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The Senior Compliance Analyst will be responsible for supporting health plan and regulatory audits, as well as related corrective action activities and will report to the Compliance Director, Correction. This individual will be responsible for driving best practices across the company to promote compliance with audit and correction processes.

The Senior Compliance Analyst will be primarily responsible for managing health plan and regulatory audit activity including, but not limited to, audit deliverable coordination, on-site audit coordination and management, and mock audit activities. The individual will also manage the corrective action process for health plan and regulatory CAPs. This role requires collaboration with stakeholders at all levels of the organization; therefore, candidates should demonstrate skillful communication, flexibility, and conflict resolution skills.

Primary duties include:

• Coordinate all aspects of regulatory audits (i.e., pre-site deliverables, mock audits, on-site visits, logistics, and written responses to audit reports)
• Synthesize audit-related information (i.e., scope, findings, recommendations, corrective action plans, and status) and provide Compliance and business operations leadership written and oral reports of ongoing and completed audits
• Manage multiple audits and collaborate across multiple business areas to gather needed information for regulatory audits and corrective action plans
• Develop compliance communications and drive issue resolutions
• Analyze, understand, and articulate regulatory and contractual requirements
• Educate business partners on regulatory audit processes as needed
• Manage, track and report regulatory audits and CAPs
• Coordinate with Legal Counsel as needed
• Perform additional duties as requested or required by management
• Travel as necessary (up to 25%)

Qualification Requirements:

• Bachelor’s degree in business, healthcare, or related area of study, or equivalent education and work experience
• 3+ years of experience in compliance, privacy and/or regulatory affairs or with supporting audits in a highly regulated industry; preferably a government, health care or managed care environment
• Intermediate level of proficiency with MS Word, Excel, and PowerPoint
• Strong attention to detail
• Able to work under pressure
• Able to meet deadlines consistently
• Able to work independently

Other Requirements:

• Experience working with Medicare, Medicaid or Commercial benefits and regulations
• Working knowledge of managed care and dental/vision benefit plans

FLSA Status: Salary/Exempt

Salary Range: $55,790 - $87,230

How to stay safe:

Avesis is aware of fraudulent activity by individuals falsely representing themselves as Avesis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases  (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avesis recruiters will come from a verified email address ending in @Avesis.com.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.

To learn more about protecting yourself from fraudulent activity, please refer to this article link (