Risk and Compliance Analyst

Category

Accounting & Finance

Job Location

Remote

Tracking Code

134766

Industry

Select Industry

Job Level

Mid Career

Position Type

Full-Time/Regular

Years of Experience

Not Applicable

Who is Comagine Health?

Comagine Health is a national, nonprofit, health care consulting firm. We work collaboratively with patients, providers, payers, and other stakeholders to reimagine, redesign, and implement sustainable improvements in the health care system.

As a trusted, neutral party, we work in our communities to address key, complex health, and health care delivery problems. In all our engagements and initiatives, we draw upon our expertise in quality improvement, care management, health information technology, analytics, and research.

We invite our partners and communities to work with us to improve health and redesign the health care delivery system.

Purpose

Risk and Compliance Analyst plays a pivotal role in safeguarding the integrity and ethical operation of our organization. This position not only supports the Corporate Compliance Program but also ensures our adherence to critical regulations, including Section 1557 of the Affordable Care Act. By integrating these regulations into our compliance framework, this roll will contribute to shaping the organization's risk management practices. Working closely with leadership and cross-functional teams, the Risk and Compliance Analyst will drive continuous improvement in compliance initiatives, playing a key role in enhancing organizational transparency, reducing risk exposure, and upholding our commitment to healthcare excellence.

Education

• BA/BS in a related field (Healthcare Administration, Law, Business, Compliance, or similar disciplines).
• A Master’s degree, Juris Doctorate, or paralegal certification with relevant experience
• Equivalent work experience in compliance, healthcare regulations, or a related field may substitute. Preference will be given to candidates with specialized coursework or certifications in healthcare compliance, risk management, or regulatory law.
  
  

Years of Experience in Related Field

• Minimum of 5-7 years experience in healthcare compliance, regulatory compliance, or related field, ideally within the nonprofit sector. Experience with compliance audits, regulatory risk assessment, and implementing cross-departmental compliance processes is highly preferred.
• Prior work experience in compliance or law preferred
  
  

Credentials or Certifications

• Certified in Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP), or other relevant industry certifications are preferred. Candidates with advanced certification or demonstrated expertise in healthcare regulations will be prioritized.
  
  

Specialized Knowledge, Skills And Abilities And/or Competencies

• Knowledge of Regulations: In-depth knowledge of local, state, and federal healthcare regulations, including Section 1557 and HIPAA, as well as the ability to research and apply new and emerging regulatory standards.
• Ethical Judgement: Demonstrated ability to uphold ethical standards in regulatory compliance, with a strong commitment to confidentiality, integrity, and the ethical handling of sensitive information.
• Communication Skills: Advanced communication skills, including experience presenting to leadership teams, preparing compliance reports, and conducting compliance training. Strong interpersonal skills to foster collaboration across departments.
• Attention to Detail: Exceptional attention to detail, with the ability to meticulously review and manage complex documents, ensuring accuracy, compliance, and precision across all regulatory and corporate compliance activities. A commitment to maintaining high standards in all aspects of documentation and reporting.
• Writing and Revision: Superior writing and editing skills, with the ability to draft, revise, and refine complex policy and training materials. Ensure clarity, consistency, and accessibility across all documents, tailoring content for diverse audiences, from leadership to operational staff.
• Software Proficiency: Advanced proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, Project), with demonstrated experience leveraging these tools for data analysis, reporting, project management, and compliance tracking. Familiarity with compliance software and tools (e.g., Navex) is highly desirable
• Problem-Solving Abilities: Expert problem-solving skills, with the ability to quickly identify, diagnose, and resolve complex regulatory and compliance challenges. Proven experience in developing innovative solutions in a fast-paced and evolving regulatory environment.
• Time Management and Organizational Skills: Outstanding time management and organizational abilities, with a track record of independently managing multiple priorities in a deadline-driven environment. Adept at balancing competing tasks and ensuring timely completion of compliance initiatives without sacrificing quality. Ability to work independently, take initiative, and proactively manage tasks with minimal supervision.
• Adaptability: Highly adaptable, with the ability to pivot in response to shifting regulations, organizational priorities, or processes. Proven success in managing change in a regulatory or compliance role, ensuring seamless transitions and continuity in compliance efforts.
• Relationship Building: Strong relationship-building skills, with the ability to foster trust and collaboration across diverse teams and stakeholders. Skilled in navigating complex organizational dynamics, facilitating cross-functional partnerships, and serving as a trusted compliance advisor.
• Research: Advanced research and analytical skills, with the ability to stay ahead of evolving local, state, and federal regulations. Demonstrated experience in interpreting regulatory changes, assessing their impact on the organization, and providing strategic recommendations for compliance best practices.
• Direct reports: Role may evolve to include managing direct reports, Including mentoring, workload management, and team development.
  
