Compliance

• Assist director of healthcare compliance with HIPAA, CMS, and other healthcare regulatory adherence
• Assess regulatory and carrier issues/complaints and patient escalations; collaborate with the pharmacy quality and compliance team
• Assist with third party vendor management including completion of assessments from carriers and partners and monitoring compliance with requirements
• Conduct complaint investigations and documentation
• Monitor third party vendor compliance
• Assist with healthcare policy development and process audits as directed by director of healthcare compliance
• Assist with audits related to Healthcare Compliance Workplan
• Monitor compliance with healthcare-specific training (HIPAA, FWA, CMS General Compliance training)
• Collaborate with other compliance areas for auditing and monitoring functions
• Assist with completion of security and third party assessments
• Manage process for communication of HIPAA disclosures and documentation
• Support director of healthcare compliance in other regulatory requirements as needed
• No direct supervisory responsibilities
• Periodic travel to other office and operational sites; prolonged periods of sitting and computer work

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