Complete license renewal process for more than 60 national and local accounts in accordance with corporate and state regulations. Assist Director with royalty compliance audits including potential on-site field work and intellectual property valuation reports. Enforce all company policies and procedures for an international direct marketing company operating in 22 countries. Assisted in investigation of compliance issues by identifying and implementing process improvement activities. Ensuring written and verbal policies and regulations of an organization are kept in check. Facilitated weekly staff meetings to review all compliance consultants' pipeline reports. Assisted Medicaid members regarding, eligibility, covered services and benefits. Verified all regulatory policies and procedures have been documented, implemented, and communicated. Evaluated and recommended process to ensure adequate compliance controls and Plan administration efficiency including enrollment process improvements to ensure plan feasibility. She has the skills and abilities necessary to develop and implement policies, procedures and programs that will ensure compliance with existing regulations and best practices. Developed and supported education for the HTPN practices on state and Federal HIPAA laws and regulations. Act as Compliance Consultant for Retail and Corporate Marketing, Information Technology (IT) and the Legal department. The executive branch directs the combined activities of the federal government to address a multitude of problems, from the environment to the economy. Identified key stakeholders and developed action plan for process improvements to reduce risk. Created PowerPoint slides for training purposes, which were presented and reviewed to Senior Leadership. Employers Must Have, Understanding HIPAA for the Medical Office, Healthcare Data Security, Privacy, and Compliance, Financial Regulation: From the Global Financial Crisis to Fintech and the COVID Pandemic, Foreign Corrupt Practices Act (FCPA) Compliance, Certified Electronic Health Records Specialist + Medical Terminology, What is Corruption: Anti-Corruption and Compliance, Anti Money Laundering & Countering of Terrorist Financing, AML Essentials: Anti Money Laundering, KYC and Compliance, U.S. Public Policy: Social, Economic, and Foreign Policies, US Regulatory Strategy for Biologics & Pharmaceutical Drugs. Include the Skills section after experience. Assisted with coordination and responding to notices from regulatory agencies and investors. Educated Customers on MortgageLoans: (Legal Protocol, Government regulations and architectures). Train new staff on role of Compliance, HIPAA related policies, anti-fraud plan and code of conduct. Identified, developed and implemented business process improvements as they relate to international trade compliance. Prepared PowerPoint presentations for education and training in Market Conduct and Compliance Programs. Act as a liaison to assigned operational areas to provide educational information and solicit feedback. Deloitte in one of their report states that the skills needed to succeed as a compliance officer are both broadening and deepening besides their traditional roles and responsibilities. Worked with Environmental Health Services Manager to establish knowledge and understanding of OSHA requirements to provide backup support. Assisted internal employees and external customers with BSA/AML compliance related issues as needed. We'll think about what drives us, what makes us pay attention, what distracts, and how all of these pieces help build a strong belief in an organizational culture of compliance. Have excellent administrative skills, including computer software and typing, as well as understanding of compliance policies. Interpret state & CMS communication (HPMS memos) in determining relevance and the appropriate health plan action. Monitored and review transactions in order investigate potential suspicious activity relating to movements of customer funds via wire transfers. Author policies and procedures for Compliance Management in relation to FERPA, HIPAA, FCRA, EFTA/NACHA, etc. Scalise says there are certain skills every compliance specialist needs to have: Critical Reasoning: As a compliance specialist, you’ll be responsible for interpreting complex information and making decisions that can have a serious impact on a business. Audit Driver logs in ISE software to ensure Federal Motor Carrier Safety Regulations are adhered to and company policies. Conducted comprehensive audits of all program discharges to ensure compliance with Medicaid and licensing regulations. Served as a liaison to development team and business during and after implementation of new life insurance/annuity products. Related Reading: Find 6 Tips To Prevent Common Maintenance Manager Mistakes. Performed laboratory analysis, capability studies and improvement projects. Provided CEO and Compliance Officer guidance on all events and outcomes regarding HIPAA and company risks. Performed risk assessments to identify deficiencies. Abstract ICD-9 codes from medical records to assure proper billing based on documentation. Here's how Procedures is used in Compliance Specialist jobs: Here's how Regulatory Agencies is used in Compliance Specialist jobs: Here's how Ensure Compliance is used in Compliance Specialist jobs: Here's how Internal Audit is used in Compliance Specialist jobs: Here's how Customer Service is used in Compliance Specialist jobs: Here's how FDA is used in Compliance Specialist jobs: Here's how Privacy is used in Compliance Specialist jobs: Here's how Powerpoint is used in Compliance Specialist jobs: Here's how Risk Assessments is used in Compliance Specialist jobs: Here's how Applicable Laws is used in Compliance Specialist jobs: Career Details for a Compliance Specialist. Provided resource assistance to staff with regards to location of deficient parts in the medical records when necessary. Reviewed and analyzed attorney-client and attorney work-product information requests at the request of outside counsel. Identified and organized compliance training schedules for employees organization wide. Reviewed operation/processing procedures across three business units. Coordinated and served as lead auditor on internal audits of active investigator-initiated clinical trials. Le 85 principali offerte di lavoro per Compliance Specialist (Italia). Proposed corrective actions to improve performance, profitability, and efficiency. Participated in Hay Evaluations for existing and newly acquired business units. Conducted systematic customer account reviews with subsidiary partners to ensure compliance with all regulatory standards. Administered database for Air Force HIPAA compliance tools for training, risk assessment and disclosure tracking. Developed and authored Investigation Reports (IR) including CAPA recommendations and implementation strategy. Spearheaded development and authorship of in-depth training materials, leading department-wide training initiatives to increase overall skill level of team. Establish and identify training needs, prepare training materials: develop and update training and procedure manuals as necessary. Maintained and implemented corporate compliance policies to FDA and international regulatory requirements throughout the organization. Promoted from Compliance Consultant to senior position. It should go without saying that a compliance specialist should have unimpeachable integrity and should be organized and ready to get results. Created, developed and implemented procedures within the Compliance Assurance Team to increase efficiency and to align organizational capabilities. Provided solutions to deficiencies cited in Safety and Emergency Management programs, policies and procedures by offering industry standardized documents. Monitored jointly funded federal and state programs and management systems for quality assurance and regulatory compliance. Report any actual or potential safety hazards, HIPAA violations to senior management, human resources, or the safety committee. Handled risk assessments on food safety programs, including environmental monitoring and processing area segregation to mitigate food safety risks. Reported violations of compliance or regulatory standards to the Department of Regulatory Agencies as appropriate or required. Developed and implemented quality/compliance programs for Individual Medical Department including new HIPPA regulations and State open enrollment compliance programs. Followed customer service guidelines when contacting travelers or auditors to resolve issues. Internal Audit. Identified non-compliant contractors by analyzing and auditing pertinent contract compliance documentation to ensure compliance. 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