Avēsis

Compliance

• Coordinate all aspects of regulatory and client audits (i.e., pre-site deliverables, mock audits, on-site visits, logistics, and written responses to audit reports and corrective actions) and coordinate across times to document and track completion to ensure audit success.
• Synthesize audit-related information (i.e., scope, findings, recommendations, corrective action plans, and status) and provide Compliance and business operations leadership written and oral reports of ongoing and completed audits.
• Simultaneously manage multiple audits and collaborate across multiple business areas to communicate gather necessary information within assigned due dates.
• Develop compliance communications.
• Problem solve and work closely with business partners on issue resolution.
• Research, understand, and articulate regulatory and contractual requirements.
• Educate business partners on regulatory audit processes as needed.
• Manage, track and report data related regulatory and client audits and CAPs.
• Coordinate with Legal Counsel as needed.
• Perform additional duties as requested or required by management.

Senior Compliance Analyst

Software Engineer

• Responsible for overall ownership of the EiPaaS application (Bridgegate) and its environment.
• Ensure the accurate, timely, and compliant processing of 834 electronic files, provider files, and other items processed through the EiPaaS/Bridgegate application.
• Maintain enterprise-wide oversight of all Bridgegate workflows.
• Serve as the operational subject matter expert for electronic file integrations.
• Ensure that all workflows function reliably to support downstream business processes.
• Manage end-to-end processing of HIPAA-compliant healthcare EDI transaction sets, including 834 enrollment files.
• Interpret and implement EDI files in accordance with ANSI ASC X12 standards.
• Build, configure, and maintain templates for new 834 electronic files as business needs evolve.
• Support onboarding of new partners and file configurations.
• Maintain working knowledge of ANSI ASC X12 EDI standards and transaction set structures.
• Monitor all EiPaaS/Bridgegate workflows, not limited to 834 transactions.
• Serve as the primary point of contact for all EiPaaS related issues.

EiPaaS Developer

QA Engineer

• The Senior Quality Assurance Analyst will coordinate and conduct comprehensive testing of IT systems, including scenario, regression, and automation testing.
• Responsibilities include developing test plans, executing test cases, managing defects, and building automation frameworks.
• The role involves working with tools such as Selenium, JMeter, SQL, and Azure DevOps, and requires expertise in Python, Java, and JavaScript.
• This analyst will mentor junior team members and contribute to process development, project management, and continuous improvement initiatives.
• Develop and execute test plans, strategies, and scenarios based on system requirements.
• Design and automate test cases for UI, API, and database testing.
• Perform functional, regression, integration, and performance testing.
• Build and maintain automation frameworks and integrate them into CI/CD pipelines.
• Collaborate on test environment setup and test data management.

Senior PMO Quality Assurance Analyst

• Develop analysis and regulatory interpretation of state and federal laws and regulations impacting Avēsis programs and products.
• Coordinate and lead implementation activities critical to ensuring Avēsis exceeds expectations, outcomes and requirements associated with state or federal regulatory guidance, rules, requests, inquiries, and actions.
• Interface with leaders and operational teams to provide applicable regulatory guidance and expertise.
• Monitor, track and keep abreast of all applicable laws, regulations, and guidelines that pertain to the company.
• Perform regulatory interpretation and analysis of new laws and regulations to develop written communications to advise the business on implementation of changes to comply.
• Work with business owners to validate policies, procedures, and processes are developed, designed and implemented in accordance with relevant laws, regulations, and guidelines.
• Identify and evaluate potential risks to the company including developing, communicating, and executing initiatives to promote awareness and understanding of compliance issues, applicable laws and regulations, requirements, and consequences on non-compliance.
• Provide regulatory interpretive guidance in support of company initiatives and programs.
• Interface with external clients and regulatory bodies to address inquiries, support audit or examination activities.
• Proactively identify, address, and resolve compliance issues in partnership with business stakeholders.

Senior Compliance Analyst

EiPaaS Developer

Senior PMO Quality Assurance Analyst

Senior Regulatory Compliance Consultant