Operational Compliance Analyst
Company: VirtualVocations
Location: Vista
Posted on: May 12, 2025
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Job Description:
A company is looking for an Operational Compliance Analyst.
Key Responsibilities
Respond to internal and external compliance-related requests and
reporting
Track and report compliance and contractual metrics to demonstrate
performance
Create and update Policies and Procedures (P&Ps) and Standard
Operating Procedures (SOPs)
Required Qualifications
Bachelor's degree or relevant experience equivalency
At least 4 years of health plan experience, preferably in
Compliance or Operations
Working knowledge of CMS regulatory and sub-regulatory
regulations
Subject matter expertise in Claims, Risk Adjustment, Appeals and
Grievances, and/or Billing is preferred
Ability to manage multiple tasks and deliverables in a fast-paced
environment
Keywords: VirtualVocations, Highland , Operational Compliance Analyst, Professions , Vista, California
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