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Compliance analyst entry level jobs - 8 jobs

  • Benefits & Compliance Manager

    Central Ohio Chapter NECA 3.8company rating

    Columbus, OH

    Job Title: Benefits & Compliance Manager Reports to: Central Ohio NECA and corresponding IBEW Locals Salary Range: $75,000 - $100,000 annually, commensurate with experience Benefits: Comprehensive health coverage, pension, retirement plan, paid vacation, professional development support, and more Position Overview: The HR Benefits Manager will be responsible for ensuring key programs and benefits within the electrical industry are administered properly. The right candidate will be a fast learner with the ability to learn complex subjects. They will have excellent verbal and written communication skills to create strong relationships throughout a diverse industry. They will be able to conduct in-depth investigations and create comprehensive strategies for program improvement and implementation. Why Join Us? Power Connect is a partnership between the International Brotherhood of Electrical Workers and the National Electrical Contractors Association, serving the interests of the electrical industry in the Central Ohio region. As the HR Benefits Manager, you maintain a critical role within the organization! The complex benefit structure of the multi-employer industry can create administrative challenges. The Benefits & Compliance Manager will be responsible for investigating root causes and how to effectively resolve the issue. Primary Responsibilities: Benefits Management · Responsible for responding to inquiries regarding all benefits for IBEW electrical workers in a timely manner · Crucial in creating a strategy to prevent problems from repeatedly occurring after parties are made aware · Administering investigations if any IBEW member does not receive or does not have access to benefits · Point of contact for all parties including: IBEW delegates in the 4 Central Ohio local unions, the Central Ohio National Electrical Contractors Association, electrical contractors, and IBEW members. · Customer service skills to acquire relevant information that will assist in ensuring investigations are timely and effective · Perform quality checks of benefits-related data · Build and maintain relationships with all key players in the industry Drug-Free Workplace · Serve as the liaison between multiple IBEW local offices, electrical contractors, and the drug-testing organization to ensure drug tests are being administered to adhere to the respective collective bargaining agreement requirements · Entering information/data on number of tests that need to happen, which employees are being tested and their information, how many passed/failed · Communicating results to union members, local halls, and electrical contractors · Provide and communicate next steps including rehabilitative services for employees who do not pass drug tests · Educating on drug-free workplace policy · Answering questions and being the point of contact for employees, unions, and contractors Qualifications · Experience in program administration. · Experience in conducting investigations or audits. · Excellent communication, networking, relationship-building, client service and organizational skills. · Ability to maintain multiple priorities and represent diverse parties with professionalism and diplomacy. · Bachelor's degree in Human Resources, Healthcare Administration, Business Administration, or a related field (Master's degree preferred). · Certification(s) on processes, laws, or strategies relevant to the Human Resources field
    $75k-100k yearly 1d ago
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  • DC Wave Release and Flow Optimization Analyst

    Americold Warehousing

    Columbus, OH

    Job DescriptionReady to own the flow? Do you like asking “What's the fastest way to get this out the door?” and backing it up with smart scheduling? In this role, you'll turn order backlogs into executable waves, release work at the right moments, and keep both inbound and outbound dock turn times within target. Your mission Transform order volume into a balanced plan that boosts interleaving, lifts productivity, and keeps carriers happy. What you will do Allocate orders and release tasks to the warehouse queue with timing that maximizes throughput. Continuously balance workflow so inbound/outbound truck turn times remain within acceptable levels. Triage product shortages and make informed order cuts; communicate changes promptly to customers. Align daily priorities for individual Lift Truck Operators (LTOs) in partnership with Dock Supervisors. What you need Warehouse operations experience preferred. High school diploma or GED preferred. Excellent communication skills, including bilingual English/Spanish capability for customer-facing updates. A service mindset suited to a sales-oriented, performance-driven environment. Manual dexterity for standard office tasks; the ability to talk, hear, and see effectively to complete assigned work. Comfort entering areas that may be at or below freezing when visiting facility operations. Picture this A carrier arrives early on a busy afternoon. You re-time a release, interleave picks to reduce travel, shift LTO priorities with the Dock Supervisor, and notify a customer about a necessary order cut-keeping their expectations aligned. The truck turns fast and the floor never stalls. That's your signature. Details Job Type: Full-time Responsibilities may evolve; related duties can be assigned as operational needs change.
    $57k-79k yearly est. 13d ago
  • Full time Compliance/Flex Officer

