Bachelor's degree or equivalent experience; 8 years of compliance experience or equivalent related experience, with experience in a health care or Medicare-regulated environment or ACA-regulated environment preferred.
Work Environment
