Compliance Analyst

Become a full-time Compliance Analyst with Capital Health Plan and play an integral part in our ability to serve patients! Our Tallahassee, FL team is hiring a meticulous, analytical person to ensure organizational excellence. We\'re offering: 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 (or an equivalent combination of education/experience) in a field such as business, healthcare administration, legal studies, public administration, or information management 2+ years of experience related to compliance, healthcare/health plan operations, regulatory affairs, legal support, audit, quality, and/or data reporting Experience maintaining databases, trackers, documentation, and confidential records Strong communication and reading skills for analyzing and preparing policies, technical materials, business correspondence, and internal presentations Math skills for calculating, validating, and presenting percentages, ratios, rates, compliance data, etc. Reasoning skills for organizing facts, identifying exceptions, and properly escalating matters Sharp research skills and attention to detail/accuracy Proficiency in Microsoft applications such as Word, Excel, PowerPoint, Outlook, Teams, and SharePoint (or comparable tools) Organizational skills for managing multiple priorities, meeting recurring deadlines, and following through on open items Ability to maintain confidentiality and act with sound judgement Ability to learn our systems, terminologies, and regulatory processes Our ideal Compliance Analyst has a recognized credential in a field such as auditing, privacy, healthcare compliance, data reporting, or project management and is experienced with regulated/commercially managed healthcare operations like Medicare Advantage or Part D. Working knowledge of corporate compliance program principles, privacy and security requirements, health plan operations, and federal/state regulatory oversight would also be helpful. WHAT TO EXPECT AS OUR COMPLIANCE ANALYST We\'re committed to providing patients with the highest level of care possible, and our Compliance Analyst plays an important role in this mission. You\'ll be responsible for monitoring daily operations and coordinating new regulatory surveillance, obligation tracking, training administration, reporting, documentation, and audit-readiness programs to maintain high levels of compliance and accountability. Working under the senior compliance analyst and director of compliance, you\'ll support enhanced implementation, oversight, regulatory, and decision-making activities. In your day-to-day, you\'ll track Medicare/Medicaid communications, health plan management system memoranda, federal register actions, and related areas to ensure all related activities are completed on time and issues are properly resolved/escalated. You\'ll monitor performance by developing dashboards, scorecards, and routine reports to validate data and identify quality or regulatory concerns. Prioritizing accuracy, you\'ll maintain compliant databases, applications, logs, evidence files, and other documents while maintaining organization and keeping files accessible for audits or regulatory reviews. You\'ll coordinate training programs for new and current employees, track assignment completion, and follow up with team members when appropriate. Following approved procedures and sampling instructions, you\'ll conduct routine monitoring and quality checks to ensure excellence in all team members\' work. You\'ll also drive procedural improvements by implementing new corrective action tracking, hotline documentation, compliance inquiries, fraud/abuse/waste investigations, and privacy-related strategies. Additional responsibilities include coordinating meetings/special activities and serving as the organization\'s go-to resource for compliance-related needs. 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.