Responsible for completing activities that organize the department's ability to conduct auditing and monitoring along with other compliance related activities.

• Gathers, audits, and monitors documentation and data from compliance and/or operational reports.
• Assists with analyzing and reporting privacy incidents.
• Conducts compliance related verification activities to ensure that corrective actions were completed.  
• Conducts administrative tasks for the department such as recording auditing activities in database(s) and prepares draft reports based on documents provided by the Compliance team.
• Manages the verification of service activity (FWA activity).
• Collects and reports data for compliance reports.
• Logs and reports external communications.
• Assists with managing Authorization to Use or Disclose (AUD) process.
• Responds to clinical records requests.
• Manages policies and procedures as directed by the Compliance Officer.
• Prepares data reports for the compliance committee.
• Organizes volume of work and workflows for the Compliance department to enable performance standards and proper procedures are met in accordance to client requirements and state and federal regulations.

Other Job Requirements

Responsibilities

Strong analytical, interpersonal skills and attention to detail.
Ability to organize work, detail oriented, strong problem-solving skills, works well under pressure, delivers on tight timelines and seeks help on tasks where needed.
Strong writing and proofing skills required ensuring documents meet standards and are accurate.
Experience in project management, data gathering and reporting and detailed review of health related materials.

General Job Information

Title

Compliance Coordinator HMSA

Grade

20

Work Experience - Required

Compliance, Project/Program Management

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associate

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$41,505

Salary Maximum:

$62,255

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.