Compliance Analyst II

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.
We are proud to say that for three years, HMA has been chosen as a 'Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, 'Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.
What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.
What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/
How YOU will make a Difference:
A key member of our Compliance team assuming a wide range of responsibilities, all of which require critical thinking, innovation, and integrity. We are looking for someone with impeccable attention to detail, high energy, strong project management skills, outstanding oral and written communication skills, and a proven track record of success leading change management efforts cross-functionally. The Compliance Analyst supports the growth of the Compliance function by being responsible for facilitating implementation efforts associated with new regulatory requirements, conducting root cause investigations and supporting escalation inquiries, and supporting monitoring and reporting efforts led by the Compliance team. This role shall also serve as a support resource for the activities of the Compliance team. Professional compliance role responsible for supporting the Compliance program by collaborating and overseeing high risk areas to ensure that the compliance program is effective and efficient in identifying, preventing, detecting and correcting noncompliance.
What YOU will do:
Regulatory Reporting & Change Management:

• Lead project management efforts in coordination with PMO and/or IOT for Compliance initiatives that do not trigger PAT implementation but require implementation support cross functionally.
• Provide analysis, interpretation, training, and education related to requirements as needed to ensure understanding and effective implementation of compliance requirements.
• Development of compliance job aides and assisting with updates to cross functional job aides to ensure successful implementation of new regulatory requirements.
• Assist compliance team and identified business units with implementing new and/or updates to processes based on regulatory changes.
• Support Regulatory Program implementation efforts and provide backup support for research and analysis of laws, rules and regulations.
• Conduct reviews of Business readiness and conduct testing to ensure successful implementation of new regulatory requirements.
• Collaborate with internal business units to ensure clarity of requirements and adherence to implementation timelines to maintain compliance posture of HMA.
• Represents the Compliance department on complex cross-functional projects, identifies key stakeholders form across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions.
• May collect, prepare and maintain records and related documentation for reporting to Sr. Leadership; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports.
• Support regulatory submissions, filings, renewals, notifications, and periodic reports related to licensed functions; compile required internal reports, perform research of licensing and reporting requirements.

Incident Response, Complaints & Escalations:

• Serve as a primary support role for investigating and documenting incidents, escalations and complaints.
• Assist with the development and execution of Compliance Programs (e.g., risk assessments, testing and monitoring activities, investigations, escalations, complaints, policy and procedures, reporting, issue reporting, escalations, training programs and corrective action plans).
• Assist with testing and monitoring of key regulations, complaint reporting and escalation and corrective actions.
• Assist with investigating and responding to complaints as necessary
• Assists Privacy Officer as needed in investigating reported privacy concerns

Compliance Audits and Risk Management:

• Assist with the automation of key compliance testing/monitoring/risk assessment activities.
• Develop and maintain KPI dashboards for Compliance programs
• Assists leadership in reviewing and responding to audit findings, recommendations, and reports, and monitors the implementation status of audit recommendations.
• Assists with proactive privacy audit and monitoring activities
• Supports root cause analyses conducted in partnership with operational SMEs and business unit leadership.
• Responds to risk findings by providing recommendations for corrective action plans and implementing corrective action plans.
• Assist in compliance audits and assessments, addressing identified issues promptly.
• Contributes to enterprise-wide risk assessments to identify and mitigate operational, financial and other risks.
• Assist in development of risk mitigation strategies and policies aligned with business objectives.
• Participate in monitoring risk exposure and reporting to relevant stakeholders.
• Implementation and monitoring of business area compliance self-assessments

Policy & Procedure Management:

• Supports regular review and audit of compliance to organizational policies and procedures
• Assists in the creation of and maintenance of governance documents & guidelines

Reporting & Communication:

• Assist with and coordinate execution of regulatory reporting mandates.
• Provide content writing support for newsletters, bulletins and both internal and external messaging.
• Support in communicating risk and compliance issues to relevant stakeholders.
• Provide Compliance Program support with audit and monitoring, corrective action plan management, data analytics and other projects to ensure proper execution of the Compliance Program workplan and priorities.
• Supports and ensures timely data gathering and reporting required to execute compliance programs/services.
• Assist in preparing regular reports and updates on the status of data governance, risk, compliance and regulatory initiatives.

Miscellaneous:

• Triages and responds timely to Compliance Ticket/support requests.
• Provides backup coverage support to Compliance Specialist and Regulatory Affairs.

Knowledge, Experience, and Key Attributes needed for Success:

• Minimum of 4+ years health care/insurance regulatory compliance related experience required.
• Bachelor's degree in related field preferred or 6+ years of relevant work experience or equivalent combination of education and experience.
• Project Management Certification desired or equivalent work experience 2+ years min.
• Process Improvement/Lean/Six Sigma training and experience.
• Strong understanding of healthcare laws and regulations. Ability to interpret healthcare laws and regulations.
• Solid risk assessment capabilities.
• Strong organizational skills and attention to detail
• Excellent written and verbal communication skills.
• Ability to work in a fast-paced environment, think quickly, meet deadlines and adapt to various situations.
• Ability to understand complex problems, identify root causes and remain goal oriented within a dynamic environment.
• Ability to prioritize multiple work assignments simultaneously.
• Excellent analytical skills, with the ability to effectively identify, communicate, and address potential issues.
• Ability to work independently and as a team player.
• Ability to work effectively with peers, as well as business areas at all levels of the organization.

Compensation:
The base salary range for this position in the greater Seattle area is $79,000 - $90,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. In addition, HMA provides a generous total rewards package for full-time employees that includes: seventeen (IC) days paid time off; eleven paid holidays, one paid personal and one paid volunteer day; company-subsidized medical, dental, vision, and prescription insurance; company-paid disability, life, and AD&D insurances; voluntary life insurances; HSA and FSA pre-tax programs; 401(k)-retirement plan with company match; wellness incentive and reimbursement; remote work and continuing education reimbursements; discount program; parental leave; and a charitable giving match. For more information about HMA, visit www.accesshma.com .
Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.
How we Support your Work, Life, and Wellness Goals
We offer a comprehensive total rewards package including: competitive pay; annual incentive; wellness programs; medical, dental, and vision insurance; 401K retirement plan with match; generous PTO and holidays; an onsite gym; life, AD&D, short and long-term disability insurances; an Employee Assistance Plan with additional mental health support; free parking and easy freeway access to I-405 and I-520; a stocked kitchen on-site with subsidized snacks and refreshments; year-round wellness activities; monthly events; paid volunteer hours and more!
HMA is primarily a remote workforce, requires a reliable internet connection, and provides all hardware. Some roles are required onsite 1-3 days per week/month while other roles are 100% remote.
A background screen prior to employment is required.
Protected Health Information (PHI) Access Healthcare Management Administrators (HMA) employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures.
HMA is an Equal Opportunity Employer