Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**Role Summary:**
The ComplianceAnalyst supports Datavant's enterprise compliance program and helps ensure adherence to laws, regulations, and internal policies. This position is responsible for core compliance activities, in particular monitoring the compliance hotline, monitoring new hire and annual compliance training, conducting compliance monitoring and auditing activities, and supporting external compliance audit requests.
The ComplianceAnalyst will work to promote our culture of integrity, transparency, and accountability, helping Datavant maintain and continuously improve its compliance practices. The ComplianceAnalyst is expected to approach the role with a solutions-oriented mindset with strong written and verbal communication skills.
**Key Responsibilities:**
+ Support and enhance Datavant's enterprise compliance program across the seven elements of compliance.
+ Serve as the primary point of contact for the Compliance Hotline, ensuring reports are logged, categorized, and tracked to resolution.
+ Identify and analyze trends in compliance reports, and prepare insights for program leadership and committees.
+ Conduct or assist in internal investigations and maintain proper documentation and reporting.
+ Support compliance audits-both internal and external-including gathering and organizing audit evidence.
+ Work as the liaison to Compliance Program management and other workforce members to ensure regulatory compliance with applicable laws, regulations, policies, and contracts.
+ Supporting in the development and revision of compliance policies, procedures, and Standards of Conduct
+ Serve as the primary point of contact for monitoring new hire and annual compliance training and onboarding requirement completion. Take direct ownership in facilitating on time completion.
+ Supporting in development and revision to compliance training and education materials
+ Support the preparation of presentations, reports, and dashboards that communicate compliance program activities and trends.
+ Continuously evaluate and improve compliance workflows, documentation, and reporting tools to enhance efficiency and user experience.
+ Promote Datavant's culture of ethical behavior and accountability through daily interactions and proactive communication.
+ Perform other duties as assigned.
**Basic Qualifications:**
+ 2-4 years of experience working in Compliance supporting the seven elements of a Compliance Program as defined by the OIG and DOJ
+ Strong written and verbal communication skills; able to present compliance information clearly to different audiences.
+ Analytical thinker with the ability to assess compliance risks and identify practical solutions.
+ Comfortable working independently in a remote, fast-paced environment.
+ Experience supporting audits and responding to auditor requests on short timelines.
+ Proficiency with data analysis and visualization for compliance reporting (e.g., dashboards, scorecards, or trends).
+ Strong working knowledge of all seven elements of an effective compliance program in alignment with regulator expectations
+ Experience in healthcare organization(s)
+ Experience working for a large organization
+ Ability to exercise independent judgment and communicate effectively while managing multiple concurrent projects in a fast-paced, enterprise-scale environment
**Desired Qualifications:**
+ Familiarity with U.S. healthcare regulatory requirements (HIPAA, HITECH, CCPA, GDPR, Stark Law, Anti-Kickback Statute, CMS/OIG guidance).
+ Experience conducting monitoring or auditing activities, such as control assessments or sample testing.
+ Understanding of audit and monitoring methodologies (e.g., sample testing, control assessments, data analytics)
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is:
$72,000-$85,000 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$72k-85k yearly 54d ago
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Retail Compliance Specialist
Western Digital 4.4
Compliance analyst job in San Juan, PR
** At Western Digital, our vision is to power global innovation and push the boundaries of technology to make what you thought was once impossible, possible. At our core, Western Digital is a company of problem solvers. People achieve extraordinary things given the right technology. For decades, we've been doing just that. Our technology helped people put a man on the moon.
We are a key partner to some of the largest and highest growth organizations in the world. From energizing the most competitive gaming platforms, to enabling systems to make cities safer and cars smarter and more connected, to powering the data centers behind many of the world's biggest companies and public cloud, Western Digital is fueling a brighter, smarter future.
Binge-watch any shows, use social media or shop online lately? You'll find Western Digital supporting the storage infrastructure behind many of these platforms. And, that flash memory card that captures and preserves your most precious moments? That's us, too.
We offer an expansive portfolio of technologies, storage devices and platforms for business and consumers alike. Our data-centric solutions are comprised of the Western Digital , G-Technology, SanDisk and WD brands.
Today's exceptional challenges require your unique skills. It's You & Western Digital. Together, we're the next BIG thing in data.
**Job Description**
**Position Summary**
We are looking for a **Retail Compliance Specialist** to join the Western Digital Fulfillment Operations Team to be responsible for the management of our Retail Chargeback program, including investigating and data analyzing chargebacks, recurring trend analysis, projecting customer penalties and process documentation. This role will serve as a subject matter expert on retailer programs and supporting process improvement initiatives with internal and external functions to reduce financial losses from invalid chargebacks. The ideal candidate possesses excellent analytical skills, attention to detail, ability to work cross-functionally and strong communication skills.
**Essential Duties and Responsibilities:**
+ Experience with retail compliance and penalty programs (e.g., Walmart's OTIF - On Time In Full, Amazon Vendor Central, Target's requirements) involving tracking and analyzing vendor penalties, such as chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance with contractual terms.
+ Should be subject matter expert on Retail routing guides, SLAs, penalty clauses and primary point of contact for internal and external partners on any routing guide changes/ compliance developments impacting retailer shipping methods.
+ Drive chargeback data scraping and running complex operational data analysis from ERP systems into measurable insights for budgeting and forecasting on chargeback volume and revenue. Develop and manage reporting dashboards, conduct monthly and quarterly business reporting to management on penalty root causes, recurrence rates, and vendor performance KPI.
+ Research chargeback disputes by analyzing supporting documentation such as purchase orders, invoices, shipping records, and EDI data. Collaborate with internal departments (Sales, Operations, Logistics, IT and Finance) to gather required documentation and resolve discrepancies.
+ File and track chargeback disputes within specified deadlines to ensure timely recovery of funds. Maintain detailed and organized records of all chargeback activities for audit and reporting purposes.
+ Identify trends, root causes, and recurring chargeback issues; recommend process improvements to minimize future deductions. Streamline process by proposing policy or system changes within WD and external warehouse partners to improve compliance.
+ Lead effective communications with Retailers and drive joint improvement opportunities.
+ Conduct quarterly training to cross functional teams - Sales operations, fulfillment, transportation on retailer compliance updates.
**Qualifications**
**Education:**
Bachelor's/ Master's degree in Accounting, Finance, Business Administration, Engineering, Supply Chain Management, Logistics or related field (preferred).
**Experience:**
+ 3-5 years of experience in chargeback resolution, accounts receivable, or retail deductions (consumer goods, retail, or distribution industry preferred).
+ Strong skills in data analysis using Excel, SQL, or BI tools (Power BI, Tableau)
+ Familiarity with major retailers' compliance portals (e.g., Walmart, Target, Amazon, Costco, etc.) is a plus.
+ Experience with Retailer Systems such as navigating Retailer platforms (e.g., Amazon Vendor Central, Walmart Retail Link, Target Partners Online, Best Buy Partner Portal), Chargeback management tools or internal ticketing systems.
+ Experience in ERP systems (Oracle, SAP) and Transportation Management Systems (OTM)
**Skills:**
+ Strong analytical and problem-solving skills with a high degree of accuracy.
+ Excellent communication and collaboration abilities across multiple departments.
+ Knowledge of EDI transactions and chargeback dispute workflows.
+ Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
**Key Competencies**
+ Detail-Oriented and Organized
+ Financial and Data Analysis
+ Process Improvement Mindset
+ Cross-Functional Collaboration
+ Accountability and Initiative
**Additional Information**
Western Digital is committed to providing equal opportunities to all applicants and employees and will not discriminate against any applicant or employee based on their race, color, ancestry, religion (including religious dress and grooming standards), sex (including pregnancy, childbirth or related medical conditions, breastfeeding or related medical conditions), gender (including a person's gender identity, gender expression, and gender-related appearance and behavior, whether or not stereotypically associated with the person's assigned sex at birth), age, national origin, sexual orientation, medical condition, marital status (including domestic partnership status), physical disability, mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or other legally protected characteristics. We also prohibit harassment of any individual on any of the characteristics listed above. Our non-discrimination policy applies to all aspects of employment. We comply with the laws and regulations set forth in the "Know Your Rights: Workplace Discrimination is Illegal (************************************************************************************** " poster. Our pay transparency policy is available here: Pay Transparency Nondiscrimination Provision (dol.gov) (***********************************************************************************************
Western Digital thrives on the power and potential of diversity. As a global company, we believe the most effective way to embrace the diversity of our customers and communities is to mirror it from within. We believe the fusion of various perspectives results in the best outcomes for our employees, our company, our customers, and the world around us. We are committed to an inclusive environment where every individual can thrive through a sense of belonging, respect and contribution.
