Clinical Compliance Specialist

Summary

Join Signify Health as a Clinical Compliance Specialist and play a critical role in ensuring client audit accuracy and regulatory compliance. You will manage the audit process, communicate with stakeholders, maintain detailed records, and develop internal policies. This position requires strong project management, communication, and analytical skills, along with experience in a healthcare setting. A bachelor's degree is preferred, and a competitive salary and benefits package are offered, including medical, dental, vision, 401(k), and paid time off.

Requirements

• 3+ years experience in an health care setting
• Working understanding of business, financials, and CMS/Regulatory requirements
• Excellent project management skills
• Self-directed independent performer, able to act independently and manage day to day objectives
• Ability to work in a fast-paced environment with rapidly changing priorities, flexibility and a positive attitude
• Read, analyze and interpret business, professional, technical or governmental documents. Write reports, business correspondence and procedure manuals
• Exceptional organizational skills and attention to detail
• Excellent written and verbal communication skills
• Expertise in providing advice and consultation on complex topics to non-specialists; ability to communicate effectively with leadership
• Expertise in collaboration and the generation of a spirit for cooperation while coordinating different activities and groups within a group
• Able to quickly respond to changing business needs, priorities and timelines
• Curious, analytical, and data-driven

Responsibilities

• Manage/oversee audit process
• Populate requests from the client, communicate findings to internal and external stakeholders, and follow up and follow through with additional requests to ensure the client’s audit is satisfied regarding corrective actions, attestations, regulation update and reviews, and risk assessments
• Own audit planning; Partner with Client Success team as well as other departments, managing audit evidence preparation, maintain detailed documentation of audit procedures, findings, and follow-up actions
• Maintain thorough and accurate records of all audits and related activities
• Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates
• Stay up-to-date through departmental discussions on industry regulations, law, and strategies to create best practices with subject matter experts
• Conduct facilitation of collection of required inputs, document findings in repository, and ensure comprehensiveness
• Interface with internal subject matter experts and Legal and Compliance and external clients throughout audit process
• Develop and update internal policies and procedures to ensure efficient and effective yearly audits for our clients

Preferred Qualifications

Bachelor’s degree

Benefits

• Full range of medical, dental, and vision benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Education assistance
• Free development courses
• Paid time off programs
• Paid holidays
• CVS store discount
• Discount programs with participating partners