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Compliance Analyst

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Arcadia Home Care and Staffing - an Addus family company

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Location:
United States, Frisco

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Category:
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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

The Compliance Analyst’s primary job responsibilities include conducting and responding to internal and external fraud and privacy related investigations. Other responsibilities may include responding to medical record requests and generally supporting all aspects of the Compliance Program on an as needed basis.

Job Responsibility:

  • Conducts, documents, and reports on compliance related investigations (primarily fraud and privacy)
  • Responds to external investigations including gathering and preparing the documentation
  • Develops and conducts internal audits based on the company’s identified compliance risks
  • Performs research of regulations and requirements from multiple sources including federal and state laws
  • Creates and maintains databases to demonstrate an effective compliance program
  • Receives and responds timely to medical record requests from external parties (including clients/patients)
  • Develops and maintains standardized tools for documenting and reporting compliance activity throughout the enterprise
  • Develops and produces written communications, emails, training materials, policies, standard operating procedures and guidance documents
  • Perform special projects and assignments as requested
  • Maintains a high degree of confidentiality at all times
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
  • Follows all Medicare, Medicaid, state, federal, HIPAA and privacy regulations and requirements
  • Abides by all regulations, policies, procedures and standards

Requirements:

  • Bachelor’s degree in Health Care, Health Care Administration, Public Health, Public Administration, Public Policy, or other related field and/or a combination of relevant work experience preferred
  • Investigation experience required
  • Reimbursement knowledge preferred
  • 2+ years of experience in health care compliance, in a provider or payer setting preferred
  • Working knowledge of compliance and privacy related issues preferred
  • Ability to work independently
  • Excellent verbal and written communications skills
  • Ability to effectively analyze, interpret, apply and communicate policies, procedures and regulations
  • Ability to operate PC-based software programs including proficiency in Word, Excel, and PowerPoint
What we offer:
  • Medical, Dental and Vision Benefits
  • Continued Education
  • PTO Plan
  • Retirement Planning
  • Life Insurance
  • Employee discounts

Additional Information:

Job Posted:
December 20, 2025

Work Type:
Hybrid work
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