Compliance Specialist-Monitoring

About the role

Build your career. Make a difference. Join Presbyterian as a skilled Compliance Specialist and be part of something meaningful. Type of Opportunity: Full time Job Exempt: Yes Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America)

Responsibilities

• As a Compliance Specialist , you'll partner with leadership to ensure regulatory excellence, supporting audits, investigations, and policy development while helping uphold compliance across our organization.
• Remote : Open to remote applicants in the United States, except for the following states: Wyoming, Washington, North Dakota, California, New York, Illinois, and Ohio.
• Key job responsibilities.
• Partner with leaders and teams on regulatory compliance matters
• Support and manage Compliance Hotline activities
• Lead cross-functional efforts to resolve compliance issues
• Conduct compliance investigations, audits, and monitoring
• Assist with annual risk assessments and key risk areas
• Support follow-up on audit findings and corrective actions
• Research and interpret state and federal regulations
• Review and update policies and procedures
• Monitor compliance performance and track improvement plans
• Collaborate on privacy and HIPAA-related matters

Requirements

• Bachelor's degree required, or 6 years of relevant experience in lieu of a degree.
• Three to five years of experience in healthcare compliance and/or auditing and monitoring.
• Familiarity with the Health Insurance Portability and Accountability Act (HIPAA).
• All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Wellness
• Why work at Presbyterian?
• As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
• About Presbyterian Healthcare Services
• Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
• AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
• We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

Benefits

Additional Information

Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $60,985.60 Maximum Offer $93,100.80 Now Hiring: Compliance Specialist-Monitoring

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