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Corporate Compliance Analyst

  • Job ID: 270425209
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Finance
  • Department: Corporate Compliance
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $20.97 to $34.97 / hour

Description

Do you have a strong compliance background and are looking for the next step in your career?  Look no further!  UPMC Corporate Services is hiring a Corporate Compliance Analyst. 

As the Corporate Compliance Analyst, you will work under the direction of the Chief Audit & Compliance Officer and Compliance Manager, the Compliance Analyst is primarily responsible for supporting the mission and goals of the Office of Ethics and Compliance Department. Assistance and support may include research and analysis of regulations, monitoring and compiling reports of compliance activity and behavior identified through compliance reporting mechanisms, and conducting investigations and audits in support of the various compliance programs. You will support the management of special investigations and educational frameworks. The Compliance Analyst is expected to contribute to the implementation and success of ongoing departmental goals as defined in the Annual Compliance Work-plan.

UPMC has a Center for Engagement and Inclusion that is charged with executing leading-edge and next-generation diversity strategies to advance the organization’s diversity management capability and its national presence as a diversity leader. This includes having Employee Resource Groups, such as Women Inspiring Talent in Heath Care in Finance (WITH) or PRIDE Health, that support the implementation of our diversity strategy. 

Responsibilities:

 

  • Oversees Compliance Analyst I staff, as required

  • Perform chart reviews to assess compliance with coding and billing regulations.

  • Extract and compile reimbursement data for regulatory analysis.

  • Facilitate investigations, as assigned.

  • Possess understanding of health care terminology and industry risk

  • Monitor and report on Compliance Helpline (hotline), Exit Interviews, Conflict of Interest related matters and other miscellaneous compliance projects as assigned.

  • Assist in developing, maintaining and exhibiting departmental professionalism and reputation.

  • Facilitate and help analyze conflict of interest reporting.

  • Help to enhance and maintain internal and external websites.

  • Assist with collection and monitoring of Compliance Watch results.

  • Assist with monitoring and reporting of conflict management plans.

  • Assist in planning, developing and creating educational and training materials related to specific compliance topics.

  • Effectively communicate and support the values of UPMC to employees at all levels of the organization.

  • Assist in establishing and maintaining policies, procedures and tools to support compliance activities.
  • Contribute to ongoing departmental goals.
  • Assist the Chief Audit and Compliance Officer and Compliance Managers on special projects, as assigned.

 

Qualifications

  • Bachelor's degree and two years of compliance related health care experience.
  • Associate's Degree and four years of compliance related health care experience.
  • Coding Certificate or completion of approved coding program and six years of compliance related health care experience.
  • Enrollment in or completion of Graduate level degree and completion of a UPMC Compliance Externship


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct