Participates in corrections process for all lines of business
Intakes and triages suspected issues of non-compliance
Entry of compliance issues into GRC tool and assignment/coordination of issues to corrections team members
Collaborates with compliance and business stakeholders to gather information, develop corrective action plans, identify and escalate barriers to progress and gather evidence of remediation
Updates GRC tool to support corrections reporting
Reviews and oversees progress towards remediation and documented key milestones in GRC tool
Identifies issues that require escalation and ensures they are addressed timely through established paths and processes
Conducts review of evidence to address root cause of issue and facilitate timely closure of issues
Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions
Supports management in the development and maintenance of corrections processes and tools

Bachelor's Degree in Managed Care/Health Insurance or related field, or equivalent experience required
5+ years experience in Managed Care/Health Insurance or related experience required
Experience with data analytics preferred
Excellent Microsoft Office skills preferred
Certified in HealthCare Compliance (CHC) preferred
Certified Compliance & Ethics Professional (CCEP) preferred

Senior Compliance Corrections Specialist

Key skills