  

Job Duties

• Serve as a critical input to the Governance Risk and Compliance (GRC) Committee , which is composed of the Sr. Director of Contracts Administration and acting Compliance Officer, the Privacy Officer and Vice President, IT Operations (Security Officer). As a key contributor to the GRC’s work, which includes leadership from these senior roles, this position will align organizational policies with evolving federal, state, and healthcare regulations. Lead cross-functional initiatives to strengthen our compliance framework and mitigate organizational risk.
• Collaborate to set goals, design metrics for success, and create proactive solutions to regulatory challenges.
• Lead the analysis and preparation of responses for Requests for Proposal (RFPs) and contract agreements for compliance, ensuring alignment with general terms and conditions, risk management, and regulatory requirements. Collaborate with internal stakeholders to provide strategic insights and recommendations, contributing to the successful acquisition of contracts while mitigating compliance risks.
• Oversee and enhance key compliance functions, including the development of engaging outreach and educational materials to promote compliance across the organization. Manage the review, tracking, and reporting of compliance training, attestations, and other critical deliverables. Conduct comprehensive compliance audits, including contract audits and ‘floor audits,’ to ensure adherence to regulatory and internal standards.
• Conduct thorough research and monitoring of current and proposed Federal, state, and local legislation that may impact the organization. Proactively analyze potential regulatory risks and compliance needs, providing timely guidance and actionable insights to leadership and relevant teams to ensure the organization remains compliant with evolving regulations.
• Ensure ongoing business compliance by maintaining current state registrations, SAM.gov registrations, and all necessary business licenses across county, city and state levels. Regularly review and update registrations to meet jurisdictional requirements, minimizing risk of non-compliance and supporting smooth operational continuity
• Manage the organization’s conflict of interest disclosure processes, ensuring timely identification and resolution of both personal and organizational conflicts. Develop and implement robust mitigation strategies to safeguard compliance and promote ethical decision-making across all levels of the organization.
• Partner with leadership to define, implement, and continuously refine compliance processes that span multiple departments. Lead cross-functional teams in monitoring these processes, ensuring alignment with organizational goals and regulatory requirements while driving a culture of compliance.
• Play a key role in executing regular compliance audits, ensuring thorough documentation for both internal reviews and regulatory reporting. Collaborate with relevant teams to address audit findings and implement corrective actions that improve the organization’s compliance posture
• Develop, review, and update corporate compliance related policies and procedures to ensure they are aligned with current regulations and best practices. Facilitate the dissemination of these policies across the organization to promote awareness and adherence.
• Investigation and reporting of contracts compliance incidents, ensuring timely resolution and implementation of corrective actions. Maintain thorough documentation of incidents and resolutions for audit and regulatory purposes.
• Serve as the primary Section 1557 Coordinator, ensuring Comagine Health’s compliance with Section 1557 requirements across all health programs and activities. Lead investigations into grievances related to noncompliance, develop actionable solutions, and coordinate organizational responses to ensure alignment with federal regulations. Responsibilities include but are not limited to:
• Receives, reviews, and processes grievances filed under the grievance procedure as set forth in
• 92.8(c);
• Coordinates the recordkeeping requirements as set forth in
• 92.8(c);
• Coordinates effective implementation of language access procedures as set forth in
• 92.8(d);
• Coordinates effective implementation of effective communication procedures as set forth in
• 92.8(e);
• Coordinates effective implementation of reasonable modification procedures as set forth in
• 92.8(f); and
  
  
Coordinates training of relevant employees as set forth in


• 92.9, including maintaining documentation required by such section.
  
  
Anticipated travel and/or use personal vehicle for business purposes.


• Rare
  
  
Physical Requirements

The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.


• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Work involves walking, talking, hearing, using hands to handle, feel or operate objects, tools, or controls and reach with hands and arms.
• Vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
• The employee may be required to push, pull, lift, and/or carry objects up to 40 pounds.
• The noise level in the work environment is usually moderately quiet.
  
  
Salary Range (based in part of candidate location as this is a fully remote position):

$85,000 -$100,000.