Analyst, Compliance

The Compliance Analyst is responsible for organizing aspects of the Navitus and Lumicera Corporate Compliance and HIPAA Privacy Programs and be responsible for performing regularly scheduled policy, risk assessment and documentation reviews to ensure adherence with HIPAA Privacy and other regulatory compliance areas. The Analyst will coordinate breach and disclosure assessment, tracking and client reporting and remain current on HIPAA Privacy and regulatory compliance environment changes directly or indirectly impacting Navitus or Lumicera. The Analyst will assist the Associate Director, Compliance and SIU with duties related to privacy, compliance committee, metrics calculation and reporting of results. The Analyst will work closely with the Legal and Regulatory Affairs, SIU, IT and all key functional departments to ensure the quality and integrity of work product and eliminate/reduce re-work. The Analyst will assist with FWA activities, as needed and have responsibility for supporting compliance-related audits and identifying issues adversely impacting the respective process. The Analyst will follow through on deliverables and assignments timely with limited prompting. Reporting shall be done by preparing written report and providing recommendations for corrective action and process improvement. This role requires good knowledge of both the technical and operational sides of the business.

Is this you? Find out more below!

How do I make an impact on my team?

Serve as the primary contact for actual or suspected privacy breaches and disclosures reported to Navitus
• Leads the investigation, resolution, and documentation of privacy issues, privacy breaches and disclosures consistent with government reporting and client contractual requirements
• Supports response to member and client inquiries related to HIPAA privacy rights and responsibilities
• Assist the Associate Director, Compliance and SIU with duties related to privacy, compliance committee, policy and procedure evaluation and monitoring, other compliance activities, audits and reporting of results
• Ensure tracking and monitoring of compliance documentation, policies, versions, and reviews including availability on Compass, timely completion, and consistent classification
• Assists SIU as deemed necessary with activities such as the OIG/EPLS exclusion program, policy and procedure maintenance, investigation support, and FWA education, etc
• Supports and facilitates compliance education and awareness efforts, documentation, and educational content development
• Responds to and facilitates corporate compliance guidance research and clarification as requested and appropriate
• Facilitates and/or participates in process re-design, service improvement, cost reduction and automation
• Other duties as assigned

What our team expects from you?

• College degree preferred
• Must be willing and able to work towards professional designations related to privacy and/or compliance
• 2 years with working compliance awareness and knowledge in a pharmacy benefits management, patient, or member services role
• Knowledge of state and federal privacy laws and protocols a plus
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

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