Western Digital is committed to offering opportunities to applicants with disabilities and ensuring all candidates can successfully navigate our careers website and our hiring process. Please contact us at jobs.accommodations@wdc.com to advise us of your accommodation request. In your email, please include a description of the specific accommodation you are requesting as well as the job title and requisition number of the position for which you are applying.
Based on our experience, we anticipate that the application deadline will be **01/22/2026** (3 months from posting), although we reserve the right to close the application process sooner if we hire an applicant for this position before the application deadline. If we are not able to hire someone from this role before the application deadline, we will update this posting with a new anticipated application deadline.
\#LI-AS1
**Compensation & Benefits Details**
+ An employee's pay position within the salary range may be based on several factors including but not limited to (1) relevant education; qualifications; certifications; and experience; (2) skills, ability, knowledge of the job; (3) performance, contribution and results; (4) geographic location; (5) shift; (6) internal and external equity; and (7) business and organizational needs.
+ The salary range is what we believe to be the range of possible compensation for this role at the time of this posting. We may ultimately pay more or less than the posted range and this range is only applicable for jobs to be performed in California, Colorado, New York or remote jobs that can be performed in California, Colorado and New York. This range may be modified in the future.
+ If your position is non-exempt, you are eligible for overtime pay pursuant to company policy and applicable laws. You may also be eligible for shift differential pay, depending on the shift to which you are assigned.
+ You will be eligible to be considered for bonuses under **either** Western Digital's Short Term Incentive Plan ("STI Plan") or the Sales Incentive Plan ("SIP") which provides incentive awards based on Company and individual performance, depending on your role and your performance. You may be eligible to participate in our annual Long-Term Incentive (LTI) program, which consists of restricted stock units (RSUs) or cash equivalents, pursuant to the terms of the LTI plan. Please note that not all roles are eligible to participate in the LTI program, and not all roles are eligible for equity under the LTI plan. RSU awards are also available to eligible new hires, subject to Western Digital's Standard Terms and Conditions for Restricted Stock Unit Awards.
+ We offer a comprehensive package of benefits including paid vacation time; paid sick leave; medical/dental/vision insurance; life, accident and disability insurance; tax-advantaged flexible spending and health savings accounts; employee assistance program; other voluntary benefit programs such as supplemental life and AD&D, legal plan, pet insurance, critical illness, accident and hospital indemnity; tuition reimbursement; transit; the Applause Program; employee stock purchase plan; and the Western Digital Savings 401(k) Plan.
+ **Note:** No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
**Notice To Candidates:** Please be aware that Western Digital and its subsidiaries will never request payment as a condition for applying for a position or receiving an offer of employment. Should you encounter any such requests, please report it immediately to Western Digital Ethics Helpline (******************************************************************** or email ****************** .
$69k-98k yearly est. 3d ago
Home Health Facility Licensure & Regulatory Compliance Analyst
Centerwell
Compliance analyst job in San Juan, PR
**Become a part of our caring community and help us put health first** As a Home Health Facility Licensure & Regulatory ComplianceAnalyst, you will be responsible to oversee facility licensing and certification processes, ensure ongoing regulatory compliance, and support our agency's commitment to delivering compliant, high-quality home health services.
**Key Responsibilities:**
+ Ensure compliance with federal, state, and local healthcare regulations, including CMS guidelines.
+ Prepare and submit required facility license applications and renewals to the State Department of Health, Federal, and local agencies.
+ Oversee and manage Medicaid and Medicare enrollment, renewal, and compliance activities.
+ Track expiration dates and coordinate renewal processes to prevent lapses in facility licensure.
+ Development and maintenance of working relationships with representatives of various internal departments and external regulatory agencies.
+ Conduct thorough research on local, state, and federal statutes and regulations to support organizational initiatives, providing clear and concise written reports of findings.
+ Conduct due diligence and analysis related to healthcare acquisitions, mergers, and facility relocations.
**Use your skills to make an impact**
**Requirements:**
+ Bachelor's degree in healthcare administration, Nursing, or related field; relevant experience may be considered in lieu of degree.
+ Minimum of 5 years of experience in healthcare compliance, facility licensing, or regulatory affairs, preferably in home health.
+ Knowledge of CMS regulations, State facility licensing requirements, and accreditation standards.
+ Strong organizational skills and attention to detail.
+ Excellent communication and interpersonal skills.
+ Ability to interpret and apply complex regulatory information.
**Preferred Requirements:**
+ Experience in a regulatory or compliance position, experience working with governmental agencies.
+ Experience working with CMS, Medicaid, and State Departments of Health.
+ Prior experience in home health, or healthcare facility licensing setting.
+ Proactive and self-motivated.
+ Knowledge of home health regulations, facility licensing standards, and accreditation requirements.
**Additional Information:**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$58,700 - $70,400 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-26-2026
**About us**
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
$58.7k-70.4k yearly 6d ago
Principal SaMD Quality & Compliance Manager - AI Medical Devices
Oracle 4.6
Compliance analyst job in San Juan, PR
Oracle Health Data Intelligence is hiring a **Quality Manager** to lead and mature our quality systems and regulatory readiness for AI-enabled Software as a Medical Device (SaMD) and digital health solutions. This role sits within HDI's **Regulatory & Medical Device organization.**
You will serve as a hands-on quality leader who ensures HDI maintains world-class quality systems, audit readiness, and regulatory alignment as we scale globally across U.S. and European markets.
This role is ideal for someone who thrives in regulated environments, understands what "good" truly looks like in a quality system, and can operate with both strategic judgment and tactical depth.
At Oracle Health Data Intelligence, our mission is to **transform healthcare through trusted, intelligent technology** -helping providers, life sciences organizations, and health systems deliver safer care, faster innovation, and better patient outcomes at global scale.
HDI is uniquely positioned at the intersection of:
+ Clinical data
+ AI and advanced analytics
+ Cloud-scale infrastructure
+ Regulatory-grade engineering
We are building the next generation of healthcare platforms that don't just move fast - they move **responsibly** . Every solution we deliver is designed with:
+ Patient safety first
+ Scientific rigor
+ Regulatory credibility
+ Global compliance by design
For professionals in **regulatory science and quality** , this is a rare opportunity to shape how AI-enabled medical technologies are governed, reviewed, and trusted - not from the sidelines, but from inside one of the world's most influential healthcare technology organizations.
Your work directly enables:
+ Safe adoption of **AI/ML in clinical decision-making**
+ Faster access to **life-saving digital health solutions**
+ Global expansion of compliant, scalable **SaMD platforms**
+ A future where innovation and regulation move **together** , not in conflict
**Responsibilities**
Key Responsibilities
**Quality Systems Leadership**
+ Own and evolve HDI's Quality Management System (QMS) aligned with:
+ FDA QSR / 21 CFR Part 820
+ ISO 13485
+ ISO 14971
+ IEC 62304
+ SOC2 and InfoSec frameworks
**Audit & Inspection Readiness**
+ Lead preparation for medical device inspections, Notified Body audits, and SOC2/ISO reviews.
+ Serve as a primary quality partner during regulatory assessments.
**Regulatory & Product Partnership**
+ Partner with Regulatory Scientists, Engineering, Product, and Security to ensure submissions and technical documentation meet approval standards.
**Design Controls & Risk**
+ Guide implementation of design controls, risk management (FMEA, hazard analysis), V&V, and DHF readiness.
**Quality as a Strategic Enabler**
+ Embed quality early in product development and influence decision-making with strong regulatory judgment.
Required Qualifications
+ 8+ years in medical device, SaMD, or regulated healthcare environments.
+ Demonstrated ownership of QMS implementation and audit readiness.
+ Strong working knowledge of FDA regulations, ISO 13485, and SOC2 alignment.
+ Experience partnering with regulatory affairs and product teams on submissions.
+ Ability to operate strategically and tactically.
Preferred Experience
+ Background in digital health, AI/ML medical software, or imaging platforms.
+ Experience with CE Mark preparation and Notified Body audits.
+ Prior experience at companies such as Enzyme, Cortechs.ai, HealthLytix, Edwards Lifesciences, or ResMed.
