Browse Compliance Specialist resume samples and read our guide on how to write a Compliance Specialist resume. How to Write a Compliance Officer Resume. When making a resume in our builder, drag & drop bullet points, skills, and auto-fill the boring stuff. Check out our professionally written resume sample for accountants. Guide the recruiter to the conclusion that you are the best candidate for the regulatory compliance manager job. Rational and clear thinking about risk analysis should be done on the part of the inspector. Assist in the harmonization, preparation, updating and implementation of all HCC written policies and procedures on an ongoing basis, Represent HCC in Country Value Teams/marketing planning meetings, Work with multiple clients, multi-tasking with clients and engagements, Collect or coordinate collection of necessary documentation, including policies, emails, agreements, etc, Review and approval of engagements and meetings with HCPs and funding provided to HCOs, Develop strategy, content and conduct compliance training for client groups, Assists in interpreting regulations and procedures for clients to facilitate compliance, Supports implementation of training programs and materials, Communicates quality assurance methodology and explains desired outcomes of testing; identifies steps in project lifecycle, Provides colleagues with advice/guidance and training on local UK healthcare legislation and policy, Develop and conduct training for internal and external parties, In-depth knowledge of Medicaid and Medicare Advantage operational processes, FDR’s and program audit and universe development, Strong influencing skills: proven track record and experience building and cultivating relationships with key partners and stakeholders across organizational levels, Good verbal and written business communication skills: highly adept at synthesizing and summarizing complex and/or voluminous content into clear, concise and actionable communications, Good process-orientation: has proven effectiveness in identifying, developing and implementing scalable/sustainable process and other continuous improvements to achieve organizational efficiencies and increase effectiveness, Good project management skills: can prioritize multiple tasks and goals to ensure timely, on-target and within-budget accomplishment of such, Pursues self-development, which is comprised of internal, external and self-administered curriculum, as well as regular reading of applicable journals, periodicals and publications, Supports in-services and other educational services to organization, management, and employees regarding risks, controls and compliance-related matters, Maintains technical compliance regulatory knowledge and acts as a resource for the organization, management, and employees, Revenue Integrity, Provider Integrity, Clinical Regulatory Response, Tax Exempt Compliance, Research Integrity, Data Integrity, including HIPAA Privacy and Security or Overall Corporate Compliance Program Administration, Thorough understanding and knowledge of healthcare, legal and regulatory practices, Sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Ochsner Health System, Inspire and motivate, promoting open communication and foster teamwork, Effective communication at all times. Include the Skills section after experience. ), Assist in the implementing and following up on the Management Action Plan as assigned by the HCC Officer, Good negotiation skills: can effectively drive discussions and decisions toward desired end-results, Build strong credibility at local, regional and global level, to effectively interact, providing direction, challenge and support whenever relevant, Support the implementation of local testing & monitoring plan to demonstrate that the HCC program is effective and participate in execution where appropriate, Track, prioritize, and execute on multiple and frequently changing priorities is required, Deep CMS regulatory knowledge, including Medicare Advantage Chapter 21/9 experience, Strong knowledge of the commercial insurance industry products including ACA, fully and self- insured products and services, Effectively integrates compliance risk/context and business knowledge to address complex problems. Keeps current in the area of privacy regulations and laws, Perform audits, interview clients, gather evidence, and document results into work papers, Enters and maintains data, information, documents and files according to standards, including but not limited to compliance software, Knowledge of medical auditing and ICD-10, CPT, HCSPCS, DRG coding, Accountable for overseeing or completing department corrective actions or actions of others, Verifiably tenured in conducting and managing PCI compliance programs, Adequate roll-out, implementation and training of HC standards and processes, appropriate tailoring to stakeholder groups, Support Implementation of Cluster strategy & plan aligning with the businesses and J&J Office of Compliance, Conducts research and analysis of coding and regulatory requirements with respect to revenue cycle and other functions as requested, Knowledge of Medicare regulations and policies including Part A and Part B, Partner with selected commercial and medical teams as required to setting up strategies and tactics under consideration of all relevant HC regulations, Proper etiquette including customer relation techniques, superior verbal and, Ensure quality and compliance in Roche’s collaboration with external healthcare professionals, Country Requirements - Analyse, review with country / regional lead and feed new or revised requirements to technical teams (including requirements, existing system landscape, gap analysis, plan of action to minimize impact on business, data collection & tools), Support: Manage disclosure support mailbox, action / escalate as required; point of contact for country user/super-users, Continuous improvement – conducts feedback surveys/ reviews & creates plans/tracking for implementation of continuous improvements related to Automation & Disclosure, Quality checks - Design, maintain and continuously improve quality checklists and associated training; Maintain overview of completion, analyse & communicate outcomes, Disclosure Report Publication - Maintain / update Methodological Note; monitor timely report publication; coordination of visitor tracking with web team; co-ordination of Patient Organisation disclosure reporting; co-ordination of the publication of disclosure reports with the Amgen web team, Establish a strong and visible compliance presence with the client's organizations, Provide timely and appropriate responses to client requests and inquiries, Leading the HCC Monitoring activities to ensure effective identification of warning signals and/or gaps and provide meaningful feedback to franchise leaders so that appropriate corrective actions are taken, Lead activities related to Audits (internal, Medical Technology Association of Australia or Medicines Australia), Lead HCC activities related to company Acquisitions, Implement Management Action Plans and escalation process for serious allegations, Primary task: supporting the implementation of operational compliance requirements (EFPIA): processing and acquisition of data sets for a central information system, Ensures team is adequately trained on corporate and client-specific procedures, Generates, reviews and approves documentation and reports to support client products, Conducts policy and procedure reviews with clients to determine specialized requirements, Prepares and distributes internal audit reports and findings to track and trend audit results; initiates corrective and preventative action, Supervises the hold/release process to ensure appropriate product releases, Conducts random accuracy checks of inbound receipt put-aways, Documents specific and accurate information; learns subjects thoroughly and in detail; completes work with thoroughness; maintains organized files, Demonstrates basic understanding of the functions, regulations and procedures of compliance agencies or governing bodies; takes leadership position in programs that reduce risk and enhance safety, Work within the Healthcare Compliance team to review functional processes and procedures to facilitate positive change, Identify areas for refinement and development for Code-related policies and procedures in line with business goals, Provide management information on Code compliance, Assist in implementation of modifying regional global strategies into regional and local level and where needed sector level, based on appropriate local needs, goals and objectives, taken into account local external regulatory trends and environment, Support the HCC operations group in implementation of education, training, and regular communications on HCC to all covered employees, including local sales, marketing, finance, HR, managers, supply chain and directors at the local level, Report unplanned deviations and supporting the HCC Officer in Managing day-to-day inquiries, allegations and investigations, Implement the escalation process for serious allegations, as appropriate, Collect and Provide metrics to the HCC Officer and Operations group as assigned, Liaise with legal department and external advisors, Lead HCC projects and participate in regional or cross-sector projects, Facilitates regulatory based audits and assessments to include scheduling, coordination, internal notification, scope determination and continued oversight through closure, Provides communication of audit results to departments/functions, leadership and Board level committees, Maintains the compliance audit program, including schedules, standards, processes, reports and tools in close collaboration with the System Director of Compliance, Proactively research, evaluate and make recommendations associated with evolving privacy laws and regulations. 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