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Medical Management Compliance Analyst
Medical Management Compliance AnalystHMSA • Honolulu, HI, United States
Medical Management Compliance Analyst

Medical Management Compliance Analyst

HMSA • Honolulu, HI, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]
  • Monitor and analyze regulatory / accreditation / business requirements to invoke recommendations for program and / or policy changes as appropriate for various lines of business.
  • Lead / coordinate activities, which include internal audits, quality assurance control, quality improvement, provider satisfaction and department policies and procedures, to meet and / or maintain regulatory / accreditation / line of business requirements.
  • Serve as a resource to internal and external staff regarding issues relating to administrative policies and procedures, medical policies, and researching and resolving problems.
  • Edit all documentation generated by unit e.g., QIAs, reports, executive summaries, presentation materials, workplans, evaluations, annual plans, policies and procedures, minutes, agendas, provide feedback, and develop / generate monitoring reports / tools.
  • Coordinate / schedule training opportunities and develop / present related reports and various documentation.
  • Coordinate, support and document various department activities to ensure deliverables are completed by due date.
  • Perform other duties (e.g., attend meetings) as assigned.

    • #LI-Hybrid

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    Compliance Analyst • Honolulu, HI, United States

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