Career Level - IC4
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $90,100 to $199,500 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
$70k-83k yearly est. 10d ago
Compliance Officer
Popular Inc. 4.5
Compliance analyst job in San Juan, PR
Company: Popular Workplace Type: Hybrid Compliance Officer General Description We are seeking a dedicated Compliance Officer to support our HMDA and CRA Reporting Program and who will be responsible for ensuring the accuracy, completeness, and regulatory compliance of small business lending data reported under the Community Reinvestment Act (CRA) and Home Mortgage Disclosure Act (HMDA).
This position supports the organization's compliance efforts by performing detailed reviews of loan data, identifying discrepancies and working with internal teams to correct and prevent errors. The ideal candidate needs to have a strong understanding of HMDA & CRA requirements, attention to detail, experience with small business lending, approach to data analysis and a passion for data quality and regulatory compliance.
Essential Duties and Responsibilities
* Review and validate small business loan data for CRA reporting accuracy and completeness.
* Review and validate HMDA data for accuracy, completeness, and consistency.
* Perform quality control checks to ensure data aligns with regulatory requirements and internal policies.
* Identify and escalate data discrepancies and collaborate with relevant departments to resolve issues.
* Assist in preparing CRA & HMDA submissions and ensure timely reporting to regulatory agencies.
* Maintain documentation of quality review processes, findings, and corrective actions.
* Monitor regulatory changes and support updates to internal procedures and systems.
* Contribute to CRA performance evaluations and reporting efforts.
* Support internal audits and regulatory examinations related to CRA small business lending & HMDA.
* Stay current on HMDA regulatory updates and contribute to process improvements.
* Provide feedback and support to loan operations and compliance teams regarding HMDA data requirements.
Education
Bachelor's degree in Business Administration, Finance, Economics or a related field.
Experience
Minimum of 3 to 5 years of experience in compliance, lending operations, or data quality.
Working knowledge of HMDA & CRA regulations, particularly small business lending requirement.
Other Qualifications
* Strong analytical and problem-solving skills.
* Excellent attention to detail and organizational skills with the ability to prioritize projects and meet changing deadlines.
* Experience with Loan Origination Systems (LOS) and HMDA reporting tools.
* Experience with loan systems and CRA reporting tools.
* Effective communication skills and ability to work collaboratively across teams.
* Familiarity with Fair Lending and CRA regulations.
* Experience with data analysis tools (e.g., Excel, SQL, Tableau).
* Knowledge of CRA exam processes and documentation standards.
* Strong oral and written communication skills in English and Spanish.
Values
1. Passion for People
3. Succeed Together
2. Own Every Moment
4. Build the Future
Important: The candidate must provide evidence of academic preparation or courses related to the job posting, if necessary.
Our hybrid work model benefit applies to certain positions and is subject to changes based on the organizational needs.
ABOUT US
Popular is Puerto Rico's leading financial institution and have been evolving since it was founded over a century ago. From a small bank it has developed into a large corporation that offer a wide variety of services and financial solutions to our customers, with presence in the United States, the Caribbean and Latin America.
As employees, we are dedicated to making our customers dreams come true by offering financial solutions in each stage of their life. Our extensive trajectory demonstrates the resiliency and determination of our employees to innovate, reach for the right solutions and strongly support the communities we serve; therefore, we value their diverse skills, experiences and backgrounds.
We reaffirm our commitment to always offer essential financial services and solutions for our customers and communities, including during emergency situations and/or natural disasters. Popular's employees are considered essential workers, whose role is critical in the continuity of these important services even under such circumstances. By applying to this position, you acknowledge that Popular may require your services during and immediately after any such events.
If you have a disability or need more information about requesting an accommodation, please contact us at ***************************. This email inbox is monitored for such types of requests only. All information you provide will be kept confidential and will be used only to the extent required to provide needed exemptions or reasonable accommodations. Any other correspondence will not receive a response.
Are you ready for a rewarding career?
Popular is an Equal Opportunity Employer, including Disability/Vets
Learn more about us at *************** and keep updated with our latest job postings at *********************
Connect with us!
LinkedIn | Facebook | Twitter | Instagram
If you are a California resident, please click here to learn more about your privacy rights.
$50k-68k yearly est. 4d ago
Compliance Officer & AML Analyst
AGC Consulting 4.3
Compliance analyst job in San Juan, PR
Job Description
The Compliance & AML Analyst supports the Firm in executing its regulatory and supervisory responsibilities. This person reports to the Broker Dealer and RIA Chief Compliance Officers. This role is ideal for a detail-oriented professional with a strong understanding of compliance operations, documentation standards, and surveillance systems. The Compliance Officer will assist in monitoring daily activities, maintaining records, and supporting internal audits and training efforts.
Key Responsibilities
Compliance Monitoring & Support
Monitoring proposed, adopted, and amended rules and regulations (FINRA, SEC, MSRB, state regulations, etc.)
Perform FINRA Branch Office Inspections
3120/3130 and 206(4)-7 annual testing for FINRA and SEC
Manage the Firm's continuing education program for Registered Persons.
Review and Approval of customer new accounts, AML/KYC, ongoing monitoring of trading activity, and Regulation Best Interest compliance.
Assist in monitoring communications through surveillance platforms (e.g., Actimize, Global Relay, Sycamore/Investedge)
Advisory Testing Reviews
Participate in compliance program testing, which includes transactional and periodic testing of supervisory controls
Review documentation of Financial Crime Enforcement Network (FinCEN) postings.
Review and monitor approval requests for new personal trading accounts, personal trading, outside activities and business gifts, meals and entertainment for employees of the Firm.
Support documentation of disclosures, suitability reviews, and client communications
Compile data for monthly and quarterly compliance reports
Support the Compliance Department in preparing presentations and memos
Respond to routine compliance inquiries from staff and registered representatives
Help draft internal communications regarding policy updates and regulatory changes
Qualifications and Skills
FINRA Series 7 certification is required.
FINRA Series 24 certification is also required or ability to obtain within 3 months of hire. Series 4 and 79 a plus.
Education: Bachelor's degree in Finance, Business Administration, or related field
Experience: 4-5 years in financial services compliance or operations
Familiarity with FINRA, SEC, and AML regulations
Ability to understand complex rules and regulations and communicate them to all levels of staff, including management, within all departments and discuss them with external relationships and to develop and implement appropriate procedures
Must show the ability to manage multiple projects, make quick decisions, use prioritization skills, and concentrate on detailed information in a fast-paced work environment and meet deadlines
Strong organizational and analytical skills
Proficiency in Microsoft Office Suite and compliance platforms
Bilingual (English/Spanish) preferred
Lexis Nexis
Work Environment
This role is based in a professional securities office in Guaynabo, Puerto Rico. It requires a polished, compliance-focused demeanor and may involve occasional overtime to meet regulatory deadlines or support audits.
Equal Employment Opportunity Statement
We are an Equal Employment Opportunity employer. We are committed to providing a workplace free from discrimination or harassment based on race, color, religion, creed, sex, gender identity or expression, sexual orientation, national origin, age, disability, marital status, veteran status, genetic information, or any other protected status under applicable federal, state, or local laws. We value diversity and encourage individuals from all backgrounds to apply.
$39k-57k yearly est. 20d ago
Compliance Specialist
APS Health Care Pr 4.1
Compliance analyst job in San Juan, PR
Job Description
The Compliance Specialist will perform ongoing risk assessment activities focused on regulatory and compliance areas associated with organizational operations and performance. This key individual will be accountable for elaborating and overseeing regulatory & compliance matters designed to assess and evaluate adequacy, effectiveness and compliance of policies, procedures, laws and regulations.
Essential Functions:
Oversees the creation and maintenance of an appropriately structured monitoring process regarding regulatory & compliance areas, liaising with key members of Management and other departments within APS.
Manages and assures completion of auditing activities through effective performance, time/budget management, progress metrics, and effective report revisions.
Provides periodic and/or requested reporting to key business leaders regarding compliance plan, schedules and status.
Performs all corresponding investigations regarding instances of non-compliance with State and Federal Laws & Regulations, healthcare utilization, corporate policies and procedures. (10%)
Reports any identified or referred instances of non-compliance with State and Federal Laws & Regulations, to the Compliance Officer and Committee.
Elaborates reports and statistical analysis based on all instances of non-compliance with State and Federal Laws & Regulations, healthcare utilization, corporate policies and procedures.
Elaborates and conducts compliance trainings to APS-PR personnel in collaboration with the Compliance Manager.
Provides direct assistance in the preparation, coordination and tracking of: Compliance plans, Compliance Committees, compliance trainings, enforcement of corrective action plans, and policies and procedure review & development.
Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
And all other duties assigned by the manager and/or supervisor.
