Compliance_Regulatory Analyst in United States | Compliance and Legal at AmeriHealth Caritas

Clipped from:


The primary purpose of the job is to:;

  • Assist with the implementation of the Compliance program for AH Louisiana.
  • Assist with the HIPAA desk audits.
  • Assist with compliance monitoring and auditing activities to ensure contract compliance.
  • Assist with training staff on Compliance and HIPAA.
  • Generate compliance and privacy activity reporting.
  • Assist with State complaints and maintain a log for all complaints.
  • Maintain all AH Louisiana policies and subcontractor policies that reflect AH Louisiana.
  • Distribute State e-mails to appropriate staff.
  • Review Medicaid policies and contract changes to determine impact to the plan.
  • Maintain contract compliance log of Medicaid policy and contract changes and distribute to appropriate staff.
  • Assist with member materials and marketing approvals.
  • Assist with State Compliance Audits.
  • Act as the administrator for all State applications.;

Education/ Experience:

  • Bachelor’s Degree or equivalent educaiotn and experience required.
  • Familiarity with Government Programs and contracts required.
  • ;2 or;more;years experience;in healthcare/ insurance, preferably in managed care.;;;;
  • Experience with Microsoft Office Suite.; ;;;;;;;;;;;;;;;