The Cook Children's Health Plan is seeking a Senior Compliance Specialist to support its compliance program, focusing on clinical/billing compliance and data analytics. The ideal candidate should possess a bachelor's degree, at least three years of healthcare compliance experience, and strong communication skills
Job Summary
The Senior Compliance Specialist will support the organization's compliance program activities with a focus on clinical and billing compliance.
This role requires strong data analytics skills to assist with assessment, testing, monitoring, and risk assessments.
Candidates must have at least three years of experience in healthcare compliance with demonstrated expertise in billing and coding.
Matching Summary
Match Score: 85
The Cook Children's Health Plan is seeking a Senior Compliance Specialist to support its compliance program, focusing on clinical/billing compliance and data analytics. The ideal candidate should possess a bachelor's degree, at least three years of healthcare compliance experience, and strong communication skills.
Skills & Requirements
Must-have
3 years healthcare compliance experience
Billing and coding expertise
Data analytics proficiency
Strong written communication skills
Nice-to-have
Master's degree in business or health field
AAPC or AHIMA certification preferred
HCCA compliance certification considered
Experience with physician relationships
Key Requirements
Bachelor's degree required (Master's preferred)
Minimum 3 years healthcare compliance experience
Certification in billing/coding by AAPC or AHIMA preferred
HCCA compliance certification considered as substitute