Education:
Bachelor's Degree in Business Administration, Managed Care or a Behavioral Health Field; Master's Degree preferred.
Experience:
Minimum 3 years of experience in auditing, financial auditing, compliance, healthcare, care management or related field preferred.
Knowledge:
Knowledge of the healthcare industry and managed care processes.
Knowledge regarding audit processes and work plans preferred.
Knowledge of current Fraud, Abuse and Waste deterring techniques preferred.
Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.
$57k-68k yearly est. 4d ago
Compliance Officer - Casino del Mar
The Condado Collection
Compliance analyst job in San Juan, PR
The Condado Collection is a collection of hospitality properties in Puerto Rico ranging from classic and modern luxury full-service hotels, to fine dining and entertainment.
Casino del Mar features non-stop fun, excitement and sophistication under one roof. Located in the open lobby of La Concha Resort, Casino Del Mar combines atmosphere with high-energy action designed to excite the senses. We aim to create experiences and inspire journeys not only for our guests, but also our workforce. We are confident that our team members are the key in delivering passionate and authentic hospitality service. Let's create a collection of memories together!
Key Responsibilities
Ensure compliance with all regulatory and licensing requirements, Casino and Sports Book policies and procedures to support operations.
Oversee and coordinate all compliance-related activities to ensure adherence to applicable laws, regulations, and internal policies and controls.
Develop, implement, and enforce compliance policies, procedures, and internal control programs.
Conduct investigations, interviews, and prepare detailed reports related to suspicious activities or compliance concerns.
Collaborate and communicate effectively with all departments to address compliance issues and provide guidance.
Report sensitive compliance and control issues promptly to the appropriate leadership levels.
Lead and perform self-assessments and internal audits to ensure compliance with Casino Standard Operating Procedures (SOPs) and regulatory requirements, as defined by the Compliance Program and Risk Assessment.
Coordinate with independent auditors, external regulators, and government agencies as required.
Periodically observe and verify Soft Count operations.
Ensure strict adherence to federal, state, and local laws governing casino operations.
Coordinate training on CTR, SARC, Anti-Money Laundering (AML), and other regulatory requirements.
Maintain confidentiality of proprietary information; protect company assets.
Monitor applicable laws and regulations and maintain up-to-date knowledge of changes and communication impact to management.
Should oversee process of preparing and submitting regulatory findings, including SARs and CTRs.
Should be reporting regularly to management and the compliance committee on compliance matters and also maintain all records of compliance-related activities (trainings, meetings, examinations, etc.).
Follow all company and safety and security policies and procedures; report accidents, injuries, and unsafe work conditions to the manager.
Ensure uniform and personal appearance are clean and professional.
Maintain confidentiality of proprietary information; protect company assets.
Perform other reasonable supervisor job duties.
Qualifications
Hospitality oriented.
Bachelor's degree, preferably in finance, business, law or related field.
Strong knowledge of casino operations, statistical analysis and casino auditing. (Min. 1 year)
Familiarity with casino laws, regulations, and the functioning of regulatory authorities.
Experience with reporting and compliance-related job functions. Should have strong knowledge of AML/BSA regulations. Preferred: experience with regulatory bodies.
Excellent interpersonal and communication skills, with the ability to interact with individuals at all levels.
Skilled in developing policies, procedures, and compliance documentation.
Knowledge in computer applications, including data processing programs and spreadsheets to generate accurate reports.
Fully bilingual (Spanish and English).
Benefits
401(k)
Employer Contribution to 401(k)
Health Insurance
Vision Insurance
Dental Insurance
Life Insurance
Paid Holidays
The Condado Collection is an equal opportunity employer. We believe in hiring a diverse workforce and sustaining an inclusive, people-first culture. We are committed to non-discrimination on any protected basis, such as disability and veteran status, or any other basis covered under applicable law.
$42k-57k yearly est. Auto-Apply 12d ago
Tax Compliance Director
Deca Analytics 4.2
Compliance analyst job in San Juan, PR
Job Description
DECA Analytics is seeking an experienced and strategic Senior Tax Director (or Director- level candidate) to lead and expand our growing tax function. This individual will play a critical role in overseeing complex compliance operations, advising clients on tax optimization strategies, and strengthening the team infrastructure.
Key Responsibilities
1. Tax Compliance & Filings
Oversee preparation and timely filing of all major Puerto Rico tax obligations, including:
Incentive Income Tax Returns
Volume of Business Declarations
Personal Property Tax (CRIM)
Exempt Annual Reports & Annual Corporate Reports
Informative Returns (480 series)
Sales & Use Tax (IVU) returns
Professional Services Quarterly Returns
CFSE filings
Coordinate and manage the preparation of U.S. Federal Income Tax Returns for applicable entities.
2. Tax Consulting & Advisory
Entity Structuring & Optimization:
Advise on tax-efficient corporate structures using Puerto Rico incentives.
Conduct cross-border structuring and IP ownership evaluations.
Design optimal subsidiary and holding company structures.
Cross-Border & International Tax Planning:
Analyze cross-jurisdictional tax implications.
Develop strategies for global effective tax rate (ETR) minimization.
Assess treaty applications and manage PE risk.
Tax Accounting Advisory:
Oversee deferred tax accounting related to Puerto Rico tax incentives (ASC 740).
Provide internal compliance oversight and audit readiness support.
3. State, Local, and Indirect Tax Advisory
Advise on municipal tax compliance, incentives, and CRIM exemptions.
Negotiate tax reliefs and packages with local authorities.
Analyze indirect tax implications (IVU, VAT, excise).
Identify optimization and credit opportunities for indirect tax exposures.
4. Intellectual Property Tax Strategies
Design tax-efficient IP ownership and licensing frameworks.
Support valuation methodologies and manage intercompany IP transactions.
Optimize incentive utilization through IP placement.
Qualifications
Bachelor's degree in Accounting, Finance, or a related field.
Certified Public Accountant (CPA) designation.
8+ years of experience in tax consulting or tax leadership roles.
At least 3 years in a managerial or director-level position.
In-depth knowledge of Puerto Rico tax laws, filings, and incentive programs (Act 60 and related).
Proven experience in international tax planning and entity structuring.
Familiarity with R&D tax credits is a plus.
Bilingual: Fluent in English and Spanish (verbal and written).
Exceptional communication, leadership, and client engagement skills.
Ability to manage multiple priorities and meet deadlines under pressure.
Why Join DECA Analytics?
You'll be part of a high-impact team that plays a central role in supporting the tax operations of one of Puerto Rico's most forward-thinking analytics firms. With opportunities for growth and innovation, you'll help lead a strategic transformation in how DECA and its clients optimize their tax outcomes.
DECA is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or veteran status.
If you are interested in this role and qualified, apply now.
**Description - External** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations.
**SALARY**
The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience
**ESSENTIAL FUNCTIONS OF THE ROLE**
This position will be supporting Hospital and Professional areas of billing compliance:
· Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs.
· Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions.
· Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way.
· Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters.
**KEY SUCCESS FACTORS**
· Continually demonstrates initiative by learning business processes and applicable auditing techniques.
· Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity.
· Excellent written and oral communication skills based on level of expertise.
· Proficient in Microsoft Word and Excel.
· Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred.
**BENEFITS**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
· Immediate eligibility for health and welfare benefits
· 401(k) savings plan with dollar-for-dollar match up to 5%
· Tuition Reimbursement
· PTO accrual beginning Day 1
Note: Benefits may vary based on position type and/or level
**Belonging Statement**
We believe that all people should feel welcomed, valued, and supported.
**QUALIFICATIONS**
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$31.7 hourly 32d ago
Clinical Investigation Analyst CIC (RN)- San Juan, PR
Unitedhealth Group Inc. 4.6
Compliance analyst job in San Juan, PR
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment.
