Compliance Policy & Privacy Specialist

Why should you consider a career with Colorado Access?
 

We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillared by diversity, equity and inclusion.
 

1. Find work/life balance:  We offer PTO, floating holidays, seven company paid holidays, work from home options (exceptions apply), an Employee Assistance Program and a 401K.
2. Be a part of something bigger and make an impact: We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community and making a difference.
3. Sharpen your skills, learn, and grow: We support your continued development through tuition reimbursement, leadership training, promotion opportunities, performance evaluations, employee recognition, and a language pay stipend.

What you will do:
 

We are looking for a Compliance Policy & Privacy Specialist like you who can help shape our vision and support our mission. Here is what the day-to-day functions will look like:

• Organizes and maintains the database for all enterprise policies and desktop procedures.
• Works with multiple departments to review and revise all enterprise policies and desktop procedures annually.
• Assists in the foundational elements of the Compliance Program to ensure greater organizational competence and meet contract deliverables and departmental/organizational goals through short-term, long-term and on-going projects.
• Assists in ensuring completion of contract and CMS deliverables and as requested, assist in EQRO audits with multiple departments.
• Assists in the development, enhancement, and growth of the regulatory compliance program.
• Assists in multiple compliance and regulatory related projects; coordinating cross-functional workgroups to implement organizational compliance priorities.
• Anticipates, identifies and resolves project issues.
• Assists in the report of violations or potential violations, in conjunction with the Manager of Compliance and Privacy to duly authorized enforcement agencies as appropriate or required.
• Conducts research, helps prepare training and education materials, and aids in compliance investigations and inquiries.
• Assists and supports the Manager of Compliance and Privacy in internal investigations.

What you will bring:

Education: Bachelor’s degree in business, healthcare management, or a related field. Equivalent combination of experience and/or education may be considered.

Experience: Minimum of three years compliance/regulatory healthcare experience. Familiarity with operational, financial, and quality assurance a must. Experience in oversight and coordination of regulatory/accreditation readiness program, audit preparation, coordination and response/follow-up, and HIPAA Privacy and Security.

Knowledge, Skills, and Abilities: Solid knowledge of compliance, internal control systems and investigation standards, with public sector healthcare compliance program experience preferred. Proven ability to manage large-scale projects throughout project lifecycle with ability to think strategically about complex issues, develop goals and recommendations. Demonstrates support for the company’s mission, vision and values. Position requires excellent written, verbal and presentation communication skills to interact effectively with all levels of management and staff. Ability to translate legal, regulatory, compliance and operational requirements into understandable policies and procedures. Excellent interpersonal and leadership skills with ability to facilitate group interactions. Must have excellent organization, attention to detail, technical, analytical, problem solving and decision-making skills. Proficient in Microsoft office applications (Word, Excel, PowerPoint, Outlook) and web-based document posting required. May be required to manage multiple priorities and projects with tight deadlines.

Licenses/Certifications:  Certified in healthcare compliance or privacy preferred.  A valid driver's license and proof of current auto insurance will be required for any position requiring driving. 

Together we will be: an innovative and collaborative team who supports each other, the employees and vision of the company to reach our goals individually, together and as an organization.

 

Pay, Perks and Benefits at Colorado Access:
 

The compensation for this position is $55,000.00 to $75,000.00 annually. The pay rate/salary is commensurate with experience. 
 

In addition to being part of a mission driven organization serving our community, as an eligible Colorado Access employee, you’ll receive a generous benefits package, that includes:

• Medical, dental, vision insurance that starts the first day of the month following start date. 
• Supplemental insurance such as critical illness and accidental injury. 
• Health care and dependent care flexible spending account options.
• Employer-paid basic life insurance and AD&D (employee, spouse and dependent). 
• Short-term and long-term disability coverage.
• Voluntary life insurance (employee, spouse, dependent).
• Paid time off
• Retirement plan
• Tuition reimbursement (based on eligibility). 
• Annual bonus program (based on eligibility, requirements and performance).

Where you will work:
 

This position will be a hybrid model work environment, a blend of ‘In-Office’ and ‘Remote.’ 
 

We are not able to support out of state employees at this time as we continue to serve our members and community in the metro Denver area and across the beautiful state of Colorado.