Policy Analyst

The Policy Analyst assists the Community Behavioral Health (CBH) Manager of Compliance with the development, implementation, and maintenance of organizational policies to ensure adherence to legal, regulatory, and internal standards. This position will analyze risks, conduct audits, update policies and procedures based on new requirements, and train employees to foster a culture of compliance.

Essential Functions:

Ensure CBH implements and maintains a compliance program comprised of the seven elements of an effective compliance program.

Policy Development:

• Create, update, and maintain comprehensive company policies and procedures to meet legal, regulatory and ethical standards.
• Ability to evaluate existing policy language and make recommendations for improvement.

Regulatory Monitoring:

• Stay current on industry-specific laws and regulations, updating internal policies accordingly.

Risk Assessment:

• Perform audits and risk assessments to identify, minimize, and manage potential compliance liabilities.
• Ability to investigate potential violations and conduct root cause analysis.

Training & Communication:

• Develop compliance training programs and educate employees on policy requirements.

Liaison & Reporting:

• Collaborate with internal departments and external regulators to report compliance metrics and address violations. Frequently interfacing with senior leadership.

This role maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, benchmarking state-of-the-art practices, and participating in professional societies.

Position Requirements:

Education:

• Bachelor’s degree, preferably in Law, Behavioral Health, Public Health, or related Healthcare field.

License/Certification:

• Compliance or Privacy Certification required or obtained within six months of accepting the position.

Relevant Work Experience:

• At least 2 years of direct experience working in healthcare or a managed care environment, experience working with Medicaid programs preferred.

Skills:

• Understanding of managed care and behavioral healthcare delivery systems and services
• Excellent administrative and organizational skills with high attention to detail.
• Excellent research, analytical, critical thinking, and problem-solving skills
• Ability to handle multiple assignments while meeting deadlines as well as quality expectations
• Proficiency in the use of Microsoft Excel and Word, and Smartsheet
• Excellent oral and written communication skills
• Ability to prepare and summarize reports in a comprehensive and concise manner
• Ability to work independently and as part of a team
• Compliant with HIPAA regulations

CBH offers a robust compensation and benefits package, including:

• Family Planning, Fertility, Adoption Benefits
• 403B Retirement Plan
• PTO Days/Sick Days
• Wellness Program
• Employee Assistance Program
• Health, Dental, Vision Insurance
• Medical, Prescription Drug Insurance
• Tuition Reimbursement
• Commuter Benefits
• Flexible Spending

Core Competencies:

• Teamwork and Collaboration: Build and sustain relationships with co-workers and stakeholders and support efforts and deliverables. Encourage unity and help remove barriers to productivity and success.
• Respect: Treat each other and our members and stakeholders with respect and sensitivity, recognizing the importance of diversity.
• Member Centric: Focus on the needs of our members by providing value-added services, promoting strong relationships and going beyond basic expectations to achieve the best possible outcomes.
• Honesty and Integrity: Be open and honest in all we do. Maintain the highest level of integrity at all times.
• Commitment to Service Excellence: Challenge ourselves to be forward-thinking and committed to providing total member and stakeholder satisfaction, first-in-class service and high quality, innovative programs.
• Compassion and Empathy: Demonstrate a deep appreciation for another’s situation and point of view. Pay attention to emotional cues, listen effectively and show an exceptional level of caring about each person’s perspectives and circumstances.
• Problem Solving: Build and implement logical solutions to resolving challenges/issues by using individual knowledge and experience while taking resources, constraints and CBH values into consideration.
• Initiative and Self-Directed: Proactively manage time and resources in a way that ensures that all work is done in the most efficient manner while identifying and implementing initiatives without interventions from co-workers, supervisors or stakeholders.
• Flexibility and Adaptability: Adjust approaches and behaviors in order to meet the constantly changing environment head-on and accomplish CBH and individual goals. Strive to adapt to, accept and embrace change within areas of responsibility.
• Communication: Effectively and appropriately share thoughts, ideas and information - both written and oral. Respectfully listen to co-workers and stakeholders to gain a full understanding of issues/situations.

Leadership Competencies:

• Strategic Thinking: Understand and integrate the long-term vision of CBH and focus current activities on what is critical to achieve future success including formulating objectives/priorities and developing and implementing breakthrough ideas.
• Leadership: Effectively manage and guide efforts to address challenges and drive continuous improvement for CBH’s programs, services and processes. Develop and implement effective strategies and appropriate interpersonal styles to influence and guide others.
• Employee Development: Recognize and promote the necessity to hire, assess, develop and retain high quality talent. Acknowledge strengths and weaknesses in team members through an ongoing performance management process that provides timely feedback in order to help them develop and enhance performance.

Philadelphia Residency Requirement:

• The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

U.S. Authorization Requirement:

• CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.

Equal Employment Opportunity:

• We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

Requesting An Accommodation:

• CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
• If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at [email protected]