Primary Responsibilities:
* Clinical Case Reviews -75%
* Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported
* Maintain standards for productivity and accuracy. Standards are defined by the department
* Provide clear and concise clinical logic to the providers when necessary
* Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization
* Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
* Investigate and pursue recoveries
* Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
* Use pertinent data and facts to identify and solve a range of problems within area of expertise
* Other internal customer correspondence and team needs - 15%
* Attend and provide feedback during monthly meetings with assigned internal customer department
* Provide continuous feedback on how to improve the department relationships with internal team members and departments
* Continuing education - 10%
* Keep up required Coding Certificate and/or Nursing Licensure
* Complete compliance hours as required by the department
ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Registered Nurse (RN), Coding Certificate or Nursing Licensure, for example:
* Puerto Rico Registered Nurse
* Certified Professional Coder (CPC) + CPC A
* Certified Inpatient Coder (CIC)
* Certified Outpatient Auditor (COC)
* Certified Professional Medical Auditor (CPMA)
* Certified Coding Specialist (CCS)
* Experience in a hospital/inpatient setting, surgical or clinic
* Proficient with computers, including Microsoft Suite of products
* Willing or able to work from Monday to Friday, 40 hours per week during our business operating hours of 8am - 7pm ATL
* Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position)
Preferred Qualifications:
* Experience working with medical claims platforms
* Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting
* Presentation or policy documentation experience
* Knowledge of CMS and AMA coding rules specific to CPT, HCPCS
* Knowledge of CMS Coverage, Federal and State Statues, Rules and Regulations
* Knowledge of Medicaid/Medicare Reimbursement methodologies
* Working knowledge of the healthcare insurance/managed care industry
* Working knowledge of medical terminology and claim coding
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$58k-65k yearly est. 11d ago
Compliance Manager, Logistics, Air & Sea US
DSV 4.5
Compliance analyst job in Carolina, PR
FRAUD ALERT: Please note that DSV will never request a chat interview or solicit funds from applicants or employees through its interviewing and hiring process. We do not require any form of payment and will not ask for personal financial information, such as credit card or bank account number. Our recruiters have an @dsv.com or @us.dsv.com email address. If you question the legitimacy of any DSV job posting, please reach out to *************.
DSV - Global transport and logistics
In 1976, ten independent hauliers joined forces and founded DSV in Denmark. Since then, DSV has evolved to become the world's 3rd largest supplier of global solutions within transport and logistics. Today, we add value to our customers' entire supply chain by transporting, storing, packaging, re-packaging, processing and clearing all types of goods. We work every day from our many offices in more than 80 countries to ensure a steady supply of goods to production lines, outlets, stores and consumers all over the world. Our reach is global yet our presence is local and close to our customers. Read more at ***********
Location: PRI - Carolina, Lot 3-4C A Street
Division: Air & Sea
Job Posting Title: Compliance Manager, Logistics, Air & Sea US - 98066
Time Type: Full Time
Summary
The Compliance Manager is responsible for ensuring adherence to regulatory requirements and internal policies within the transportation and logistics industry. They develop and implement compliance programs, monitor compliance activities, and provide guidance to mitigate risks. The Compliance Manager plays a critical role in maintaining a strong ethical culture and promoting regulatory compliance throughout the organization.
Duties and Responsibilities
Develop and implement a comprehensive compliance program aligned with industry regulations and company policies.
Monitor and assess compliance risks and identify areas for improvement.
Conduct regular audits and reviews to ensure compliance with applicable laws, regulations, and internal policies.
Provide guidance and training to employees on compliance matters.
Collaborate with internal stakeholders to develop and implement compliance strategies.
Investigate and address compliance-related incidents, violations, and complaints.
Stay updated with changes in laws and regulations affecting the transportation and logistics industry.
Develop and maintain relationships with regulatory agencies and industry associations.
Prepare and submit required reports to regulatory bodies.
Lead and support internal investigations and audits related to compliance.
Develop and maintain effective compliance-related documentation and record-keeping.
Educational background / Work experience
Bachelor's degree in business, law, or a related field is required.
Advanced degree in law, business administration, or a relevant discipline is preferred.
Minimum of 5-7 years of experience in compliance management, preferably in the transportation and logistics industry.
Strong knowledge of applicable regulations, such as customs compliance, trade compliance, anti-bribery, and data privacy.
Experience in developing and implementing compliance programs and policies.
Proven track record of managing compliance-related audits and investigations.
Skills & Competencies
In-depth understanding of transportation and logistics industry regulations.
Strong knowledge of compliance frameworks and best practices.
Excellent analytical and problem-solving abilities.
Strong leadership and project management skills.
Excellent communication and interpersonal skills.
Ability to collaborate and influence at all levels of the organization.
Exceptional attention to detail and organizational skills.
Familiarity with risk assessment and mitigation techniques.
Proficiency in data analysis and reporting.
Function / Market & Industry Knowledge / Business Acumen / Processes
Supervisory Responsibilities (if any)
May have supervisory responsibilities, leading a team of compliance professionals.
Preferred Qualifications
Certification in compliance or a related field (e.g., Certified Compliance and Ethics Professional, Certified Regulatory Compliance Manager).
Experience working with international compliance regulations.
Experience implementing compliance programs in a global organization.
Familiarity with compliance management software and tools.
Knowledge of industry-specific certifications, such as C-TPAT, AEO, or ISO.
Language skills
Fluent in English (oral and written)
Computer Literacy
Proficient in using compliance management software and tools.
Advanced knowledge of Microsoft Office suite.
Familiarity with data analysis and reporting tools.
Ability to adapt to new technology platforms used in compliance management.
At Will Employment
DSV Air & Sea Inc. employees are hired for an undefined period of time as “at will” employees. This means that an employee may be terminated for any reason, or no reason at all, at any time, provided the discharge does not violate any law*. Additionally, each employee has the right to terminate his/her employment at any time. *Except if employed in Montana, where termination requires just cause.
For this position, the expected base pay is: $45,000 - $61,000/ Annual. Actual base compensation will be determined based on various factors including job-related knowledge, geographical location, skills, experience, and other objective business considerations.
DSV does not accept unsolicited agency resumes. Please do not forward unsolicited resumes to our website, employees, or Human Resources. DSV will not be responsible for any agency fees associated with unsolicited resumes. Unsolicited resumes received will be considered property of DSV and will be processed accordingly without fees.
DSV is an equal employment opportunity employer. Candidates are considered for employment without regard to race, creed, color, national origin, age, sex, religion, ancestry, disability, veteran status, marital status, gender identity, sexual orientation, national origin, or any other characteristic protected by applicable federal, state or local law. If you require special assistance or accommodation while seeking employment with DSV, please contact Human Resources at *************. If you are interested in learning the status of your application, please note you will be contacted directly by the appropriate human resources contact person if you are selected for further consideration. DSV reserves the right to defer or close a vacancy at any time.
DSV - Global transport and logistics
Working at DSV means playing in a different league.
As a global leader in transport and logistics, we have been on an extraordinary journey of growth. Let's grow together as we continue to innovate, digitalise and build on our achievements.
With close to 160,000 colleagues in over 90 countries, we work every day to offer solid services and meet our customers' needs and help them achieve their goals. We know that the best way to achieve this is by bringing in new talent, fresh perspectives and ambitious individuals like you.
At DSV, performance is in our DNA. We don't just work - we aim to shape the future of logistics. This ambition fuels a dynamic environment built on collaboration with world-class team players, accountability and action. We value inclusivity, embrace different cultures and respect the dignity and rights of every individual. If you want to make an impact, be trusted by customers and grow your career in a forward-thinking company - this is the place to be.
Start here. Go anywhere
Visit dsv.com and follow us on LinkedIn and Facebook.
$45k-61k yearly Easy Apply 60d+ ago
Senior Compliance Officer
Popular Inc. 4.5
Compliance analyst job in San Juan, PR
Company: Popular Workplace Type: Hybrid Senior Compliance Officer General Description We are seeking a highly motivated and experienced Senior Compliance Officer to support our Community Reinvestment Act (CRA) Programs at both Banco Popular de Puerto Rico and Popular Bank. The CRA Program Senior Compliance Officer plays a critical role in ensuring both banks' compliance with the CRA and related regulatory requirements. This position supports the development, implementation, and monitoring of annual CRA goals and self-assessments, collaborates with internal stakeholders, and prepares documentation for regulatory examinations. The ideal candidate will have strong analytical skills, regulatory knowledge, and experience in community development or financial services
Essential Duties and Responsibilities
Program Support & Coordination:
* Assist in the implementation and maintenance of the CRA programs, including the development, implementation and monitoring of annual goals and self-assessments for both banks.
* Support CRA strategy execution in alignment with regulatory requirements and organizational goals.
* Maintain and update the CRA Public File and related documentation.
Data Collection & Management:
* Support the collection of CRA-related data from lending, investment, and service departments.
* Help ensure data accuracy, completeness, and proper categorization per CRA guidelines.
* Manage CRA data systems and tools (e.g., CRA Wiz), ensuring data integrity and usability.
Reporting & Analysis:
* Develop dashboards and reports to monitor CRA performance across assessment areas.
* Analyze trends and identify gaps or opportunities for improvement.
* Assist in preparing CRA Loan Registers and other regulatory filings, as required.
