General Compliance Analyst I, II or III

Overview Compliance Analyst I, II or III Hybrid role (3 days/week in office) at our Portland, Medford, Fargo, Burlington, Vancouver, Renton, Boise, Lewiston or Salt Lake City offices. Candidates must reside within commutable distance of that location. Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Compliance Analysts is living our mission to make health care easier and lives better. As a member of the Compliance team, our Compliance Analysts are responsible for delivering 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 – all in service of creating a person-focused health care experience. Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit. Qualifications What You Bring to Cambia: Compliance Specialist I would have a Bachelor's degree or equivalent experience and 3 years of experience in a role demonstrating success in compliance-related activities and controls (e.g, risk assessments, training, monitoring, auditing, investigations, root causes analysis, control assessments reporting or corrective actions) with experience in a health care or Medicare-regulated environment preferred. 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. Skills And Attributes 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. Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired Additional Skills And Attributes For Compliance Analyst II Demonstrated fluency in organizational agility: knowledgeable how about organizations work and how to get things done through formal and informal channels. Practical familiarity with legal requirements relating to assigned compliance program, or for new hires, practical familiarity with analogous legal requirements. Demonstrated mastery of at least four Compliance functions, including core competencies: risk assessments, training, policies and procedures, monitoring, auditing, external audit coordination, control assessments, reporting, corrective actions, implementation oversight; or mastery of all competencies related to a specialized function (e.g., FDR/DDE Compliance, Marketing Materials Review, Data Validations). Demonstrated ability to handle successfully at least medium-complexity, medium-difficulty matters end-to-end. Demonstrated ability to drive success with challenging partners. For Compliance Analyst III 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 perform all compliance functions relating to the assigned program as needed. Demonstrated ability to handle 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. End-to-end operational knowledge relating to the assigned compliance program. Demonstrated peer mentoring and departmental leadership. Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired What You Will Do At Cambia 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. 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, monitoring, auditing, root cause analysis, and corrective actions. Additional Competencies: external audit coordination, implementations, control assessments, delegation oversight, data validation, marketing material oversight, DDE/FDR oversight. Work Environment Travel rarely required, locally or out of state. May be required to work outside normal hours. Compensation Compliance Analyst I The Oregon, Washington, Utah, and Idaho hiring range is $69,700.00 – $94,300.00 with full range $65,000.00 – $107,000.00 and a 10% bonus target. North Dakota: hiring range $65,986.69 - $89,276.11; full range $59,716.46 - $95,546.34. Compliance Analyst II The Oregon, Washington, Utah, and Idaho hiring range is $84,200.00 – $113,900.00 with full range $79,000.00 – $129,000.00 and a 10% bonus target. North Dakota: hiring range $81,679.31 - $110,507.30; full range $72,523.20 - $119,663.39. Compliance Analyst III The Oregon, Washington, Utah, and Idaho hiring range is $101,200.00 – $136,900.00 with full range $95,000.00 – $155,000.00 and a 15% bonus target. North Dakota: hiring range $90,906.79 - $122,991.55; full range $80,716.23 - $133,182.10. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we\'re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Benefits In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Learn More About Our Benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email View email address on click.appcast.io. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. #J-18808-Ljbffr