POSITION SUMMARY Conducts internal audits of all departments and oversees internal monitoring activities conducted by others to determine that core department activities are in compliance with established management control systems, provides analysis and reports of audits to Compliance Officer and works with Compliance department to implement and monitor corrective action. Compile, track and trend audit results and recommend training and other improvement ideas to the Compliance Manager and Compliance Officer and performs related work as required. Works with the Compliance Officer, Compliance Manager and Compliance Committee in establishing and implementing an effective compliance program to prevent illegal, unethical, or improper conduct. COMPLIANCE WITH REGULATIONS: Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations. RESPONSIBILITIES: • Implements and maintains established audit/control systems and policies and procedures. • Plans, organizes and coordinates various projects and programs involving statutory, regulatory, and quantitative impact of legislation and rule-making. • Assists in development of corporate training program related to policy and legislative matters on an as needed basis. • Assists in the management of day-to-day operations of the compliance program. • Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends. • Provides reports on a regular basis, and as directed or requested, keeps the Compliance Officer, Compliance Manager and Compliance Committee informed of the operation and progress of compliance efforts. • Assists in the monitoring of the Compliance Program and related activities on a continuing basis. • Under direction of the Compliance Officer and Compliance Manager, assists in the coordination of communication and audits with regulatory agencies. • Provides staff support to committees or other departments, as assigned. • Documents and maintains records of all audits performed. Records include raw data or files reviewed, report of findings, corrective action plans, reassessment, and any ongoing monitoring logs. • Investigates, reviews, and analyzes claims data by applying knowledge of established policy, practice and by data mining techniques to determine details of fraudulent erroneous, or abusive billing activity. • Produces a written report to summarize audit scope and findings and recommended corrective action. • Reports any audit concerns to Compliance management without delay. • Performs other duties as assigned. EDUCATION: • Bachelor’s Degree Preferred EXPERIENCE/SKILLS: • Two or more years’ experience in auditing, compliance, legislative affairs, regulatory affairs, or public policy analysis preferred. • Two or more years in managed care setting. • Advanced knowledge of Microsoft Word, Excel, PowerPoint and Outlook. • Customer service skills with the ability to interact professionally and effectively with staff from all departments within and outside the Company. Excellent verbal, written, organizational, and analytical skills. • Understanding of federal, State, and local legislative and regulatory processes. • Ability to handle confidential, sensitive information with professionalism • Must have a track record of producing work that is highly accurate, demonstrates attention to detail, and reflects well on the organization • Demonstrated ability to utilize and apply internal auditing principles, practices, and techniques. • Ability to organize and prioritize work effectively; detail oriented; apply established policies procedures and guidelines for problem-solving and decision making.