    Edifice Protection Group Inc. 4.1company rating

    Cleveland, OH

    Job Description The ideal security officer schedule: 40 hours per week (fill in for officers on vacation, with time off, etc.) Pay Rate $15/hour PLUS A Sign On Bonus within 90 days of hire Shifts available: Full Time/Part-time weekends 12-hour shifts Location 5th Street Arcades Company Benefits Dental Insurance Vision insurance Health insurance Life insurance Paid time off Paid training Uniforms provided Are you looking to put your exceptional customer services skills to work while providing a sense of safety and security as a Compliance Officer? We would love to hear from you. Security Patrols are the basis of this position, including foot patrols, watching for any irregularities at the site, supervising scheduled officers, and calling local authorities to respond to emergency issues. Daily Activity Reports (DAR) must be completed documenting internal and external incidents related to the building. Be the eyes and ears of the client by reporting any safety or maintenance concerns. About Us: Edifice Protection Group Inc. is a Nation-wide Private Security Company. We provide Security Solutions for our Customers and their facilities throughout the United States. Through continuous learning, industry knowledge, and innovative thinking our team is poised to bring the best possible solutions. Our clients, distinctive in stature and structure, benefit from our forward thinking ideals and expertise.
    $15 hourly 22d ago
  • Analyst I, Controlled Substance Monitoring

    Kroger 4.5company rating

    Cincinnati, OH

    Support the company's Controlled Substance Compliance Program (CSCP) structure and foundation through monitoring and research of dispensing activities in company pharmacies. Work closely with the Controlled Substance Monitoring team and manager to perform other critical functions. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion, and safety. MINIMUM 2+ years healthcare, pharmacy, fraud prevention, risk management, audit, or compliance Working knowledge of controlled substance regulations and indicators of potential diversion of controlled substances in pharmacy or healthcare Strong analytical, problem-solving, and organizational skills Proficient in Microsoft Word, PowerPoint, and Excel with experience using Excel and other data analytics tools Excellent oral/written communication Ability to manage multiple tasks, work independently and contribute to a collaborative team environment DESIRED Bachelor's Degree Certified Fraud Examiner Conduct transaction monitoring of assigned divisions to assess potential suspicious activity that may indicate diversion, abuse or fraud related to controlled substances Identify data trends and anomalies as they relate to controlled substance regulations and guidance Conduct investigations using all available systems to research suspicious activity Provide actionable insights and recommendations based on data analysis to support decision-making and improve compliance Provide feedback on alert effectiveness and partner with management and analyst team to design and implement program enhancements Perform periodic and for-cause pharmacy and prescriber risk analysis of assigned divisions and conduct related investigations to identify compliance risks Respond to requests from pharmaceutical suppliers' controlled substance monitoring programs to provide data and other related information as required for suspicious order monitoring activities Maintain case investigation documentation in accordance with department standards Liaise with applicable Regulatory Compliance and Training departments when appropriate Adhere to Kroger policies and procedures and comply with all applicable federal and state laws, regulations and guidance as they relate to controlled substances Travel up to 10% to attend industry training programs to maintain expertise in current or future subject matter areas as approved by manager Ability to work cooperatively in high paced and sometimes stressful environment Ability to manage conflict in a reasonable, nonconfrontational and cooperative manner Ability to act with honesty and integrity regarding customer and business information Ability to follow directions and seek assistance when necessary to resolve customer and business issues Provide support and assistance through direct interaction with minors, individuals with special needs, and/or older adults Must be able to perform the essential functions of this position with or without reasonable accommodation.
    $69k-91k yearly est. Auto-Apply 60d+ ago
  • Risk and Compliance Manager

