Compliance Analyst (Banking), Sr. jobs in Reno, NV

Compliance Analyst (Banking), Sr. monitors customer accounts and researches transactions to identify suspicious activity violating current anti-money laundering (AML) regulations defined in the US Bank Secrecy Act (BSA) or other governmental anti-terrorist financing programs. Uses customer data mining and software tools to identify suspicious activity patterns. Being a Compliance Analyst (Banking), Sr. reviews daily Currency Transaction Reports (CTR) and Questionable Activity Reports (QAR), and submits Suspicious Activity Reports (SAR) as appropriate. Ensures adherence to Know your Customer (KYC) protocols. Additionally, Compliance Analyst (Banking), Sr. may lead or participate in investigations of suspicious activity to pursue corrective actions and ensure completion of required filings. Keeps abreast with regulatory changes, risk management best practices, and trending methods used by fraud perpetrators. Delivers compliance training with up-to-date regulatory information and procedures to develop and guide a well-informed staff. Typically requires a bachelor's degree. May have the Certified Anti Money Laundering Specialist (CAMS) certification. Typically reports to a manager. The Compliance Analyst (Banking), Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Compliance Analyst (Banking), Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Compliance Analyst
  • UHS
  • RENO, NV FULL_TIME
  • Responsibilities

    Job Summary:  The Compliance Analyst provides support to the organization to execute key initiatives for the effectiveness of the Compliance Program for health plan products, including Medicare Parts C and D, large- and small-group health plans, third-party administration, and other commercial health plan products. The Compliance Analyst captures and analyzes data used to detect trends that may indicate systemic risks to the organization requiring further review, assessment, root cause analysis, or follow-up. The Compliance Analyst will support the Compliance Program to ensure compliance with Federal and State laws and regulations contract provisions, accreditation standards, and internal policies and procedures.

     

    Job Duties:

    • Ensures Completion of Compliance Training by Prominence Health Plan Employees
    • Ensures Completion of Compliance Training by Agents/Brokers
    • Manages and Distributes HPMS and Agency Communications
    • Authors Operational Audit Reports
    • Authors and Facilitates Implementation of Operational Corrective Action Plans
    • Performs Operational Audits
    • Maintains Masterfile of Operational Risk Areas
    • Performs/Facilitates External Compliance Audits
    • Performs/Facilitates External Financial Audits (1/3 Financial, Bid Audit, Program Audit, etc.)
    • Performs/Facilitates OIG/GSA Exclusion Screening (Prominence Health Plan Staff-FT/PT, Volunteers, Interns, Board Members, Providers)
    • Operational Incident Management Resolution
    • Performs/Facilitates Operational Corrective Action Plan Resolution and Monitoring
    • Performs Operational Risk Assessment
    • Performs Compliance Program Effectiveness Risk Assessment
    • Coordinates Compliance and Department Meetings

    Qualifications

    Qualifications and Requirements:

    • Bachelor’s degree or equivalent work experience.
    • Minimum two years’ experience in health insurance or health care compliance; experience with managed care organizations and Medicare Advantage preferred.
    • Experience with State and Federal laws, regulations, policies and practices for the administration of Medicare Advantage, Prescription Drug Plan, and managed care organizations.
    • Demonstrated ability to effectively communicate in English, both verbally and in writing.
    • General knowledge of health insurance, managed care, benefit design, and various state and federal regulations.
    • Proficient computer skills: Health Plan Management System (HPMS), Smartsheet, Sharepoint, Microsoft Office (Word, Excel, PowerPoint), and database software.
    • Knowledge of Medicare programs and CMS regulations and the ability to provide operational guidance and support for defining and documenting data validation policies and procedures, requirements for technical specifications, and data reporting skills to support specified components of Medicare Part C & Part D programs.
    • Knowledge of Compliance Program principles to include analyzing risk assessments, performing audits, creating reports, educating and following up with the business area to ensure processes exist to demonstrate compliance with Federal and State requirements.
    • Demonstrated ability to apply knowledge to recognize the existence of problems or potential problems and identify additional research to be undertaken or assistance in the following areas: internal audit standards, procedures and techniques, management principles and deviations from ethical business practices, and fundamentals of business management.
    • Demonstrated ability to research, analyze and interpret state/federal regulations related to health insurance and healthcare.
    • Demonstrated ability to design and develop reports, documents and spreadsheets.
    • Demonstrated ability to communicate verbally and with technical writing in a way that effectively conveys project background, objectives, activities, evaluations, conclusions, and recommendations.
    • Decisive and exercises good judgment under pressure.
    • Demonstrated skills in critical thinking, problem solving, and the analysis, interpretation and evaluation of complex information.
    • Demonstrated ability to maintain effective collaborative working relationships with staff.
    • Demonstrated ability to work independently with minimal supervision.
    • Resourceful, detail-oriented, and able to assimilate and analyze a wide variety of information, often working under deadline pressure with a variety of levels of staff.
    • Simultaneous action at varying stages—initiation, follow through, and completion—on a number of different projects.
    • Strict adherence of rules and regulations for confidentiality and compliance.
    •  

    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

     

    We believe that diversity and inclusion among our teammates is critical to our success.