Compliance & Examination Support:
* Support CRA examination preparation, including compiling documentation and responding to examiner requests.
* Maintain audit trails and collaborate with internal audit and compliance teams.
* Stay current on CRA regulations and guidance from regulatory agencies.
Community Engagement & Outreach:
* Assist in tracking and documenting CRA-qualified community development activities.
* Support outreach efforts and partnerships with community organizations.
* Assist in identifying CRA-eligible loans, investments, and services.
Training & Collaboration:
* Provide CRA-related training and guidance to internal teams, as appropriate.
* Collaborate cross-functionally with departments such as lending, marketing, and compliance.
* Serve as a resource for CRA-related inquiries and initiatives.
Education
Bachelor's degree in business, Finance, Economics, Public Policy, or a related field. Advanced degree, JD or CRCM preferred, with superior knowledge of compliance laws and regulations including CRA.
Experience
Minimum of five (5) years' experience in data analysis and reporting within a financial institution, including proficiency with Excel, SQL, or other relevant data analysis tools.
Basic understanding of CRA regulations and related compliance frameworks.
Other Qualifications
* Understanding of CRA regulatory requirements.
* Excellent research and analysis skills with high attention to detail.
* Strong oral and written communication skills in English and Spanish.
* Effective organizational skills with the ability to prioritize projects and meet changing deadlines.
* Results-oriented with sound decision-making ability.
* Customer service mindset with the ability to communicate across all levels of the organization.
* Proficient in evaluating process changes and recommending additional controls.
* Ability to work independently and collaboratively in a fast-paced environment.
* Proficient in Microsoft Office (MS Excel, PowerPoint, SharePoint, Word, etc.)
Values
* 1. Passion for People
* 2. Own Every Moment
* 3. Succeed Together
* 4. Build the Future
Important: The candidate must provide evidence of academic preparation or courses related to the job posting, if necessary.
Our hybrid work model benefit applies to certain positions and is subject to changes based on the organizational needs.
Applicants must be authorized to work for any employer in the United States. This position is not open to applicants who need visa sponsorship or transfer of visa sponsorship at this time.
ABOUT US
Popular is Puerto Rico's leading financial institution and have been evolving since it was founded over a century ago. From a small bank it has developed into a large corporation that offer a wide variety of services and financial solutions to our customers, with presence in the United States, the Caribbean and Latin America.
As employees, we are dedicated to making our customers dreams come true by offering financial solutions in each stage of their life. Our extensive trajectory demonstrates the resiliency and determination of our employees to innovate, reach for the right solutions and strongly support the communities we serve; therefore, we value their diverse skills, experiences and backgrounds.
We reaffirm our commitment to always offer essential financial services and solutions for our customers and communities, including during emergency situations and/or natural disasters. Popular's employees are considered essential workers, whose role is critical in the continuity of these important services even under such circumstances. By applying to this position, you acknowledge that Popular may require your services during and immediately after any such events.
If you have a disability or need more information about requesting an accommodation, please contact us at ***************************. This email inbox is monitored for such types of requests only. All information you provide will be kept confidential and will be used only to the extent required to provide needed exemptions or reasonable accommodations. Any other correspondence will not receive a response.
Are you ready for a rewarding career?
Popular is an Equal Opportunity Employer, including Disability/Vets
Learn more about us at *************** and keep updated with our latest job postings at *********************
Connect with us!
LinkedIn | Facebook | Twitter | Instagram
If you are a California resident, please click here to learn more about your privacy rights.
$50k-68k yearly est. 7d ago
Compliance Officer & AML Analyst
AGC Consulting 4.3
Compliance analyst job in San Juan, PR
Job Description
The Compliance & AML Analyst supports the Firm in executing its regulatory and supervisory responsibilities. This person reports to the Broker Dealer and RIA Chief Compliance Officers. This role is ideal for a detail-oriented professional with a strong understanding of compliance operations, documentation standards, and surveillance systems. The Compliance Officer will assist in monitoring daily activities, maintaining records, and supporting internal audits and training efforts.
Key Responsibilities
Compliance Monitoring & Support
Monitoring proposed, adopted, and amended rules and regulations (FINRA, SEC, MSRB, state regulations, etc.)
Perform FINRA Branch Office Inspections
3120/3130 and 206(4)-7 annual testing for FINRA and SEC
Manage the Firm's continuing education program for Registered Persons.
Review and Approval of customer new accounts, AML/KYC, ongoing monitoring of trading activity, and Regulation Best Interest compliance.
Assist in monitoring communications through surveillance platforms (e.g., Actimize, Global Relay, Sycamore/Investedge)
Advisory Testing Reviews
Participate in compliance program testing, which includes transactional and periodic testing of supervisory controls
Review documentation of Financial Crime Enforcement Network (FinCEN) postings.
Review and monitor approval requests for new personal trading accounts, personal trading, outside activities and business gifts, meals and entertainment for employees of the Firm.
Support documentation of disclosures, suitability reviews, and client communications
Compile data for monthly and quarterly compliance reports
Support the Compliance Department in preparing presentations and memos
Respond to routine compliance inquiries from staff and registered representatives
Help draft internal communications regarding policy updates and regulatory changes
Qualifications and Skills
FINRA Series 7 certification is required.
FINRA Series 24 certification is also required or ability to obtain within 3 months of hire. Series 4 and 79 a plus.
Education: Bachelor's degree in Finance, Business Administration, or related field
Experience: 4-5 years in financial services compliance or operations
Familiarity with FINRA, SEC, and AML regulations
Ability to understand complex rules and regulations and communicate them to all levels of staff, including management, within all departments and discuss them with external relationships and to develop and implement appropriate procedures
Must show the ability to manage multiple projects, make quick decisions, use prioritization skills, and concentrate on detailed information in a fast-paced work environment and meet deadlines
Strong organizational and analytical skills
Proficiency in Microsoft Office Suite and compliance platforms
Bilingual (English/Spanish) preferred
Lexis Nexis
Work Environment
This role is based in a professional securities office in Guaynabo, Puerto Rico. It requires a polished, compliance-focused demeanor and may involve occasional overtime to meet regulatory deadlines or support audits.
Equal Employment Opportunity Statement
We are an Equal Employment Opportunity employer. We are committed to providing a workplace free from discrimination or harassment based on race, color, religion, creed, sex, gender identity or expression, sexual orientation, national origin, age, disability, marital status, veteran status, genetic information, or any other protected status under applicable federal, state, or local laws. We value diversity and encourage individuals from all backgrounds to apply.
$39k-57k yearly est. 20d ago
Market VP, Professional Practice and Pharmacy Compliance
Centerwell
Compliance analyst job in San Juan, PR
**Become a part of our caring community and help us put health first** The Market Vice President of Pharmacy Professional Practice will be responsible for pharmacy practice related compliance of CenterWell Pharmacy, encompassing Traditional, Specialty, and Community pharmacies throughout the United States. The Market Vice President makes certain the pharmacy and its operations comply with all applicable federal, state and local laws and regulations, as well as ensuring internal policies and procedures meet or exceed industry standards, , and are followed and communicated timely to all affected employees. The Market Vice President will work collaboratively with operational, legal, compliance, and engineering stakeholders to accomplish business initiatives while ensuring pharmacy practice compliance.
The Market Vice President will serve as a subject matter expert in pharmacy practice compliance with extensive knowledge in regulations of Boards of Pharmacy, DEA, FDA, and other applicable healthcare and pharmacy regulatory agencies. The Market Vice President will report directly to the SVP of CenterWell Pharmacy/CenterWell Specialty Pharmacy and will lead a team consisting of Pharmacists-In-Charge, Directors, and Professionals to ensure pharmacy practice compliance. This position can be located anywhere within the lower 48 states and does not require relocation, however travel to pharmacies, industry conferences, and internal meetings is required.
**Key Responsibilities**
+ Ensures pharmacy practice compliance with all federal, state, local, and Board of Pharmacy regulations.
+ Provides guidance and strategy on responses to regulatory agency inquiries (Boards of Pharmacy)
+ Ensures all pharmacies are appropriately licensed and registered with Boards of Pharmacy, DEA, and other applicable regulatory agencies.
+ Ensures all pharmacy associates are appropriately licensed and registered in their respective jurisdictions to perform required tasks of the pharmacy. Oversees pharmacy policy and ensures all policies and procedures are appropriate and reviewed regularly
+ Oversees team that is responsible for Prescription Drug Monitoring Reporting and related compliance
+ Oversees pharmacy accreditation (ACHC, NABP, URAC) ensuring that required accreditations are obtained and maintained.
