Description: Under the direction, of the Director of Compliance and Regulatory Affairs, this position is responsible for analytical compliance and business related activities including the generation and analysis of reports into professional compliance documents. Compliance Analyst will work closely with the Compliance Auditor position in order to develop business process improvement recommendations based on findings from both internal and external audits. Strong verbal and written communication skills are required for communicating at all levels within the company. Critical thinking and the ability to deal with both qualitative and quantitative information to develop professional materials for internal customers is essential. This position may require interaction with KHS Executives from time to time.
Requirements: Bachelorís degree from an accredited university or equivalent with a relevant major preferred. Education can be substituted with health plan compliance or other relevant experience on a year for year basis. Experience in health insurance or HMO compliance is highly desirable. Certified in Healthcare Compliance (CHC) is desirable. Knowledge of Claims, Utilization Management, and other health plan departmental processes and procedures; project management process; reporting tools and analysis, report generation, implementation of business controls.
Possession of valid California Driverís License and proof of valid State required auto liability insurance.