Compliance Analyst I / II / III

Medicare Compliance Analyst

Work a hybrid schedule within Oregon, Washington, Idaho or Utah. 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 Medicare Compliance Analysts is living our mission to make health care easier and lives better. As a member of the Compliance team, our Medicare Compliance Analysts are responsible to deliver 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, external audit coordination, investigation, root cause analysis, regulatory implementation, control assessment, reporting, and corrective actions - all in service of creating an economically sustainable health care system.

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.

What You Bring to Cambia :

Qualifications :

Compliance Specialist I : 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 Analyst II : 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 Analyst III : 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.

Additional Minimum Requirements (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, to include the core competencies : risk assessments, training, policies and procedures, monitoring, auditing, external audit coordination, control assessments, reporting, corrective actions, implementation oversight, and ability to perform those compliance functions effectively within that compliance program.