    Community Health Centers of Greater Dayton 3.5company rating

    Dayton, OH

    Job Description This position is responsible for identifying, implementing, monitoring, and evaluating the overall risk management and corporate compliance plans at Community Health Centers of Greater Dayton (CHCGD). This position works collaboratively with all disciplines to establish a safety culture, emphasizing clinical risk, patient safety, visitor, third party, volunteer, and employee safety, as well as potential business, operational, and property risks. Manages and monitors the CHCGD's compliance and Risk Management effort, reporting identified issues directly to the Chief Executive Officer. Risk Management Create Risk Management training plan for staff based on quarterly safety checks, incident report trends, observations by management team, annual OSHA and Compliance requirements, and other identified needs. Maintain and update the CHCGD Risk Management Plan and ensure alignment with strategic goals. Oversee or conduct risk assessments, walk through inspections, adverse event reports, past accreditation or licensing surveys, medical records, risk analysis methods to identify, evaluate, prevent and control the risk of injury or loss. Identify, assess and mitigate clinical, operational, financial and reputational risks across the organization. Report on Risk Management activities to the Risk Management Committee. Prepare the quarterly and annual QA/Risk Management reports for the Board. Coordinate submission of annual FTCA malpractice application Oversee incident reporting and patient complaints and participate in root-cause analysis of occurrences or possible occurrences. Participate in HRSA reporting and site visits. Coordinate Disaster Management and Preparedness activities Oversee the Respiratory Protection Plan and implementation. Compliance Develop, implement and maintain a comprehensive compliance program in accordance with HRSA, OIG, OSHA, FTCA and other regulatory requirements. Serve at CHCGD's designated compliance officer. Assists Quality Coordination, Operations staff and the Executive Management Team in the review, revision and formulation of appropriate policies and procedures to guide issues of compliance. Assures compliance of federal, state, and local laws, as well as the HRSA Compliance Program. Conduct regular compliance risk assessments and audits: develop corrective action plans as needed. Participate in HRSA reporting and site visits. Ensure ongoing compliance with CHCGD's Corporate Compliance Plan Monitor and interpret changes in healthcare laws, regulations, and guidelines and update policies and procedures accordingly. Management Manage the Clinical Training Program Lead the implementation of the infection control plan as well as respond to implementation questions from managers. Assist with and/or conduct EHR/PM system training for staff and providers. Coordinate the Clinical and EHR Training of staff (Manages Staff Development Specialist activities) Qualifications, Skills, and Abilities Working knowledge of Risk Management and Compliance processes. In-depth knowledge of HRSA, FTCA, HIPAA, CMS and other relevant regulations. Demonstrate initiative, ability to work with others and good professional judgment. Able to work independently and organize time effectively. Excellent written and verbal communication skills. Strong organizational skills and attention to detail. Able to work with confidential information. Proficiency in MS Office products, such as Word, Excel, Power Point and Outlook. Working knowledge of EHR Coaching, mentoring, and teaching skills. Ability to relate well to people from diverse ethnic and cultural backgrounds. Motivate and inspire others by setting a positive example, solicit and/or provide innovative ideas from staff, co-workers, and physicians. Open to feedback for improvement, willingness to change, and be flexible. Required Knowledge, Licensure/Registration Graduate of LPN or Registered Nursing program with current licensure or related healthcare degree preferred; BSN preferred. Current CPR certification is required. Ambulatory, CHC or primary care experience preferred. Familiar with standard concepts, practices, and procedures within healthcare office setting. Previous experience with risk management and compliance required.
    $63k-91k yearly est. 26d ago
  • Certified Coding Analyst