+ Oversees team responsible for pharmacy associate professional development (ex. obtaining pharmacy technician licenses, providing continuing education, etc.)
+ Oversees team responsible for pharmacy management system user access
+ Establishes guidelines to comply with the policies and procedures, applicable statutes, and regulations and implement corrective action plans, when needed.
+ Sets and ensures consistent application of additional internal standards to help a company stand out in the industry
+ Verifies legality and compliance of pharmacy practice related items
+ Responsible for oversight of training and education programs and conducts audits to monitor compliance
+ Influences and collaborates with operational peers related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, weighing risk and compliance with business operations
+ Develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy
+ Functions as a key leader on the Pharmacy Leadership team, with the ability to be a strategic thought-partner and to synthesize and communicate complex ideas
+ Providing strategic leadership to a high-performing team of Pharmacy professionals; grow the team by recruiting, hiring, developing, and retaining high-caliber talent
**Required Qualifications**
+ Bachelor's degree in Pharmacy or PharmD.
+ Min 5 years' experience leading pharmacy practice/compliance for a large pharmacy
+ Active pharmacist license for the state of employment
+ Extensive experience in Pharmacy, particularly home delivery pharmacy or managed care environment
+ 5 or more years of management/people leadership experience
+ Deep knowledge of pharmacy practice regulatory compliance requirements (BOP, DEA, FDA, etc.)
+ Working knowledge of privacy and HIPAA regulations and USP guidance
+ Experience in providing guidance for clinical operational aspects of pharmacy
+ Ability to manage clinical decision-making aspects within the pharmacy
+ Ability to participate in federal prescription programs
+ Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters 6 and 18)
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Use your skills to make an impact**
Preferred Qualifications
+ Master's degree Additional Information
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-28-2026
**About us**
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
$50k-68k yearly est. 7d ago
Compliance Specialist
APS Health Care Pr 4.1
Compliance analyst job in San Juan, PR
The Compliance Specialist will perform ongoing risk assessment activities focused on regulatory and compliance areas associated with organizational operations and performance. This key individual will be accountable for elaborating and overseeing regulatory & compliance matters designed to assess and evaluate adequacy, effectiveness and compliance of policies, procedures, laws and regulations.
Essential Functions:
Oversees the creation and maintenance of an appropriately structured monitoring process regarding regulatory & compliance areas, liaising with key members of Management and other departments within APS.
Manages and assures completion of auditing activities through effective performance, time/budget management, progress metrics, and effective report revisions.
Provides periodic and/or requested reporting to key business leaders regarding compliance plan, schedules and status.
Performs all corresponding investigations regarding instances of non-compliance with State and Federal Laws & Regulations, healthcare utilization, corporate policies and procedures. (10%)
Reports any identified or referred instances of non-compliance with State and Federal Laws & Regulations, to the Compliance Officer and Committee.
Elaborates reports and statistical analysis based on all instances of non-compliance with State and Federal Laws & Regulations, healthcare utilization, corporate policies and procedures.
Elaborates and conducts compliance trainings to APS-PR personnel in collaboration with the Compliance Manager.
Provides direct assistance in the preparation, coordination and tracking of: Compliance plans, Compliance Committees, compliance trainings, enforcement of corrective action plans, and policies and procedure review & development.
Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
And all other duties assigned by the manager and/or supervisor.
Education:
Bachelor's Degree in Business Administration, Managed Care or a Behavioral Health Field; Master's Degree preferred.
Experience:
Minimum 3 years of experience in auditing, financial auditing, compliance, healthcare, care management or related field preferred.
Knowledge:
Knowledge of the healthcare industry and managed care processes.
Knowledge regarding audit processes and work plans preferred.
Knowledge of current Fraud, Abuse and Waste deterring techniques preferred.
Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.
$57k-68k yearly est. Auto-Apply 4d ago
Tax Compliance Director
DECA Analytics 4.2
Compliance analyst job in San Juan, PR
DECA Analytics is seeking an experienced and strategic Senior Tax Director (or Director- level candidate) to lead and expand our growing tax function. This individual will play a critical role in overseeing complex compliance operations, advising clients on tax optimization strategies, and strengthening the team infrastructure.
Key Responsibilities
1. Tax Compliance & Filings
Oversee preparation and timely filing of all major Puerto Rico tax obligations, including:
Incentive Income Tax Returns
Volume of Business Declarations
Personal Property Tax (CRIM)
Exempt Annual Reports & Annual Corporate Reports
Informative Returns (480 series)
Sales & Use Tax (IVU) returns
Professional Services Quarterly Returns
CFSE filings
Coordinate and manage the preparation of U.S. Federal Income Tax Returns for applicable entities.
2. Tax Consulting & Advisory
Entity Structuring & Optimization:
Advise on tax-efficient corporate structures using Puerto Rico incentives.
Conduct cross-border structuring and IP ownership evaluations.
Design optimal subsidiary and holding company structures.
Cross-Border & International Tax Planning:
Analyze cross-jurisdictional tax implications.
Develop strategies for global effective tax rate (ETR) minimization.
Assess treaty applications and manage PE risk.
Tax Accounting Advisory:
Oversee deferred tax accounting related to Puerto Rico tax incentives (ASC 740).
Provide internal compliance oversight and audit readiness support.
3. State, Local, and Indirect Tax Advisory
Advise on municipal tax compliance, incentives, and CRIM exemptions.
Negotiate tax reliefs and packages with local authorities.
Analyze indirect tax implications (IVU, VAT, excise).
Identify optimization and credit opportunities for indirect tax exposures.
4. Intellectual Property Tax Strategies
Design tax-efficient IP ownership and licensing frameworks.
Support valuation methodologies and manage intercompany IP transactions.
Optimize incentive utilization through IP placement.
Qualifications
Bachelor's degree in Accounting, Finance, or a related field.
Certified Public Accountant (CPA) designation.
8+ years of experience in tax consulting or tax leadership roles.
At least 3 years in a managerial or director-level position.
In-depth knowledge of Puerto Rico tax laws, filings, and incentive programs (Act 60 and related).
Proven experience in international tax planning and entity structuring.
Familiarity with R&D tax credits is a plus.
Bilingual: Fluent in English and Spanish (verbal and written).
Exceptional communication, leadership, and client engagement skills.
Ability to manage multiple priorities and meet deadlines under pressure.
Why Join DECA Analytics?
You'll be part of a high-impact team that plays a central role in supporting the tax operations of one of Puerto Rico's most forward-thinking analytics firms. With opportunities for growth and innovation, you'll help lead a strategic transformation in how DECA and its clients optimize their tax outcomes.
DECA is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or veteran status.
If you are interested in this role and qualified, apply now.
$48k-65k yearly est. Auto-Apply 60d+ ago
Clinical Investigation Analyst CIC (RN)- San Juan, PR
Unitedhealth Group 4.6
Compliance analyst job in San Juan, PR
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment.
**Primary Responsibilities:**
+ Clinical Case Reviews -75%
+ Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported
+ Maintain standards for productivity and accuracy. Standards are defined by the department
+ Provide clear and concise clinical logic to the providers when necessary
+ Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization
+ Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
+ Investigate and pursue recoveries
+ Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
+ Use pertinent data and facts to identify and solve a range of problems within area of expertise
+ Other internal customer correspondence and team needs - 15%
+ Attend and provide feedback during monthly meetings with assigned internal customer department
+ Provide continuous feedback on how to improve the department relationships with internal team members and departments
+ Continuing education - 10%
+ Keep up required Coding Certificate and/or Nursing Licensure
+ Complete compliance hours as required by the department
****ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION****
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Registered Nurse (RN), Coding Certificate or Nursing Licensure, for example:
+ Puerto Rico Registered Nurse
+ Certified Professional Coder (CPC) + CPC A
+ Certified Inpatient Coder (CIC)
+ Certified Outpatient Auditor (COC)
+ Certified Professional Medical Auditor (CPMA)
+ Certified Coding Specialist (CCS)
+ Experience in a hospital/inpatient setting, surgical or clinic
+ Proficient with computers, including Microsoft Suite of products
+ Willing or able to work from Monday to Friday, 40 hours per week during our business operating hours of 8am - 7pm ATL
+ Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position)
**Preferred Qualifications:**
+ Experience working with medical claims platforms
+ Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting
+ Presentation or policy documentation experience
+ Knowledge of CMS and AMA coding rules specific to CPT, HCPCS
+ Knowledge of CMS Coverage, Federal and State Statues, Rules and Regulations
+ Knowledge of Medicaid/Medicare Reimbursement methodologies
+ Working knowledge of the healthcare insurance/managed care industry
+ Working knowledge of medical terminology and claim coding
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$58k-65k yearly est. 11d ago
Compliance Manager
DSV 4.5
Compliance analyst job in Carolina, PR
FRAUD ALERT: Please note that DSV will never request a chat interview or solicit funds from applicants or employees through its interviewing and hiring process. We do not require any form of payment and will not ask for personal financial information, such as credit card or bank account number. Our recruiters have an @dsv.com or @us.dsv.com email address. If you question the legitimacy of any DSV job posting, please reach out to *************.
