Analyst, Regulatory Compliance

Accreditation Association for Ambulatory Health Care
Deerfield, IL Full Time
POSTED ON 3/21/2023 CLOSED ON 1/7/2024

Job Posting for Analyst, Regulatory Compliance at Accreditation Association for Ambulatory Health Care

This position assists in the administration of AAAHC surgical programs, including, but not limited to, its Medicare deemed status program. Assists with ensuring AAAHC compliance with regulatory requirements for surgical programs. Fulfills external and internal requests and requirements related to surgical settings. Assists in the development/strengthening of existing contacts with state agencies and other regulatory bodies through timely submission of data and responsiveness to information requests.

  • Log and file CMS Validation Survey reports for comparison with the AAAHC/Medicare Deemed Status Survey findings.
  • Respond to, monitor, and assist staff, surveyors, and clients regarding AAAHC Medicare Deemed Status inquiries, completion and interpretation of Plans of Correction (PoCs), surgical setting deficiency findings, and requests for administrative information from CMS Regional and/or Central office.
  • Log and submit waiver requests to CMS on behalf of surveyed ASCs and provide active follow-up to secure CMS response to requests.
  • Generate standard monthly reports as required by Federal and State agreements and requests.
  • Extract data to support generation of monthly accreditation performance dashboards that increase visibility to operational KPIs and help the organization use data to drive business results. Apply knowledge, insight, and understanding of accreditation services, and processes that are needed for making sound decisions in the context of operations; apply this knowledge appropriately to development and monitoring of data reports.
  • Mine accreditation operational and client demographic (e.g., organization name) data and cleanse to ensure match with CMS ASSURE reporting and quality measures; identify patterns and correlations among the various data points in order to support decision making.
  • Review CMS quarterly measures and validate findings to verify accuracy, then work with CMS to correct inconsistencies.
  • Manage Accreditation Services quality monitoring plan, includes ensuring audits take place in accordance with the auditing schedule, collecting, managing and monitoring audit results, following up with managers to ensure plans of correction are developed, implemented and completed in accordance with timeframes.
  • Act as a subject matter expert on data management and procurement for Federal and State reporting requirements to optimize business operations and department needs.
  • Implement and maintain timeline/action plans on assigned projects and adhere to deadlines, managing day-to-day projects and decision making. Projects may include participation in process audits, development flowcharts and process design to improve operational and organizational performance.
  • Participate in onboarding of new staff members by providing an overview of the Medicare deemed status program.

Minimum Qualifications

  • Bachelor’s Degree
  • Minimum 3 years of health care experience or surgical facility experience
  • Demonstrated time management, multi-tasking, and attention to detail skills
  • Excellent verbal and written communication to clients, surveyors and other team members
  • Microsoft Office Proficient (i.e., WORD, EXCEL, PowerPoint)

Preferred Qualifications

  • Familiarity with NFP, LSC, or FGI, health care constructions, or fire code awareness
  • Understanding of CMS conditions for coverage
  • Understanding of federal or state regulations

Job Type: Full-time

Pay: From $45,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Deerfield, IL 60015: Reliably commute or planning to relocate before starting work (Required)

Work Location: Hybrid remote in Deerfield, IL 60015

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