Compliance Analyst (Banking), Sr. jobs in Nevada

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)

U
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.

  • 1 Month Ago

7
Compliance inspector
  • 7G Environmental Compliance Management
  • Reno, NV FULL_TIME
  • Our Company At 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 : excelle...
  • 25 Days Ago

C
Security Compliance Analyst
  • Clear Capital | CubiCasa
  • Reno, NV FULL_TIME
  • As a Security Compliance Analyst, you will be responsible for ensuring that our organization adheres to all relevant security standards, regulations, and policies. You will play a critical role in eva...
  • 1 Day Ago

R
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...
  • 2 Days Ago

S
Product Compliance Analyst
  • Sega Sammy Creation USA Inc.
  • Las Vegas, NV FULL_TIME
  • Primary Function The primary responsibility of this position will be to ensure that product approvals are obtained from the necessary parties (independent test labs, regulatory bodies, etc.) according...
  • 8 Days Ago

S
Product Compliance Analyst
  • Sega Sammy Creation USA Inc.
  • Las Vegas, NV FULL_TIME
  • Primary Function The primary responsibility of this position will be to ensure that product approvals are obtained from the necessary parties (independent test labs, regulatory bodies, etc.) according...
  • 8 Days Ago

E
Tax Compliance Analyst
  • Erickson Senior Living
  • Baltimore, MD
  • Location: Erickson Senior Living Erickson Senior Living, headquartered in Baltimore, Maryland is a national provider of ...
  • 4/26/2024 12:00:00 AM

P
Compliance Analyst
  • Private Equity Firm
  • New York, NY
  • Title: Compliance Analyst Location: New York City, NY Hybrid Work: Role will start in-office four days per week, reducin...
  • 4/26/2024 12:00:00 AM

A
IT Compliance Analyst
  • Assa Abloy Group
  • Lake Forest, CA
  • We are seeking a highly motivated and detail-oriented IT Compliance Analyst to join our dynamic team at ASSA ABLOY Ameri...
  • 4/26/2024 12:00:00 AM

A
Compliance Analyst
  • Apex Systems
  • Juno Beach, FL
  • MUST HAVE: Great Communication Skills Attention to Detail Problem Solver Financial Background or Legal Background Unders...
  • 4/24/2024 12:00:00 AM

T
Compliance Analyst
  • Tandym Group
  • New York, NY
  • A recognized hedge fund in New York City is looking to add a new Compliance Analyst to their growing team. In this role,...
  • 4/24/2024 12:00:00 AM

C
Compliance Analyst
  • ConsumerDirect, Inc.
  • Irvine, CA
  • ***Local candidates ONLY – this position is on-site Monday – Friday.*** About ConsumerDirect: ConsumerDirect is the peop...
  • 4/24/2024 12:00:00 AM

M
Compliance Analyst
  • Mitchell Martin Inc.
  • Jersey City, NJ
  • Title: Legal and Compliance Analyst Location: Jersey City, NJ Position Type: Contract SKILLS & EXPERIENCE WE’RE LOOKING ...
  • 4/23/2024 12:00:00 AM

U
Compliance Analyst Sr
  • UCHealth
  • COLORADO SPRINGS, CO
  • Description Position can be held in Colorado Springs or Denver Summary: Assists with administration of the organization'...
  • 4/5/2024 12:00:00 AM

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Compliance Analyst (Banking), Sr. jobs
$67,193 to $89,788

Compliance Analyst (Banking), Sr. in Pittsfield, MA
- Conduct risk assessments on reviewed clients, issue advisory/take decisions on new to bank account opening requests, make decisions on the risk assessment (increased, neutral, unacceptable risks) of existing relationships to ensure compliance with regulatory requirements.
January 05, 2020
Compliance Analyst (Banking), Sr. in Newport News, VA
- Document on-boarding decisions for reviewed clients, provide advisory for sanctions matches referred by operations and business units and provide sign off for account opening for increased risk and Politically Exposed Persons (PEP) customers to ensure compliance with regulatory requirements.
January 19, 2020
Compliance Analyst (Banking), Sr. in Battle Creek, MI
Assist Electronic Banking Risk Management Officer and Electronic Banking Compliance Manager monitor ACH activity as it relates to the Bankwide ACH Risk Management Policies, Procedures and Program.
February 05, 2020