    Healthcare Support Staffing

    Columbus, OH

    HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Position Purpose: Perform review of high dollar claims. Review for appropriate place of service, accurate coding, length of stay, match to authorization, and possible outlier DRG or Stop Loss pricing. Perform coding research. Conduct complex business and operational analyses to assure payments are in compliance with contract; identify areas for improvement and clarification for better operational efficiency resulting in better initiative, contract, and benefit implementation as well as better maintenance long term. Perform review of high dollar claims for benefit and pricing determination. Work collaboratively with Finance Department to determine appropriateness of pricing. Work collaboratively with Medical Management Department to resolve any issues with medical review notes that affect claim pricing Serve as a technical resource / coding subject matter expert for contract pricing related issues Responsible for entire cycle of facility claims which includes verifying information on submitted claims, reviewing contracts, eligibility, and authorizations to determine reimbursement, and ensuring payment instructions are sent to claims department for claims payment Identify key elements and processing requirements based on diagnosis, provider, contracts and policies and procedures utilizing broad based product or system knowledge to ensure timely payments are generated. Conduct point of service review and resolution of high dollar claims that are pending and/or adjusted incorrectly including review, investigation, adjustment and resolution of claims, claims appeals, inquiries, and inaccuracies in payment of claims. Collaborate with all departments to analyze complex claims issues and special claim projects. Qualifications Healthcare experience REQUIRED Managed Care strongly PREFERRED Associate's degree in Business, Health Care Management, Insurance, Healthcare or related field 3+ years of Medical Billing or Physician's office experience. Extensive knowledge of coding and billing practices for hospitals, physicians and/or ancillary providers as well as knowledge about contracting, claims processing, and provider customer service. Accepted Licenses/Certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Professional Coder-Payer (CPC-P) certification, Certified Professional Coder (CPC) Additional Information Shfit: Monday- Friday; 8AM-5PM Salary: $41,000-$46,000 + 6% Annual Bonus + Medical Benefits take effect 30 days after start date
    $41k-46k yearly 60d+ ago
  • Quality Compliance Manager

    Biomat USA, Inc. 4.2company rating

    Whitehall, OH

    Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. **Quality Systems & Training Manager** **Summary:** Evaluates processes, develops action plans, and coordinates the strategic implementation of quality system processes and corrective actions at the plasma donor center. Include who they report to and what positions they have on the team. **Education:** Bachelor of Science degree or equivalent. **Primary Responsibilities:** ● Maintains oversight of the center's quality management system and ensures continuous quality improvement, by addressing deficiencies in a timely manner and communicating concerns to the appropriate parties. ● Directs and monitors processes and ensures center compliance with all applicable state, federal, and company-designated regulations. Implements Standard Operating Procedures (SOPs) for quality control and overall regulatory compliance. ● Maintains oversight of center training program by ensuring compliance to program requirements promoting staff competency in their assigned job duties. Maintains and audits training records and files. ● Collaborates with Center Manager to ensure the donor center operates in a manner which assures product quality, donor suitability and donor safety are maintained. ● Responsible for the personnel functions of the Quality Associate; including direction, assignment of work, hiring, development and training, disciplinary actions, termination, maintenance of personnel records, work schedule and delegation/follow-up of tasks. ● Responsible for oversight of all aspects of internal and external audits including audit preparation, execution, response, implementation of corrective/preventative actions, assessment of corrective actions, and follow-up as required. ● Continuously assesses, promotes, and improves the effectiveness of quality and training systems in the donor center through recognition of trends, investigation of failures in the execution of procedures, and direct observations. ● Documents, investigates, and performs root-cause analysis for deviations and customer complaints, specifically in how they relate to the safety of the donor and the quality of the product. ● Investigates identified trends and performs follow-up on corrective and preventative actions, system implementations, and process improvement plans to measure/determine effectiveness. ● Oversees product and biohazard waste shipments: Ensures shipments meet regulatory specifications and product release requirements; ensures accurate labeling and documentation; and, authorizes final shipment. ● Performs a review of the documentation of unsuitable test results and unit lookback information. ● Performs a review of donor adverse event reports and the applicable related documentation. ● Ensures that job and center annual training (i.e. Advanced cGMP, Blood Borne Pathogen, and others as required) is completed, documented, and on file. ● Performs employee training observations to ensure staff competency prior to releasing employees to work independently. ● Ensures that all supplies and materials ordered meet quality requirements prior to use and are always stored in appropriate temperature/facility conditions. Initiates appropriate investigations if these requirements are not met. Initiates rejection of supplies for non-conformance. ● Determines donor suitability activities and manages donor deferrals as appropriate. Reviews and approves of deferred donor reinstatement activities. ● Prepares quality analysis reports to track issues and set goals. Does in depth research and analysis to resolve systemic compliance issues ● Ensures that Clinical Laboratory Improvement Amendments (CLIA) proficiency test surveys, complaint investigations, and training have been properly documented. ● Holds monthly Quality Meeting to communicate status updates and manage action outcomes. \#BiomatUSA Third Party Agency and Recruiter Notice: Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate. **Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.** **Location: NORTH AMERICA : USA : OH-Whitehall:USWHIPC - Whitehall OH-E Main St-BIO** Learn more about Grifols (************************************** **Req ID:** 536924 **Type:** Regular Full-Time **Job Category:** MANUFACTURING
    $74k-107k yearly est. 60d+ ago
  • Risk and Compliance Manager

