Risk Management Specialist (SOC 2/CAPA)

We are in search for a Compliance Specialist. Compliance works to ensure controls and safeguards are in place to promote adherence to applicable federal and state laws, assess risks to the organization, and maintain the security and privacy of patient and customer data. DUTIES AND RESPONSIBILITIES:

• Assists the Compliance Manager with performing internal reviews, research and/or audits to verify compliance with government laws/regulations, client requirements, accreditations/certifications, audit frameworks, and/or organizational policies/procedures
• Documents findings and organizes data for identification of potential risk areas
• Stays informed of applicable rule and regulation changes in the healthcare and pharmaceutical industries
• Assists in the day-to-day operations of the Document Management System (DMS) and Learning Management System (LMS)
• Coordinates with appropriate departments and/or cross-functional teams to ensure all applicable documents are reviewed and revised within the specified timeframes
• Has attention to detail, organization skills, excellent proofreading skills, prompt response to action items, and the ability to handle change
• Performs document control functions, including tracking, processing, review, formatting, distribution, and archiving of documents
• Evaluate document organization, proofread, and provide additional quality checks before document finalization
• Assists the Compliance Manager in the review and management of third-party audits
• Verifies compliance with insurer rules, Medicare, Medicaid, HIPAA, and other applicable regulations
• Assists in Incident Management and CAPA process
• Assists Compliance Manager in conducting enterprise-wide Risk Assessment
• Receives, investigates, and resolves compliance and/or privacy related complaints or concerns
• Maintains Compliance & Privacy logs as required
• Assists the Compliance Manager in training efforts and initiatives, including preparation of materials and presenting training through a variety of methods
• Performs other related duties as assigned by management

Requirements

• CHC or other relevant certifications preferred
• Computer skills: Microsoft Office suite, including Word, Excel, Outlook, PowerPoint, Visio. Experience with Jira Service Desk a plus
• High degree of emotional intelligence
• Excellent communication skills, both written and oral
• Collaborates with colleagues as one team
• Assumes positive intent in others
• Makes commitments and keeps commitments
• Advanced problem solving and decision-making skills
• Takes initiative to plan milestones, track progress, and prioritize workload
• Flexible, detail-oriented team play that has proven success in a fast-paced environment
• Strong attention to detail with the ability to work effectively under pressure
• Bachelor's Degree from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience

COMPETENCIES:

• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events
• Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures
• Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals
• Change Management - Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments
• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values
• Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed
• Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; G

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