Astrana Health Careers

Description

Job Title: Compliance Specialist

Department: Compliance

About the Role:

We are currently seeking a highly motivated Compliance Specialist. This role will report to the Manager - MSO Compliance and enable us to continue to scale in the healthcare industry.

What You'll Do: 

• Coordinates the preparation and completion of audit requests from contracted Health Plans and/or regulatory bodies e.g. CMS, DMHC, DHCS. 
• Analyze and interpret audit instructions and results from contracted Health Plans and/or regulatory bodies.
• Review, monitor changes, and operationalize processes based on federal and state regulations.
• Assist in the development and maintenance of department policies, procedures and operational processes.
• Performs ongoing internal risk assessment and audits to proactively identify potential issues.
• Collaborates with internal department stakeholders to mitigate issues identified via audits and/or internal monitoring mechanisms.
• Independently provides responses to external stakeholders regarding compliance inquiries.
• Works on ad hoc projects, routine assignments, and recurring tasks under the direction of Compliance leadership. 
• Manages time effectively and meets expected deadlines. 

Minimum qualifications:

• Bachelor’s degree in related field, preferred.
• 3+ years of related compliance experience, healthcare preferred.
• Strong knowledge of healthcare industry standards.
• Excellent oral and written communication skills. 
• Strong organizational skills and attention to detail. 
• Ability to multi-task and prioritize assigned tasks.
• Strategic thinking skills to provide practical advice with an awareness of legal risks in the business context. 
• Intermediate MS Word, PowerPoint, Outlook, and Excel required. 

Who We Are:

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for over 1.2 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

• Put Patients First 
• Empower Entrepreneurial Provider and Care Teams 
• Operate with Integrity & Excellence 
• Be Innovative 
• Work As One Team 

Environmental Job Requirements and Working Conditions:

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. 
• The target pay range for this role is: $68,640 - $80,000. 

This salary range represents our national target range for this role. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.