DSV - Global transport and logistics
In 1976, ten independent hauliers joined forces and founded DSV in Denmark. Since then, DSV has evolved to become the world's 3rd largest supplier of global solutions within transport and logistics. Today, we add value to our customers' entire supply chain by transporting, storing, packaging, re-packaging, processing and clearing all types of goods. We work every day from our many offices in more than 80 countries to ensure a steady supply of goods to production lines, outlets, stores and consumers all over the world. Our reach is global yet our presence is local and close to our customers. Read more at ***********
Location: PRI - Carolina, Lot 3-4C A Street
Division: Air & Sea
Job Posting Title: Compliance Manager
Time Type: Full Time
Summary
The Compliance Manager is responsible for ensuring adherence to regulatory requirements and internal policies within the transportation and logistics industry. They develop and implement compliance programs, monitor compliance activities, and provide guidance to mitigate risks. The Compliance Manager plays a critical role in maintaining a strong ethical culture and promoting regulatory compliance throughout the organization.
Duties and Responsibilities
Develop and implement a comprehensive compliance program aligned with industry regulations and company policies.
Monitor and assess compliance risks and identify areas for improvement.
Conduct regular audits and reviews to ensure compliance with applicable laws, regulations, and internal policies.
Provide guidance and training to employees on compliance matters.
Collaborate with internal stakeholders to develop and implement compliance strategies.
Investigate and address compliance-related incidents, violations, and complaints.
Stay updated with changes in laws and regulations affecting the transportation and logistics industry.
Develop and maintain relationships with regulatory agencies and industry associations.
Prepare and submit required reports to regulatory bodies.
Lead and support internal investigations and audits related to compliance.
Develop and maintain effective compliance-related documentation and record-keeping.
Educational background / Work experience
Bachelor's degree in business, law, or a related field is required.
Advanced degree in law, business administration, or a relevant discipline is preferred.
Minimum of 5-7 years of experience in compliance management, preferably in the transportation and logistics industry.
Strong knowledge of applicable regulations, such as customs compliance, trade compliance, anti-bribery, and data privacy.
Experience in developing and implementing compliance programs and policies.
Proven track record of managing compliance-related audits and investigations.
Skills & Competencies
In-depth understanding of transportation and logistics industry regulations.
Strong knowledge of compliance frameworks and best practices.
Excellent analytical and problem-solving abilities.
Strong leadership and project management skills.
Excellent communication and interpersonal skills.
Ability to collaborate and influence at all levels of the organization.
Exceptional attention to detail and organizational skills.
Familiarity with risk assessment and mitigation techniques.
Proficiency in data analysis and reporting.
Function / Market & Industry Knowledge / Business Acumen / Processes
Supervisory Responsibilities (if any)
May have supervisory responsibilities, leading a team of compliance professionals.
Preferred Qualifications
Certification in compliance or a related field (e.g., Certified Compliance and Ethics Professional, Certified Regulatory Compliance Manager).
Experience working with international compliance regulations.
Experience implementing compliance programs in a global organization.
Familiarity with compliance management software and tools.
Knowledge of industry-specific certifications, such as C-TPAT, AEO, or ISO.
Language skills
Fluent in English (oral and written)
Computer Literacy
Proficient in using compliance management software and tools.
Advanced knowledge of Microsoft Office suite.
Familiarity with data analysis and reporting tools.
Ability to adapt to new technology platforms used in compliance management.
At Will Employment
DSV Air & Sea Inc. employees are hired for an undefined period of time as “at will” employees. This means that an employee may be terminated for any reason, or no reason at all, at any time, provided the discharge does not violate any law*. Additionally, each employee has the right to terminate his/her employment at any time. *Except if employed in Montana, where termination requires just cause.
For this position, the expected base pay is: $45,000 - $61,000 / Annual. Actual compensation will be determined based on job-related factors, including relevant experience, skills, education or certifications, and geographic location, consistent with applicable laws and company policy.
DSV does not accept unsolicited agency resumes. Please do not forward unsolicited resumes to our website, employees, or Human Resources. DSV will not be responsible for any agency fees associated with unsolicited resumes. Unsolicited resumes received will be considered property of DSV and will be processed accordingly without fees.
DSV is an equal employment opportunity employer. Candidates are considered for employment without regard to race, creed, color, national origin, age, sex, religion, ancestry, disability, veteran status, marital status, gender identity, sexual orientation, national origin, or any other characteristic protected by applicable federal, state or local law. If you require special assistance or accommodation while seeking employment with DSV, please contact Human Resources at *************. If you are interested in learning the status of your application, please note you will be contacted directly by the appropriate human resources contact person if you are selected for further consideration. DSV reserves the right to defer or close a vacancy at any time.
DSV - Global transport and logistics
Working at DSV means playing in a different league.
As a global leader in transport and logistics, we have been on an extraordinary journey of growth. Let's grow together as we continue to innovate, digitalise and build on our achievements.
With close to 160,000 colleagues in over 90 countries, we work every day to offer solid services and meet our customers' needs and help them achieve their goals. We know that the best way to achieve this is by bringing in new talent, fresh perspectives and ambitious individuals like you.
At DSV, performance is in our DNA. We don't just work - we aim to shape the future of logistics. This ambition fuels a dynamic environment built on collaboration with world-class team players, accountability and action. We value inclusivity, embrace different cultures and respect the dignity and rights of every individual. If you want to make an impact, be trusted by customers and grow your career in a forward-thinking company - this is the place to be.
Start here. Go anywhere
Visit dsv.com and follow us on LinkedIn and Facebook.
$45k-61k yearly Easy Apply 30d ago
Compliance Specialist
APS Health 4.1
Compliance analyst job in San Juan, PR
The Compliance Specialist will perform ongoing risk assessment activities focused on regulatory and compliance areas associated with organizational operations and performance. This key individual will be accountable for elaborating and overseeing regulatory & compliance matters designed to assess and evaluate adequacy, effectiveness and compliance of policies, procedures, laws and regulations.
Essential Functions:
* Oversees the creation and maintenance of an appropriately structured monitoring process regarding regulatory & compliance areas, liaising with key members of Management and other departments within APS.
* Manages and assures completion of auditing activities through effective performance, time/budget management, progress metrics, and effective report revisions.
* Provides periodic and/or requested reporting to key business leaders regarding compliance plan, schedules and status.
* Performs all corresponding investigations regarding instances of non-compliance with State and Federal Laws & Regulations, healthcare utilization, corporate policies and procedures. (10%)
* Reports any identified or referred instances of non-compliance with State and Federal Laws & Regulations, to the Compliance Officer and Committee.
* Elaborates reports and statistical analysis based on all instances of non-compliance with State and Federal Laws & Regulations, healthcare utilization, corporate policies and procedures.
* Elaborates and conducts compliance trainings to APS-PR personnel in collaboration with the Compliance Manager.
* Provides direct assistance in the preparation, coordination and tracking of: Compliance plans, Compliance Committees, compliance trainings, enforcement of corrective action plans, and policies and procedure review & development.
* Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
* And all other duties assigned by the manager and/or supervisor.
Education:
* Bachelor's Degree in Business Administration, Managed Care or a Behavioral Health Field; Master's Degree preferred.
Experience:
* Minimum 3 years of experience in auditing, financial auditing, compliance, healthcare, care management or related field preferred.
Knowledge:
* Knowledge of the healthcare industry and managed care processes.
* Knowledge regarding audit processes and work plans preferred.
* Knowledge of current Fraud, Abuse and Waste deterring techniques preferred.
* Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.
How much does a compliance analyst earn in San Juan, PR?
The average compliance analyst in San Juan, PR earns between $29,000 and $41,000 annually. This compares to the national average compliance analyst range of $39,000 to $87,000.
Average compliance analyst salary in San Juan, PR
$35,000
What are the biggest employers of Compliance Analysts in San Juan, PR?
The biggest employers of Compliance Analysts in San Juan, PR are: