At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

JOB REQUIREMENTS:

• Registered Nurse (RN), LPN, LVN, Physician's Assistant OR MSW (Master of Social Work)/LCSW (Licensed Clinical Social Worker) or other BH licensure with current, unrestricted license to practice in the state of operations OR Respiratory Therapist with master’s level or above degree
• Medical specialty certification (Certified Professional in Healthcare Quality (CPHQ) or Diabetic Education) OR Bachelor Degree in medical field such as Nursing, Health Care Administration.
• 3 years clinical practice experience.
• 2 years' experience in health insurance or managed care.
• 2 years quality improvement and/or project management experience.
• Experience conducting presentations for member and/or provider training.
• Current unrestricted  driver’s license.
• Ability to travel including overnight stays.
• Verbal and written communications skills.
• Data analysis experience.
• PC proficiency to include Word, Excel, and PowerPoint.

PREFERRED EXPERIENCE:

• Licenses Nurse with HEDIS experience HIGHLY PREFERRED
• Health plan QI (qualify improvement) HIGHLY PREFERRED
• HEDIS audit experience.
• Familiarity with EMR (electronic medical record) and Inovalon (HEDIS software)

We encourage people of all backgrounds and experiences to apply.

Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

*Sponsorship will not be provided for this role.*

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Do you love eDiscovery but looking for something more than document review?  Do you enjoy helping people learn in order to mitigate compliance risk?  Do you find the intersection of compliance and technology interesting?  This might be the role for you!

This position provides compliance support specifically for DaVita’s compliance email monitoring program.  This teammate will leverage technology to conduct monthly email reviews for potential compliance-related issues, and determine appropriate next steps based on findings. Additionally, this teammate will make recommendations to improve existing processes, lead analysis of related data, and develop relationships with internal stakeholders. 

This teammate will also be responsible for daily oversight and management of the Compliance QUESTionLine by providing clear and consistent guidance to teammates who seek answers to compliance-related questions. This teammate will work collaboratively within the Compliance Department as a compliance policy subject matter expert (SME) and with other teammates throughout the Village.  Areas of focus include Anti-Kickback Statute, Antitrust, Beneficiary Inducement and the False Claims Act.

DaVita’s Compliance team, Team Quest, identifies, develops, and implements strategies to mitigate risk in a quickly evolving health care regulatory landscape.  As a Compliance Manager, you will join a team of highly motivated individuals and will be a key player in enhancing compliance oversight.

Overarching responsibilities:

Oversight and responsibility for the proactive Email Monitoring Program. Management and oversight of day-to-day operations of the Compliance QUESTionLine. Ownership and maintenance of data and reporting for the Compliance Policies Team. Support Compliance Director on special projects as needed.

QUESTionLine Responsibilities:

• Review inquiries received and triage as appropriate.  For compliance questions, provide timely policy guidance to teammates and document clearly within system (EthicsPoint).
• Understand and be able to interpret compliance policies to provide appropriate guidance.
• Communicate policies, procedures, and potential risk in an easily digestible manner.
• Analyze data to define and understand problems, perform research, and evaluate alternatives to assist leadership in decision making regarding program enhancements or areas of improvement.
• Escalate issues to leadership, legal, and/or the Investigations team, as appropriate.
• Review and track compliance forms and approvals related to policies.
• Help review and provide feedback for compliance policies, trainings and job aids as needed.
• Participate in committees or independently review forms and requests for compliance risk and provide appropriate guidance and/or approvals.

Email Monitoring Responsibilities:

• Manage ongoing compliance email monitoring process, including, conducting monthly reviews in Relativity and Brainspace and completing preliminary research on potential issues identified.
• Document rationale for decision to conduct additional follow up or create a case in EthicsPoint Case Management System for matters requiring additional investigation.
• Model continuous improvement in day to day working practices, consistently iterating on processes to ensure efficiency in risk mitigation.
• Build and maintain positive relationships within Compliance department and across departments.
• Analyze data to identify themes and trends and present to senior compliance leadership on an ongoing basis.
• Communicate findings to leadership and make recommendations for next steps related to issues identified.

Qualifications/Skills/Behaviors Required for Success in this Position:

• Bachelor’s Degree required; JD a plus
• Relativity and/or Brainspace experience required; eDiscovery technical certification(s) preferred
• Minimum of 4 years of professional work experience required.  Compliance and/or health care experience strongly preferred
• Excellent problem-solving and decision-making skills; Proven ability to synthesize/analyze diverse information, develop recommendations and solutions, and articulate them clearly to business partners and leadership
• Proven experience in managing multiple requests for support while insuring stakeholders are satisfied with completeness, accuracy and timeliness
• Broad knowledge of eDiscovery technology and the collection, processing, review and production of electronically stored information (ESI)
• Strong written, verbal, and interpersonal communications skills including ability to listen attentively and to communicate information clearly and effectively
• Strong organizational skills and attention to detail are critical for success in this role
• Demonstrated strength in time management required; ability to respond to urgent requests, prioritize appropriately, manage multiple projects and priorities at one time and meet deadlines

• Able to function in a team environment, being flexible and responsive to changing priorities, and having an appropriate sense of urgency in completing tasks and projects

• Professional presence and presentation skills (including PowerPoint presentations); ability to synthesize and present analyses to senior management with persuasion and sound logic
• Ability to deal with confidential information and/or issues using discretion and judgment
• Proficiency in Microsoft Word, Outlook, PowerPoint and Excel

What We’ll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more

• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

Salary/ Wage Range

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits  

Job Family:

Travel Required:

Clearance Required:

What You Will Do:
Our finance professionals help our federal clients transform their business processes, improve internal controls, improve efficiency of operations, increase transparency and performance management, and to comply with Federal laws and regulations. We provide technical and coordination support over internal control assessments, corrective action planning, audit liaison support, project management, and technical support in the areas of Internal Control Over Financial Reporting.

The nature of our projects is extremely fluid and requires self-motivated individuals that are willing to develop solutions on their own or in a team of highly skilled professionals. Project members are provided the opportunity to interact with our clients' senior management, as well as the opportunity to enhance their skills in the area of technical competency, business development, client service and people development. Project members will provide specialized experience and knowledge in internal controls, financial management, process analysis, risk management and performance measurement to support/contribute to project activities

What You Will Need:

• US Citizenship and the ability to obtain and maintain a federal Public Trust;

• Bachelor’s degree in Finance, Accounting, Economics, Information Systems, Business Administration or Certified Public Accountant.

• 4+ years of experience in financial management, audit remediation, internal controls or related audit services;

• Ability to understand client needs, participate within a team environment, and communicate throughout internal and external network in a manner that allows for successful execution of tasks;

• Experience and demonstrated ability to participate in client-facing discussions and meetings;

• Ability to understand and analyze the impact of internal control assessment results on the Agency;

• Understanding of and experience conducting internal control assessments and testing in accordance with OMB Circular A-123, Appendix A requirements;

• Experience working in teams to produce high-impact work products, reports, and other deliverables;

• Strong oral and written communication skills; and

• Willingness to learn and participate in business development activities and internal firm objectives

What Would Be Nice To Have:

• Demonstrated knowledge and success in advising federal clients in improving internal controls over financial reporting and meeting the requirements of related federal guidance and requirements, including: OMB Circular A-123, Appendix A and C, the GAO Green Book, the Chief Financial Officers Act of 1990, Federal Managers’ Financial Integrity Act of 1982 (FMFIA), and Payment Integrity Information Act of 2019 (PIIA);

• Experience understanding deficiencies communicated by the auditor, tracking audit PBC requests, responding to audit requests, developing corrective action plans, and executing remediation with a focus on internal controls over financial reporting and management financial statement assertions;

• Experience evaluating/testing internal controls, performing financial statement audits (preferably for a Government agency), or providing audit readiness support; 

• Federal accounting, the Treasury Financial Manual, and knowledge of Federal Financial Management Improvement Act (FFMIA);

• Experience with Internal control over financial reporting and operations improvements, and related business process improvement;

• Experience with Entity level controls, risk management, and fraud risk assessments; 

• Implementation of new federal guidance into existing federal programs; and

• Federal audit support, audit liaison, corrective action planning, and remediation experience

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave and Adoption Assistance

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Student Loan PayDown

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

• Mobility Stipend

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

JOB REQUIREMENTS:

• Registered Nurse (RN), LPN, LVN, Physician's Assistant OR MSW (Master of Social Work)/LCSW (Licensed Clinical Social Worker) or other BH licensure with current, unrestricted license to practice in the state of operations OR Respiratory Therapist with master’s level or above degree
• Medical specialty certification (Certified Professional in Healthcare Quality (CPHQ) or Diabetic Education) OR Bachelor Degree in medical field such as Nursing, Health Care Administration.
• 3 years clinical practice experience.
• 2 years' experience in health insurance or managed care.
• 2 years quality improvement and/or project management experience.
• Experience conducting presentations for member and/or provider training.
• Current unrestricted  driver’s license.
• Ability to travel including overnight stays.
• Verbal and written communications skills.
• Data analysis experience.
• PC proficiency to include Word, Excel, and PowerPoint.

PREFERRED EXPERIENCE:

• Licenses Nurse with HEDIS experience HIGHLY PREFERRED
• Health plan QI (qualify improvement) HIGHLY PREFERRED
• HEDIS audit experience.
• Familiarity with EMR (electronic medical record) and Inovalon (HEDIS software)

We encourage people of all backgrounds and experiences to apply.

Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

*Sponsorship will not be provided for this role.*

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

[What you will be working on]

In this role, you will help to review and implement policies with a focus on the

Environmental Control Officer for Specified Construction Sites [ECO(SCS)] scheme in Singapore.

• Work with the team on the formulation and review of operational policies and procedures to support NEA’s strategic objectives
• Conduct research and analysis to identify best practices and regulatory requirements for policy development
• Evaluate existing policies and recommend updates or revisions to ensure relevance and effectiveness
• Collaborate with cross-functional teams to gather inputs and feedback on proposed policies
• Review key pieces of legislation in consultation with legal department and undertake the required Act amendments
• Work with stakeholders to identify training gaps, develop competency framework, review Code of Practice and enhance training curriculum for relevant industries
• Engage stakeholders and industry to communicate policy changes, updates and/or share best practices via newsletters, organisation of webinar/seminar or other means
• Handle complex queries, feedback and appeal cases
• Coordinate meetings and assist in secretariat duties

[What we are looking for]

• Prior experience in policy formulation, learning & development, stakeholder engagement and event organisation will be an advantage
• Strong analytical and sense-making skills
• Excellent communication, writing and presentation skills to engage and influence stakeholders across different levels
• A good team player who enjoys interacting and working with others
• Self-driven, able to work independently and multi-task
• Proficient in Microsoft Office applications

As part of the shortlisting process for this role, you may be required to complete a medical declaration and/or undergo further assessment.

Applicants will be updated on the status of their applications within 4 weeks of the closing date of this job posting.

[What you will be working on]

In this role, you will help to review and implement policies with a focus on the regulation of vector pesticides and repellents in Singapore:-

• Work with the team on the formulation and review of operational policies and procedures to support NEA’s strategic objectives
• Conduct research and analysis to identify best practices and regulatory requirements for policy development
• Evaluate existing policies and recommend updates or revisions to ensure relevance and effectiveness
• Collaborate with cross-functional teams to gather inputs and feedback on proposed policies and ensure alignment with stakeholder needs
• Review key pieces of legislation in consultation with legal department and undertake the required Act amendments
• Engage stakeholders and industry to communicate policy changes, updates and provide guidance on policy implementation
• Handle complex queries, feedback and appeal cases
• Coordinate meetings and assist in secretariat duties

[What we are looking for]

• Prior relevant working experience in policy formulation and stakeholder engagement will be an advantage
• Strong analytical and sense-making skills
• Excellent communication and writing skills to engage stakeholders across different levels
• A good team player who enjoys interacting and working with others
• Self-driven, able to work independently and multi-task
• Proficient in Microsoft Office applications

As part of the shortlisting process for this role, you may be required to complete a medical declaration and/or undergo further assessment.

Applicants will be updated on the status of their applications within 4 weeks of the closing date of this job posting.

DaVita’s Compliance team, “Team Quest” identifies, develops, and implements strategies to mitigate risk in a quickly evolving healthcare regulatory landscape.

As a Senior Analyst supporting the Hospital Services and Home Dialysis teams, you will be responsible for designing and improving processes, creating efficiencies, establishing reporting / dashboards, providing analysis, and managing the integrity and quality of our Hospital Services and Home Dialysis data to provide risk mitigating insights and solutions.