    Community Health Centers of Greater Dayton 3.5company rating

    Dayton, OH

    This position is responsible for identifying, implementing, monitoring, and evaluating the overall risk management and corporate compliance plans at Community Health Centers of Greater Dayton (CHCGD). This position works collaboratively with all disciplines to establish a safety culture, emphasizing clinical risk, patient safety, visitor, third party, volunteer, and employee safety, as well as potential business, operational, and property risks. Manages and monitors the CHCGDs compliance and Risk Management effort, reporting identified issues directly to the Chief Executive Officer. Risk Management * Create Risk Management training plan for staff based on quarterly safety checks, incident report trends, observations by management team, annual OSHA and Compliance requirements, and other identified needs. * Maintain and update the CHCGD Risk Management Plan and ensure alignment with strategic goals. * Oversee or conduct risk assessments, walk through inspections, adverse event reports, past accreditation or licensing surveys, medical records, risk analysis methods to identify, evaluate, prevent and control the risk of injury or loss. * Identify, assess and mitigate clinical, operational, financial and reputational risks across the organization. * Report on Risk Management activities to the Risk Management Committee. * Prepare the quarterly and annual QA/Risk Management reports for the Board. * Coordinate submission of annual FTCA malpractice application * Oversee incident reporting and patient complaints and participate in root-cause analysis of occurrences or possible occurrences. * Participate in HRSA reporting and site visits. * Coordinate Disaster Management and Preparedness activities * Oversee the Respiratory Protection Plan and implementation. Compliance * Develop, implement and maintain a comprehensive compliance program in accordance with HRSA, OIG, OSHA, FTCA and other regulatory requirements. * Serve at CHCGDs designated compliance officer. * Assists Quality Coordination, Operations staff and the Executive Management Team in the review, revision and formulation of appropriate policies and procedures to guide issues of compliance. * Assures compliance of federal, state, and local laws, as well as the HRSA Compliance Program. * Conduct regular compliance risk assessments and audits: develop corrective action plans as needed. * Participate in HRSA reporting and site visits. * Ensure ongoing compliance with CHCGDs Corporate Compliance Plan * Monitor and interpret changes in healthcare laws, regulations, and guidelines and update policies and procedures accordingly. Management * Manage the Clinical Training Program * Lead the implementation of the infection control plan as well as respond to implementation questions from managers. * Assist with and/or conduct EHR/PM system training for staff and providers. * Coordinate the Clinical and EHR Training of staff (Manages Staff Development Specialist activities) Qualifications, Skills, and Abilities * Working knowledge of Risk Management and Compliance processes. * In-depth knowledge of HRSA, FTCA, HIPAA, CMS and other relevant regulations. * Demonstrate initiative, ability to work with others and good professional judgment. * Able to work independently and organize time effectively. * Excellent written and verbal communication skills. * Strong organizational skills and attention to detail. * Able to work with confidential information. * Proficiency in MS Office products, such as Word, Excel, Power Point and Outlook. * Working knowledge of EHR * Coaching, mentoring, and teaching skills. * Ability to relate well to people from diverse ethnic and cultural backgrounds. * Motivate and inspire others by setting a positive example, solicit and/or provide innovative ideas from staff, co-workers, and physicians. * Open to feedback for improvement, willingness to change, and be flexible. Required Knowledge, Licensure/Registration * Graduate of LPN or Registered Nursing program with current licensure or related healthcare degree preferred; BSN preferred. * Current CPR certification is required. * Ambulatory, CHC or primary care experience preferred. Familiar with standard concepts, practices, and procedures within healthcare office setting. * Previous experience with risk management and compliance required.
    $63k-91k yearly est. 25d ago

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