     

    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

  • 15 Days Ago

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Compliance Analyst
  • Universal Health Services, Inc.
  • Reno, NV FULL_TIME
  • Responsibilities Job Summary: The Compliance Analyst provides support to the organization to execute key initiatives for the effectiveness of the Compliance Program for health plan products, including...
  • 1 Month Ago

7
Compliance Inspector
  • 7G Environmental Compliance Management
  • Reno, WV FULL_TIME
  • Our CompanyAt 7G, we're the go-to partner for petroleum tank owners across the country. We tackle environmental challenges while consistently keeping things compliant. Our values are simple: excellenc...
  • 1 Month Ago

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Compliance Analyst and Auditor
  • Tahoe Forest Health System
  • Reno, NV FULL_TIME
  • Bargaining Unit: Not Represented Rate of Pay: $48.50/hour DOE Summary Coordinates compliance and administrative functions associated with the implementation and management of Tahoe Forest Health Syste...
  • 1 Day Ago

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Trade Compliance Analyst
  • Redwood Materials
  • Sparks, NV FULL_TIME
  • Trade Compliance Analyst Redwood Materials Global Logistics and Trade Compliance team is seeking a motivated individual to join our company as a Trade Compliance Analyst. As a Trade Compliance Analyst...
  • 1 Day Ago

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Regulatory Compliance Analyst
  • IGT
  • Reno, NV FULL_TIME
  • Location: Reno, NV, US, 89521 Requisition ID: 14494 IGT (NYSE:IGT) is a global leader in gaming. We deliver entertaining and responsible gaming experiences for players across all channels and regulate...
  • 1 Month Ago

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0 Compliance Analyst (Banking), Sr. jobs found in Reno, NV area

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Human Resources Technician
  • City of Reno, NV
  • Reno, NV
  • Human Resources Technician Print Subscribe Class Title Human Resources Technician Class Code 5338 Salary $70,636.80 - $9...
  • 3/28/2024 12:00:00 AM

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Provider Compensation_Contracts Specialist
  • Renown Health
  • Reno, NV
  • Position Purpose The primary focus of this position is to assist the Director of Provider Recruitment and Relations and/...
  • 3/28/2024 12:00:00 AM

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Senior Income Tax Analyst - Remote
  • Avnet
  • Carson City, NV
  • **Who We Are:** At Avnet, relationships matter. We are a global, FORTUNE 500 technology distributor and solutions compan...
  • 3/28/2024 12:00:00 AM

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Reno, NV
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent - Examiner) - 12 MONTH ROSTER
  • Department Of The Treasury
  • Reno, NV
  • Duties WHAT IS THE SMALL BUSINESS SELF-EMPLOYED (SB/SE)DIVISION? A description of the business units can be found at: ht...
  • 3/27/2024 12:00:00 AM

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Senior Technical Compliance Analyst - Remote, US
  • Careerbuilder
  • Carson City, NV
  • Navient Senior Technical Compliance Analyst - Remote, US Carson City , Nevada Apply Now Earnests mission is to make high...
  • 3/25/2024 12:00:00 AM

Reno (/ˈriːnoʊ/ REE-noh) is a city in the U.S. state of Nevada, located in the northwestern part of the state, approximately 22 miles (35 km) from Lake Tahoe. Known as "The Biggest Little City in the World", Reno is known for its casino industry. It is the county seat of Washoe County. The city sits in a high desert at the foot of the Sierra Nevada and its downtown area (along with Sparks) occupies a valley informally known as the Truckee Meadows. The city is named after Union Major General Jesse L. Reno, who was killed in action at the Battle of South Mountain on Fox's Gap. Reno, with an esti...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Compliance Analyst (Banking), Sr. jobs
$67,363 to $90,018
Reno, Nevada area prices
were up 2.5% from a year ago

Compliance Analyst (Banking), Sr. in Syracuse, NY
The role will report into the Director of Compliance.
December 20, 2019
Compliance Analyst (Banking), Sr. in Utica, NY
IBD covers a wide variety of clients and industry sectors and advises these clients on an array of investment banking activities, including equity, debt and convertible financings, bank loan financings and M&A and other strategic transactions.
December 19, 2019
Compliance Analyst (Banking), Sr. in Abilene, TX
The candidate will be an integral part of the IBD Compliance team, which is responsible for addressing a diverse array of regulatory, legal and business issues encountered by Goldman Sachs bankers.
February 10, 2020