The Senior Analyst will work with stakeholders to identify opportunities and then project manage, design, develop, and implement solutions to improve Hospital Services and Home Dialysis compliance processes. Requires ability to develop relationships with stakeholders, lead cross-functional work with other teams, and manage stakeholder dependencies.

Essential Duties and Responsibilities:

• Gather requirements from key stakeholders, design, develop, and deliver solutions (reporting, dashboards, process, analysis, etc.) to support business needs, create efficiencies, and resolve problems
• Manage projects to deliver desired outcomes while keeping open communication and clear timelines with stakeholders
• Serve as a collaborative thought partner for the business in leveraging available tools, data, and observed best practices
• Analyze strengths and opportunities in the compliance hospital services and home dialysis space
• Manage Hospital Services and Home Dialysis compliance data: data profiling and mapping documentation, data integrity and system controls, and root cause analysis of inconsistencies or issues
• Continuously learn and grow in development abilities to utilize full tool stack to deliver compliance risk mitigating insights

Qualifications:

• Bachelor's Degree – STEM or Business preferred
• 2+ year experience as a business analyst or project manager, working with stakeholders and independently managing projects
• 1+ year experience with SQL, JavaScript, or other programming languages (or equivalent education / certification)
• 1+ year experience developing with Tableau or other Business Intelligence tools (or equivalent education / certification)
• Healthcare industry experience preferred – with Health System, Payor, or Provider; knowledge of industry dynamics (e.g., regulatory environment, costs, reimbursement)
• Advanced proficiency in Microsoft Excel, Word, PowerPoint, and Outlook required
• Ability to audit data to verify accuracy and identify errors with a high attention to detail
• Ability to learn new systems, processes, and tools quickly
• Ability to deal with confidential information and/or issues using discretion and judgment

#LI-JE1

Salary/ Wage Range

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits  

PURPOSE AND SCOPE:

The IT Control Specialist supports the Corporate ICS team in the further development of the internal control system. Contributes to the mitigation of IT risk and ensures IT compliance with Sarbanes- Oxley (SOX) requirements. Provides guidance, support and subject matter expertise and works directly with IT management in implementing/documenting/testing controls and remediating identified deficiencies. Also works closely with the external auditor to collaboratively determine how to best resolve identified SOX IT deficiencies. Furthermore, becomes a subject matter expert of our ICS ecosystem (SAP Process Control, SAP Analytics Could, Celonis, etc.) and drives innovation such as control automation.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Work with IT management to ensure appropriately designed controls are implemented for all in-scope entities and divisions and perform testing to validate their operating effectiveness throughout the fiscal year.
• Facilitate regular meetings with the FMC IT regulatory function and IT management to plan the documentation updates and testing of SOX IT controls.
• Analyze SOX testing results, making recommendations to facilitate management’s remediation and/or identification of mitigating controls for all FMC IT deficiencies.
• Supports IT management as the principal interface between external auditor and the FMC IT functions.
• Performs the annual SOX 404 scoping exercise to determine if there are any changes to IT data centers, applications or related processes which should be considered to determine what is in scope for SOX 404 purposes.
• Perform IT control assessments of any new entities, divisions and processes deemed material to the financial reporting process or in the scope of the external audit. Work with local IT management to develop and implement IT general controls and IT application.
• Maintains current knowledge regarding changes to SOX compliance regulations and ensures that FMC adjusts methodologies in response to the changes by issuing guidance and instructions to the appropriate IT stakeholders and personnel. Determines and recommends improvements to current risk management controls as needed.
• Leads implementation of major special projects and initiatives related to auditing automation software and applications to manage governance tasks and SOX financial reporting functions.
• Support and partial responsibility for the rollout as well as the planning and monitoring of automated controls.
• Updating of ICS information documents (presentations, knowledge cards, quick reference cards, ICS handbook)
• Support in the preparation and implementation of ICS-relevant meetings and training sessions
• Support the following positions: Corporate Head of Internal Controls, Internal Control Team Lead, Internal Control Team Members, Corporate ICS Manager

EDUCATION AND REQUIRED CREDENTIALS:

Degree in computer science, business informatics, business administration with IT focus or similar Professional certifications such as CISA, CISM or CISSP are a plus.

EXPERIENCE AND SKILLS:

• 2- 5 years of professional experience (e.g. IT Audit, Consulting, GRC or internal audit functions)
• Convincing personality and excellent communication skills
• Experience in IT auditing, audit-related consulting (ICS, auditing, risk management),
• IT affinity and confident handling of MS Office
• AP GRC Process Control and basic technical knowledge of SAP
• MS Office

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

Job Responsibilities

• Provide planning, implementation and monitoring of activities associated with regulatory and contractual requirements for government programs. Develop process and procedure flows to ensure that reports, or specific obligations mandated from government agencies are implemented by the appropriate business areas. Coordinate the development of policies and procedures designed to maintain the accuracy and timeliness of completing contractual requirements. Ensure that the process of filing certification and attestations with the government is documented.
• Analyze and oversee supportive data to prevent regulatory sanctions, foster regulatory relationships and integrate operations with regulatory requirements. This includes coordination with internal departments, i.e. Internal Audit, Special Investigations Department, Legal, as well as subcontractors to align for appropriate information collection and reporting. Work closely with Internal Audit and other business areas for the resolution of audit findings or other issues raised by the Government regarding non-compliance.
• Review and interpret regulatory documentation for adherence to standard criteria. Develop programs to accommodate corporate goals. Review filings made to government agencies.
• Perform reviews of various aspects of government programs and conduct investigations where necessary including investigations of any subcontractor, first tier entities, downstream entities and/or related entities.
• Prepare reports based on the completion of compliance reviews and investigations related to government programs.
• Design, implement, and monitor program projects and initiatives in all aspects of Government Programs.
• Serve as a resource on problematic issues generated from changing laws, regulations and guidance to maintain consistent/accurate interpretations.
• Participate in enterprise-wide initiatives and task forces in order to provide advice and guidance on compliance with government programs requirements.
• Manage reporting system to ensure that all contacts regarding possible non-compliance or misconduct involving a government program are properly logged, investigated and resolved including making recommendations to the Compliance Officer regarding whether disclosure should be made to the government, corrective actions, and disciplinary actions. Maintain documentation for each report of potential fraud, waste and abuse received through any reporting method (i.e. hotline, mail, in-person, exit questionnaires) which describes the initial report of non-compliance, the investigation, the results of the investigation, and all corrective actions and/or disciplinary action(s) taken as a result of the investigation.
• Direct research on laws and regulations to support investigative reviews related to government programs.
• Direct applicable audit functions to support investigative reviews of any potential wrongdoing related to government programs.
• Develop Corrective Action Plans and make recommendations regarding new policies and procedures based on risk assessments, compliance reviews, investigations or weaknesses.
• Identify needs and opportunities for communication to management regarding compliance issues and policies.
• Identify areas for training and communication to employees directly or indirectly related to Government Programs regarding compliance.
• Monitor Fraud, Waste and Abuse program as required under CMS guidelines and Medicaid contract including coordination with Special Investigations Department and Internal Audit
• Provide briefings on government programs requirements to the Compliance Officer, to the Board and its Committees and Compliance committees.
• Communicate and interact effectively and professionally with co-workers, management, customers, etc.
• Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
• Maintain complete confidentiality of company related business.
• Maintain effective communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.

Required Job Qualifications:
* Bachelor’s Degree
* 8 years of auditing or investigative experience with a focus in government or compliance reviews.
* 5 years of managerial experience.
* Management and negotiation skills.
* Effective verbal and written communication skills.

Preferred Job Qualifications:
* 3-5 years of experience in a government programs health plan

*This is a hybrid role based in Albuquerque, NM and will sit in this office 3 days/week*

#LI-Hybrid

INJLF

#LI-EL1

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

JOB REQUIREMENTS:

• High School Diploma or GED (REQUIRED)

• CPC Coding Certification/CPC, CCS, CCSP (REQUIRED)

• 2 years medical coding experience (REQUIRED)

• Experience with process management

• PC experience and skills to include Microsoft Office

• Verbal and written communication skills

• Analytical skills

• Ability to travel 20% - 30% of the time in and out of state

PREFERRED JOB REQUIREMENTS:

• At least 6 months Risk Adjustment Coding Experience (highly preferred)

• CRC

• Experience in health insurance or health care setting

We encourage people of all backgrounds and experiences to apply.

Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

*Sponsorship will not be provided for this role.* 

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

JOB REQUIREMENTS:

• High School Diploma or GED.
• CPC Coding Certification/CPC, CCS, CCSP (REQUIRED)
• 2 years medical coding experience (REQUIRED)
• Experience with process management
• PC experience and skills to include Microsoft Office
• Verbal and written communication skills
• Analytical skills
• Ability to travel 20% - 30% of the time in and out of state

PREFERRED JOB REQUIREMENTS:

• Associate or Bachelor’s degree
• CRC
• Medicare/Commercial Insurance experience  or health care setting

We encourage people of all backgrounds and experiences to apply.

Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

*Sponsorship will not be provided for this role.* 

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

• Provide penetration testing services using a variety of tactics, techniques, and procedures to identify exploitable vulnerabilities in networks and systems while also measuring compliance with organizational security policies, testing whether staff are aware of security issues, and ultimately determining the organization’s risk to cybersecurity threats.
• Perform network mapping and reconnaissance, document Rules of Engagement to guide the scope, develops test plan, and assists with acquiring management approval.  
• External Testing: Conduct a variety of penetration tests based on system’s criticality, test objectives, and organization’s requirements to include:
  • Working with IT personnel to define scope for targeted testing.
  • Mimicking an outside attacker to gain access to system and what information can be accessed.
     
• Internal Testing: Mimic an outside an insider attack to determine risk employees with various access levels pose to the organization.
• Red Team Testing: Focus testing activity towards accessing specific target datasets. Testing methodology should include crafted e-mails, custom public websites, exploit code, and social engineering.
• Analyze test results, develop a report on discovered vulnerabilities, and provide risk-based recommendations to remediate those vulnerabilities.

What You Will Need:

• Active Secret clearance or the ability to obtain.
• Minimum 1-3 years of prior cybersecurity penetration testing.
• Bachelor’s degree from a university or college.
• U.S. citizenship.

What Would Be Nice To Have:

• Excellent oral and written communication and presentation skills.
• Communicates effectively and demonstrates leadership role with clients and fellow team members.
• Previous passing of the CISA AES HVA Assessment or ability to pass the CISA AES HVA Assessment course.
• Experience supporting US government cybersecurity programs.
• Offensive Security Certified Professional (OSCP) or GIAC Penetration Tester (GPEN) or Certified Ethical Hacker (CEH) Certification.
• CISSP or CISM.
• Experience conducting HVA assessment or performing Risk and Vulnerability Assessments.
• Knowledge of Cybersecurity Framework, Risk Management, NIST 800-83 Rev 5.
• Experience developing and maintaining working relationships while serving Federal clients onsite.
• Ability to identify obstacles and opportunities that impact the success of plans or initiatives.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave and Adoption Assistance

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Student Loan PayDown

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

• Mobility Stipend

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

This teammate will be responsible for daily oversight and management of the Compliance QUESTionLine by providing clear and consistent guidance to teammates who seek answers to compliance-related questions. They will work collaboratively within the Compliance Department as a compliance policy subject matter expert (SME) and with other teammates throughout the Village.  Areas of focus include Anti-Kickback Statute, Antitrust, Beneficiary Inducement and the False Claims Act.

Additionally, this teammate will provide support for DaVita’s regulatory compliance monitoring program that conducts monitoring against compliance policies. This support will include making recommendations to improve existing processes, lead the analysis of related data, and develop relationships with internal stakeholders. 

DaVita’s Compliance team, Team Quest, identifies, develops, and implements strategies to mitigate risk in a quickly evolving health care regulatory landscape.  As a Compliance Senior Analyst, you will join a team of highly motivated individuals and will be a key player in enhancing compliance oversight.

Overarching responsibilities:

Become a SME of compliance policies. Management and oversight of day-to-day operations of the Compliance QUESTionLine. Ownership and maintenance of data and reporting for the Compliance Policies Team. Support to the department’s policy monitoring activities aimed at mitigating compliance risk. Support Compliance Director on special projects as needed.

