Compliance Operations Analyst II

Hawaii Medical Service Association
  • Honolulu, HI
    8 days ago

    Job Description

    • Compliance Monitoring and Auditing

    • Develops and executes risk-based compliance monitoring and auditing activities across all lines of business.

    • Provides guidance to operational areas on regulatory requirements and associated compliance monitoring and reporting expectations.

    • Evaluates operational compliance with applicable regulatory and contractual requirements and identifies compliance and control deficiencies.

    • Tracks and trends monitoring results to support compliance dashboards and governance reporting.

    • Corrective Action Oversight and Validation

    • Develops and issues corrective action plans for identified compliance deficiencies.

    • Tracks corrective actions through remediation and resolution, including escalation of delays or unresolved issues.

    • Performs validation to confirm corrective actions are implemented and operating effectively.

    • Tracks and trends corrective action activity and outcomes to support compliance reporting.

    • Regulatory Reporting Validation

    • Performs compliance validation of operational regulatory reports and submissions.

    • Evaluates supporting data, processes, and controls for compliance with applicable requirements.

    • Identifies and coordinates remediation of reporting deficiencies and tracks validation results.

    • Compliance Operations Program Support

    • Supports internal and external audit activities, including documentation, evidence review, and corrective action follow-up.

    • Provides Compliance Operations support for HPMS and other regulatory systems, access, submissions, and related activities.

    • Supports Compliance Operations work plans and assigned compliance oversight activities.

    • Supports development and continuous improvement of Compliance Operations tools, processes, and controls..

    • Analyzes and summarizes compliance results, trends, risks, and corrective actions for dashboards and regulatory reporting.

    • Supports reporting through the Compliance Committee governance structure, including reporting to senior leadership and the Board of Directors.

    • Perform all other miscellaneous responsibilities and duties as assigned or directed.

    #LI-Hybrid

    Numbers & Facts

    LocationHonolulu, HI

    Skills

    • Analysis Skillsunmatched
    • Auditingunmatched
    • Continuous Improvementunmatched
    • Contract Requirementsunmatched
    • Corrective Actionunmatched
    • Documentationunmatched
    • External Auditunmatched
    • Internal Auditunmatched
    • Leadershipunmatched
    • Maintain Complianceunmatched
    • Operational Auditunmatched
    • Operational Improvementunmatched
    • Operational Supportunmatched
    • Operations Planningunmatched
    • Operations Processesunmatched
    • People Managementunmatched
    • Project Planningunmatched
    • Regulationsunmatched
    • Regulatory Complianceunmatched
    • Regulatory Reportsunmatched
    • Regulatory Requirementsunmatched
    • Regulatory Submissionsunmatched
    • Reporting Dashboardsunmatched
    • Riskunmatched
    • Trend Analysisunmatched

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