Compliance Analyst

Posted Jun 4

Who We Are:

Ride Health removes the transportation barriers that keep our most vulnerable populations from accessing health care. Ride Health partners with healthcare organizations and transportation providers to strengthen enterprise transportation programs and drive intelligent transitions of care. We blend technology and data with a human approach to break down access barriers and solve some of the biggest transportation challenges that care coordinators, providers, and payers face. Our platform maps out each patient’s unique needs and preferences for the best ride experience across clinical and social needs, ensuring greater access, improved efficiencies, lower costs, and better outcomes.

Who We’re Hiring:

The Network Compliance Analyst is responsible for managing the credentialing policies & procedures that will demonstrate adherence to applicable federal and state laws, regulations, and agency rules, contract standards and internal guidelines.

Success in this position will require exceptional communication & organizational skills, attention to detail, creative problem solving, understanding of contract language, knowledge of various State, Federal, and Agency rules/laws, and the ability to manage many simultaneous projects and deadlines. Additionally, the successful candidate should be able to build relationships across all stakeholders to expedite the submission of documents and necessary information to remain compliant. This role will demonstrate the ability to follow established procedures and processes as well as suggest improvements to make them more efficient and better aligned to company goals.

Requirements

Responsibilities:

  • Become the Subject Matter Expert (SME) on Ride Health’s credentialing program and all the transportation network requirements for each client we serve.
  • Collect and retain documents according to Ride Health policies.
  • Prepare for and coordinates credentialing audits in compliance with client contracts.
  • Build relationships and work with stakeholders, internally and externally, including transportation providers, insurance agencies/brokers, governmental agencies, and clients.
  • Work directly with various departments to identify and resolve credentialing concerns.
  • Communicate to key stakeholders all pertinent information captured from conference calls, work groups and team meetings.
  • Monitor credentialing operations to ensure compliance with administrative policies and procedures, client contracts, and government regulations.
  • Other duties as assigned.
  • NOTE: Candidates must have internet speed of 10 mbps and ability to hard-wire in via ethernet as needed

Competencies:

  • Rock solid integrity and ethics. It's compliance.
  • Experience with Non-Emergency Medical Transportation strongly preferred but not required
  • Working knowledge of and/or the ability to research and apply any State, Federal, Client, or Regulatory agency rules.
  • Excellent time management and communication
  • Ability to make administrative/procedural decisions and judgments.
  • Ability to investigate and analyze information and draw conclusions.
  • Ability to process computer data, and to format and generate reports.
  • Skilled in developing policy and procedure documentation.
  • Database management skills.

Benefits

  • Competitive compensation $45,000 – $55,000
  • Career advancement opportunities
  • Fully remote - skip the commute
  • Paid Time Off
  • Medical, Dental, and Vision insurance - multiple great coverage options offered for employees and dependents with generous company contribution and quick eligibility
  • Need to add dependents? We help with that too
  • TalkSpace, Healthy Advocate EAP, Teledoc, One Medical, KindBody - yep, all company provided
  • Life insurance, short-term disability, long-term disability - again, all paid for by Ride Health
  • 401k retirement savings plan with 4% fully vested employer match right out of the gate
  • Fully paid parental leave
  • And we're always looking to add more...

PLEASE NOTE: Because of healthcare privacy regulations, candidates must reside in the United States to perform this job. Candidates must be permanently authorized to work in the United States. We are unable to provide sponsorship at this time.

Ride Health complies with the United States Department of Homeland Security (U.S. Citizenship and Immigration Services) to verify the employment eligibility of all persons hired to work in the United States. The company will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization. The company maintains full compliance with all regulations set forth by the law and will utilize E-Verify to assist in ensuring a legal workforce. All hiring and recruitment at Ride Health is handled with a valid ‘@ridehealth.com’ only. If you receive a message from the sender whose domain is not @ridehealth.com, please beware that those communications are not authorized or coming from Ride Health.