Compliance Analyst

Job Description

Job Description

Join Capital Health Plan as a full-time Compliance Analyst and play an important role in

supporting our compliance program and service to our members. Our Tallahassee, FL

team is seeking a meticulous, analytical professional who can turn regulatory and

operational information into accurate, organized, and timely work products.

We offer:

• Competitive compensation commensurate with experience
• Health and dental insurance
• Health/dependent care spending accounts
• Short-term, long-term, and major disability time off (MDTO)
• A retirement plan
• AD&D and life insurance
• Voluntary life
• Paid time off (PTO)
• An employee assistance program
• SmartDollar financial wellness resources

QUALIFICATIONS

• Associate degree in business, health care administration, legal studies, public administration, information management, or a related field, or an equivalent combination of education and relevant experience preferred
• Two or more years of experience in compliance, health care, health plan operations, regulatory affairs, legal support, audit, quality, data reporting, or a comparable analytical or administrative role
• Experience maintaining databases, trackers, documentation, deadlines, and confidential records
• Strong ability to read, analyze, and summarize regulations, guidance, policies, procedures, technical materials, and business communications
• Ability to calculate, validate, reconcile, summarize, and present percentages, rates, ratios, totals, trends, and other compliance data
• Sound reasoning skills for organizing facts, applying established criteria, identifying exceptions or control gaps, documenting supportable conclusions, and escalating concerns
• Strong research, analytical, organizational, proofreading, and written communication skills, with close attention to accuracy and source documentation Public Information
• Proficiency with Microsoft 365 applications, including Word, Excel, PowerPoint, Outlook, Teams, and SharePoint, or comparable tools
• Experience working in HPMS, HIOS, HHS-RADV Audit Tool, MARx, SEED, and other CMS sponsored issuer portals is preferred
• Ability to manage multiple assignments and recurring deadlines, follow through on open items, and communicate professionally with internal and external partners
• Ability to maintain confidentiality, exercise sound judgment, and protect documentation integrity
• Ability to learn CHP systems, terminology, policies, and regulatory processes and to work independently within assigned authority and collaboratively as part of a team

Our ideal Compliance Analyst has experience in a regulated health care or health plan environment. Familiarity with Medicare Advantage Prescription Drug Plans (MAPD), the Federally-facilitated Exchange (FFE)/Marketplace, corporate compliance, HIPAA privacy and security requirements, and federal and state regulatory oversight.

WHAT TO EXPECT AS OUR COMPLIANCE ANALYST

The Compliance Analyst supports Capital Health Plan's compliance program by coordinating regulatory surveillance, obligation tracking, training administration, routine monitoring, reporting, documentation, and audit-readiness activities. Working under the day-to-day guidance of the Senior Compliance Analyst and the overall direction of the Director of Compliance, you will help convert regulatory and operational information into accurate, organized, and timely work products that support implementation, oversight, decision-making, and regulatory response. Responsibilities include reviewing and routing CMS communications, Health Plan Management System memoranda, Federal Register actions, and related guidance; identifying deadlines and affected business areas; and maintaining regulatory filing and obligation trackers.

You will develop and maintain dashboards, scorecards, reports, databases, logs, shared folders, and evidence files; coordinate annual and new-hire compliance training; and perform routine monitoring and quality checks using approved procedures and sampling instructions. You will also support policy and procedure lifecycle activities, corrective-action tracking, audits, delegated entity oversight, hotline and inquiry documentation, privacy and compliance matters, FWA investigations, work groups, committees, and special projects. This role collaborates with operational departments Public Informationand external partners to obtain information, resolve tracking gaps, support deadlines, and maintain organized, secure, and retrievable documentation.

JOIN US!

We are a not-for-profit health care organization that has served the panhandle since 1982, delivering high-quality, affordable, and patient-centered care. Our employees are essential to our continued success, and their passion, motivation, and commitment drive our reputation for excellence and member satisfaction. Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities. We are dedicated to fostering a professional, respectful, and inclusive workplace where employees are valued, supported in their growth, and empowered to make a meaningful impact.

Apply with our short form! CHP is proud to be an Equal Opportunity Employer and is committed to maintaining a workplace that values professionalism, integrity, and respect.

We provide equal employment opportunities to all employees and applicants and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.

Must have the ability to pass a background check and drug screening test.