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Compliance and Quality Improvement Specialist
Compliance and Quality Improvement SpecialistPROGYNY • New York, NY, United States
Compliance and Quality Improvement Specialist

Compliance and Quality Improvement Specialist

PROGYNY • New York, NY, United States
30+ days ago
Job type
  • Full-time
Job description

Thank you for considering Progyny!

As a Compliance and Quality Improvement Specialist, you will be joining the Compliance team and be primarily responsible for policy development, coordinating and performing all internal and vendor audits and monitoring of contracted activity to ensure compliance with accreditation standards, contractual agreements, and State and Federal requirements.

What you'll do...

Develop and maintain all compliance policies associated with compliance auditing functions

Coordinate all facets of the vendor management and internal audit including ensuring all activities, documentation and evidence necessary for upcoming audits are maintained appropriately

Assist in training internal teams as appropriate to ensure cross functional knowledge on compliance obligations and auditing standards

Serve as a resource for other departments and vendors on compliance standards

Establish standards by which to assess the performance of approved vendors

Implement compliance programs, policies and procedures designed to ensure compliance with allapplicable federal and / or state laws, regulations and delegation requirements

Analyze audit results and makes recommendations for improvement

Identify and communicate with appropriate departments, teams, and key leadership on internal audit results and / or deficiencies

Perform tasks related to external audits

Conduct interviews with new vendors and inform approved vendors of their responsibilities and obligations

Follow up on corrective action plans ensuring timely closure

Demonstrate a solid understanding of compliance auditing functions and vendor review

Perform other duties asassigned in support of larger compliance team including licensing submissions

About you...

Clinical degree, Bachelor's or Master's degree in health care relatedfieldpreferred

Minimum of 2-3 years in healthcare vendor management or healthcare compliance

Minimum of 2-3 years of compliance policy development, audit, and maintenance with a strength in external oversight

Proven track record of working with external regulatory and compliance partners for client relationship management and consultation within healthcare

Excellent messaging, positioning, and presentation of policy development, audit, and compliance

Unparalleled project management skills - identify a goal and the steps needed; actively manage action steps to accomplish goal while managing and holding key stakeholders accountable

Strong compliance acumen; strong problem-solving, judgment and analytic skills

Prior experience and success in a fast-growing organization

Please note : Progyny is unable to provide visa sponsorship for this position. Candidates must be authorized to work in United States without the need for sponsorship, now or in the future.

About Progyny :

Progyny (Nasdaq : PGNY) is a global leader in women's health and family building solutions, trusted by the nation's leading employers, health plans and benefit purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians.

Our benefits solution empowers patients with concierge support, coaching, education, and digital tools;provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.

Our mission is toempower healthier, supported journeys through transformative fertility, family building and women's health benefits.

Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit www.progyny.com .

Our perks :

Family friendly benefits : Paid family and parental leave, preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support), family and pet care fund, and Parents' Employee Affiliation Group

Menopause and midlife care

Health, dental, vision and life insurance options for employees and family

Free in-person, virtual and text-based mental health and wellness support

Paid time off, including vacation, sick leave, personal days and summer flex time

Company equity

Bonus program

401(k) plan with company match

Access to on-demand legal and financial advice

Learning and development programs to help you grow professionally and a mentorship program

Company social eventsto include annual volunteer day and donation matching

Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office

In compliance with New York City's Wage Transparency Law, the annual salary [wage] range for NYC-based applicants is : $100,000 - $115,000. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought / required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.

Progyny is proud to be anEqual Opportunity and Affirmative Action employer.We respect and seek to empower each individual and support the diverse cultures, perspectives,skillsand experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law.

If you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e-mail to apply@progyny.com .

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Quality Improvement Specialist • New York, NY, United States

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