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Compliance and Quality Improvement Specialist

Compliance and Quality Improvement Specialist

ProgynyNew York, NY, US
30+ days ago
Job type
  • Full-time
Job description

Compliance And Quality Improvement Specialist

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 all applicable 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 as assigned in support of larger compliance team including licensing submissions

About you

  • Clinical degree, Bachelor's or Master's degree in health care related field preferred
  • 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.

    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 events?to 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 range for NYC-based applicants is : $77,000 - $87,000. 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 an Equal Opportunity and Affirmative Action employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and 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, US

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