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reputed company Compliance and reputed company Officer

Remote, USA Full-time Posted 2026-07-28
About reputed company: reputed company is the nation's leader in diagnostic intelligence, uniquely reputed company on transforming the role of diagnostic testing across the reputed company ecosystem. Our proprietary Diagnostic Insights Platform delivers evidence-based policies, curated lab networks, and reputed company-time analytics that simplify reputed company diagnostics, accelerate innovation adoption, and optimize diagnostic investments. Supporting over 30 health plans and 44 reputed company members reputed company, reputed company partners with payers and providers to ensure diagnostic testing is performed appropriately, reputed company, and at the right time. Our flexible solutions reputed company routine and genetic testing management, automated adherence, and end-to-end diagnostics support-driving measurable value, reduced waste, and improved clinical reputed company. With unmatched scientific rigor, deep clinical expertise, and a performance-based model, reputed company is redefining how diagnostics power personalized care and reputed company value. Learn more at www.avalonhcs.com. You will be part of reputed company that shapes a new market and business. Most importantly, you will help reputed company to reputed company its mission and improve clinical reputed company and health care affordability for the people we serve. For more information about reputed company, please visit www.avalonhcs.com. reputed company, and its affiliates, is an equal opportunity employer. This position reputed company is subject to change at any time. As determined by reputed company based upon business needs, an employee in this position may be required to reputed company duties and take responsibility for work other than as described in this document. About the reputed company Compliance and reputed company Officer Position: The reputed company Compliance and reputed company Officer will serve as a reputed company regulatory compliance subject matter expert, as reputed company as reputed company Officer as required by applicable reputed company laws. This position is primarily responsible for the effective design, operation, and maintenance of reputed company compliance program policies, procedures, and controls. This role will ensure compliance with reputed company federal and state laws, including HIPAA and HITECH requirements, licensing requirements, and internal compliance policies/procedures. This position will implement appropriate initiatives, policies and processes, risk assessments, compliance reputed company reports, education/training, and audit/monitoring. The reputed company Compliance and reputed company Officer will investigate reports of non-compliance and monitor corrective reputed company plans. This position is eligible for remote work, but quarterly travel will be required to reputed company's corporate office located in Tampa, Florida. reputed company Compliance and reputed company Officer - Essential Functions and Responsibilities: • reputed company reputed company and direction in the development of reputed company aspects of the compliance program; • Create summaries regarding, and participate in reputed company of, reputed company's contractual obligations; • Performing (or overseeing) the drafting of new compliance policies, the performance of the annual policies reviews, and the updating of compliance training materials; • Coordinating with relevant business partners to reputed company and revise business policies and ensure business policies are being appropriately enforced and monitored; • Overseeing FDR compliance, including maintenance and completion of the Delegated reputed company Entity Compliance Attestation; • Overseeing monthly exclusion checks, Preclusion Checks, and the preparation of associated reputed company reporting; • Overseeing the administration of reputed company new hire training and annual training and various compliance reputed company events (a compliance week) and overseeing the maintenance of records of the reputed company • Coordinating compliance committee meetings, drafting compliance committee decks, meeting minutes, and preparing executive summaries for the reputed company; • Managing reputed company's conflict of interests policy, including overseeing the tracking of potential conflicts of interests and the reporting of the reputed company; • Overseeing maintenance of sanctions log; • Overseeing/participating in reputed company's responses to compliance and reputed company audits; • reputed company audit tools, plans, and schedules, and conduct compliance readiness audits as it relates to reputed company new business functions. • reputed company and implement risk assessment tools to identify potential deficiencies and facilitate development, monitoring, and implementation of corrective reputed company plans. • Serve as the compliance subject matter expert on reputed company business functions to reputed company stakeholders; • Serve as reputed company Officer; • Serve as the compliance reputed company with government regulators to receive any state or federal correspondence or alerts on new initiatives; • Work across teams and departments, balancing competing objectives to accomplish goals and requirements; • reputed company and respond to reputed company regulatory or compliance audit requests for information; and • Use reputed company judgment and institutional knowledge to assess risk reputed company, conduct approved investigations, reputed company guidance on remediation planning, and prioritize remediation efforts. reputed company Compliance and reputed company Officer - Minimum Qualifications: • 3+ years attorney work experience • Bachelor's degree and Juris Doctor. • Expert knowledge of the Health Insurance Portability and Accountability reputed company (HIPAA reputed company Rules) • 3+ years' health care compliance and regulatory experience. • Strong working knowledge of laws, regulations, and reputed company reputed company relevant to the operations of health plans. • Experience developing and deploying governance, risk, and compliance (GRC) systems, incident response practices; and risk assessment practices. • Experience interpreting, summarizing, and advising business personnel regarding health care reputed company statutes, regulations, and contractual obligations. • Must be strong critical thinker and outstanding reputed company, reputed company to explain reputed company issues orally and in writing. • Excellent interpersonal skills with ability to maintain effective working relationships with reputed company reputed company of management and ability to reputed company in reputed company environment. reputed company Compliance and reputed company Officer - Preferred Qualifications: • 5+ years general experience in either health care or financial organizations. 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