Analyst, Compliance Auditing, Monitoring and Analytics (Deerfield)

Analyst, Compliance Auditing, Monitoring And Analytics

With the nation's largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you're empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary :

The Analyst, Compliance Auditing, Monitoring and Analytics is responsible for supporting the Compliance program's risk-based auditing, monitoring and analytics activities to monitor, assess, and optimize compliance with all laws, regulations and guidelines with Federal and State programs. This role requires a strong level of auditing and analytical skills, and the ability to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual assists in executing monitoring and auditing projects, to include standard, repeatable processes identifying, documenting and presenting any errors, irregularities or findings, and completion of necessary corrective actions. Partners with other functional areas and field teams to coordinate audit and monitoring activities from initiation through completion of corrective action. Designs and implements robust analytics and continuous monitoring strategies to prevent, detect and mitigate compliance risks.

Job Description :

Job Responsibilities (listed in order of importance and / or time spent) :

• Executes the risk-based compliance auditing, monitoring and analytics program to assess the effectiveness of compliance controls and processes across the organization in alignment with the Compliance organizations risk assessments and workplans.
• Coordinates with internal stakeholders to identify audit objectives, scope, and methodologies, and ensure alignment with organizational priorities.
• Conduct periodic compliance audits and reviews in accordance with established Compliance workplans, focusing on key risk areas such as regulatory changes, billing and coding, privacy and security, and fraud and abuse.
• Perform data analysis and review of documentation to identify potential compliance issues, irregularities, or trends, and develop recommendations for corrective actions or process improvements.
• Monitor compliance with policies, procedures, and regulations through ongoing monitoring activities, including data analysis, trend analysis, and review of key performance indicators.
• Collaborate with cross-functional teams to implement corrective actions and remediation plans in response to audit findings, and track progress to ensure timely resolution.
• Identifies policy, procedure, and process gaps and partners with functional leaders to develop responsive corrective measures to prevent reoccurrences.
• Prepare and present regular reports on audit and monitoring activities, findings, and outcomes to be shared with leadership and regulatory authorities as required.
• Maintain documentation of audit and monitoring activities, including work papers, findings, recommendations, and corrective actions, in accordance with established recordkeeping requirements.
• Utilize advanced analytics techniques to analyze large datasets, such as related to healthcare operations, billing, claims, and patient information to support Compliance activities and to identify trends, anomalies, and potential compliance risks.
• Design and build monitoring dashboards and other data visualizations using common tools such as PowerBI; leverage other Microsoft suite tools as well to collect, organize and analyze data.
• Collaborate with cross-functional teams to develop and implement analytics-driven, risk-based capabilities to continuously monitor compliance with internal policies and federal, state, and local regulations.
• Always respect and maintain the confidentiality of sensitive business and patient information.
• Always maintain files and work papers consistent with Option Care Health policy and compliance processes.
• Stay abreast of changes in healthcare regulations, industry trends, and best practices in compliance auditing and monitoring and analytics, and proactively identify opportunities to enhance compliance processes and systems.

Supervisory Responsibilities

Does this position have supervisory responsibilities?

No

Basic Education and / or Experience Requirements

Basic Qualifications

Travel Requirements : (if required)

Traveling required up to 25% of the time.

Preferred Qualifications & Interests (PQIs)

Due to state pay transparency laws, the full range for the position is below :

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $70,218.51-$117,008.35

Benefits :

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.