The Compliance Analyst assists the Community Behavioral Health (CBH) Manager of Compliance and Director of Internal Compliance and Risk Management with the implementation, maintenance, and monitoring of the CBH Compliance Program. They will work to ensure the organization complies with regulatory requirements and ethical standards, as well as contractual obligations, and that company policies and procedures reflect applicable regulatory requirements and contractual obligations.

Essential Functions:

• Ensure CBH implements and maintains a compliance program comprised of the seven elements of an effective compliance program.
• Work with management to develop solutions and strategies for practices that are out of compliance with federal, state, or local laws.
• Monitor department policies to ensure compliance with industry regulations.
• Provide updates to team members and management when regulations change.
• Proactively identify, mitigate, and track recurring regulatory issues.
• Develop and maintain a repository for external audit submissions and reports.
• Prepare reports for Management by collecting, analyzing, and summarizing information.
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, benchmarking state-of-the-art practices, and participating in professional societies.

Position Requirements:

• Education: Bachelor’s degree required, preferably in Behavioral Health, Public Health, Business or related Healthcare field
• License/Certification: CHC or other Compliance Certification required or obtained within six months of accepting the position.
• Relevant Work Experience: Minimum of 2 years of direct experience working in healthcare or a managed care environment, experience working with Medicaid programs preferred.
• Skills:
  • Understanding of managed care and behavioral healthcare delivery systems and services
  • Excellent administrative and organizational skills
  • Excellent research, analytical, critical thinking, and problem-solving skills
  • Ability to handle multiple assignments while meeting deadlines as well as quality expectations
  • Proficiency in the use of Microsoft Excel and Word, and Smartsheet
  • Excellent oral and written communication skills
  • Ability to prepare and summarize reports in a comprehensive and concise manner
  • Ability to work independently and as part of a team
  • Compliant with HIPAA regulations

Covid-19 Vaccine Requirement:

• The safety and well-being of our candidates, our people, and their families continues to be a top priority. Subject to applicable law, please be aware that CBH requires all employees to be fully vaccinated as a condition of employment.

U.S. Authorization Requirement:

• CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.

Equal Employment Opportunity:

• We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

Requesting An Accommodation:

• CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
• If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at CBH.Recruitment@Phila.gov