QUESTionLine Responsibilities:

• Review inquiries received and triage as appropriate.  For compliance questions, provide timely policy guidance to teammates and document clearly within system (EthicsPoint).
• Understand and be able to interpret compliance policies to provide appropriate guidance.
• Communicate policies, procedures, and potential risk in an easily digestible manner.
• Analyze data to define and understand problems, perform research, and evaluate alternatives to assist leadership in decision making regarding program enhancements or areas of improvement.
• Escalate issues to leadership, legal, and/or the Investigations team, as appropriate.
• Review and track compliance forms and approvals related to policies.
• Help review and provide feedback for compliance policies, trainings and job aids as needed.
• Participate in committees or independently review forms and requests for compliance risk and provide appropriate guidance and/or approvals.

Monitoring Responsibilities:

• Perform compliance monitoring activities to verify accuracy of data and adherence to policies and processes.
• Analyze, investigate, and resolve concerns that arise from monitoring activities.
• Develop and maintain detailed documentation of monitoring activities.
• Collect data, analyze, and summarize metrics and trends for upper management.
• Provide education, guidance, and corrective action to teammates of various levels.
• Develop and project manage initiatives that include clear objectives, milestones, and action items.
• Maintain appropriate confidentiality with personal and sensitive data.

Qualifications/Skills/Behaviors Required for Success in this Position:

• Bachelor’s Degree required.
• Minimum of 4 years of professional work experience required.  Compliance and/or health care experience strongly preferred.
• Excellent problem-solving, decision-making, and critical thinking skills; Proven ability to synthesize/analyze diverse information, develop recommendations and solutions, and articulate them clearly to business partners and leadership.
• Proven experience in managing multiple requests for support while ensuring stakeholders are satisfied with completeness, accuracy, and timeliness.
• Strong written, verbal, and interpersonal communications skills including ability to listen attentively and to communicate information clearly and effectively.
• Strong organizational skills and attention to detail are critical for success in this role.
• Demonstrated strength in time management required; ability to respond to urgent requests, prioritize appropriately, manage multiple projects and priorities at one time and meet deadlines.

• Able to function in a team environment, being flexible and responsive to changing priorities, and having an appropriate sense of urgency in completing tasks and projects.

• Ability to deal with confidential information and/or issues using discretion and judgment.
• Proficiency in data analysis, development, and maintenance of relational databases, and/or building complex queries and macros.
  • Experience with MS Access, SQL, VBA, Tableau or similar, a plus.

What We’ll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

Salary/ Wage Range

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits  

Compensation may vary based on the job level and your geographic work location.

The Sr. Auto Compliance Specialist coordinates divisional programs for internal controls for one or more insurance companies. You will respond to state compliance requests, provide guidance and monitoring of operational controls including vendor management, consumer complaints, record retention, and overall division quality. You will also establish and provide oversight or being a liaison for compliance processes and department of insurance examinations, and making recommendations to leadership on compliance matters that affect the product portfolio, forms, systems and procedures. You will report to the Senior Manager, Business Compliance.

Primary Accountabilities

• You will complete the internal and operational control risk assessment and help test Auto COE business processes which may include the development of new products or systems.
• You will communicate results of internal risk control assessments, process and system testing to department managers and divisional leadership, coordinates with Auto COE leaders to develop and document any required process remediation plans and any required retesting.
• You will assist internal controls partners when developing Auto COE internal control processes.
• You will facilitate integration of internal control programs for a line of business with Corporate Internal Control programs.
• You will provide compliance support in the coordination and response communication regarding state market conduct exams, state and federal data calls, state inquiries and surveys.

Qualifications:

• Compliance and risk control program management experience
• Insurance industry compliance experience
• Project management experience
• Process improvement, methodologies, and tools experience

In this flex office/home role, you will be expected to work a minimum of 10 days per month from one of the following office locations: Madison, WI 53783; Boston, MA 02110; Chicago, IL 60601*; Denver, CO 80112; Eden Prairie, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034; Nashville, TN 37214. You must reside within a 50-mile radius of the office location (or 35-mile radius for Boston / Chicago).

Internal candidates are encouraged to apply regardless of location and will be considered based on the needs of the role.

#LI-Hybrid

We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture. We encourage those who are passionate about what we do to apply!

We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.

We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.