Compliance Analyst at Exactcare

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

Job Details

A Compliance Analyst is responsible for ensuring the organization is meeting client, CMS, HIPAA, and licensing compliance requirements and all applicable state and federal regulations. The role includes performing administrative duties, managing tasks, assignments, projects associated with the Enterprise

Compliance Workplan, Client reporting, and internal Corrective Action Plans and internal and external audits. Compliance Analyst will also use technical writing skills to maintain and manage the Policy and Procedure database. A Compliance Analyst will perform research on applicable laws, and review websites for changes to regulatory and CMS Guidance. The Compliance Analyst will also be involved with developing training materials used across the organization.

Responsibilities

• Work with Compliance Department to maintain elements of an effective Compliance Program using various internal tools.

• Develop and administer training materials for Compliance Training on HIPAA, FWA, General Compliance and ad-hoc compliance procedural training.

• Continuous monitoring of Corrective Action Plans; work with business leaders to develop remediation plans for newly identified CAPs.

• Produce client reports.

• Serve as Compliance Representative in meetings with Client Compliance professionals.

• Lead Compliance initiatives in organization by developing project plans and seeing projects through to completion.

• Manage Policy and Procedure database; ensure that policies are reviewed timely, track employee acknowledgement of key policies.

• Assist departments in developing Work Instructions/Procedures on undocumented processes.

• Chair applicable Compliance Subcommittees.

• Work with Compliance Specialists to assure completion of Compliance Program Elements.

• Oversees Compliance program reviews and audits related to compliance with regulatory or third-party audits.

• Participate in certification reviews.

• Maintain State and Federal licenses for all company entities as well as wholesalers.

• Other duties as assigned.

Qualifications

Education

• A minimum of a High School Diploma or G.E.D. with five (5) years of compliance-related experience.

• Preferred: A Bachelor’s degree in a related field from an approved and accredited college or university.

Experience

• A minimum of 2 years in an Auditor, Compliance Monitoring, or legal/paralegal role.

• Experience leading the development of and/or roll out of a key business initiative and/or program.

• Experience tracking large numbers of initiatives with differing and concurrent deadlines.

Skills & Abilities

• Ability to motivate employees, resolve issues, and make difficult decisions

• Advanced skills and understanding of computer software, healthcare systems and programs

• Proficient in Microsoft Office: specifically, MS Excel.

• Advanced skills and understanding in utilizing organizational systems, programs, and software.

• Ability to communicate effectively and professionally through written, verbal, and interpersonal skills as applied when interacting with employees, clients, or agency representatives; successfully conveying and exchanging information in a positive manner.

• Proven ability to manage multiple assignments and projects, meeting deadlines and budget constraints in a dynamic business environment.

Physical & Mental Demands

This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands 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. Additional functions, duties, tasks, or requirements may be assigned by supervisors as deemed appropriate to meet organizational operations.

AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.