Compliance Specialist, Healthcare

Overview

The Compliance Specialist’s primary responsibilities are to provide evaluative feedback and develop consistent processes across multiple programs and locations. These processes will inform and improve practices that have a direct impact on services to children and families. This position is responsible for developing systems for routine evaluation, tracking performance, and establishing a consistent feedback loop. The Compliance Specialist will assist program leadership in administrative and strategic tasks.

• Medical, dental, vision, and supplemental insurance options, including HSA match for qualifying contributions.
• Parental Paid Leave
• Retirement savings plan with company match.
• Paid time off and holiday pay.
• Mileage reimbursement.
• Tuition reimbursement available.
• Company sponsored learning and development

Other duties may be assigned as necessary.

• Develop, implement, and maintain system for tracking administrative reviews and corrective action plans for all assigned programs.
• May coordinate the statewide Administrative Review Committee.
• Develop tools for evaluating compliance in student, client and/or family records that mirrors state contract monitoring.
• Implement and maintain a quarterly review cycle for student, client and/or family records.
• Evaluate case management and subcontracted services for compliance with accreditation, contract standards, and/or Arrow policies.
• Help support the development of standardized services and practices across all assigned programs.
• Prepare and monitor, in partnership with the program staff, corrective action plans developed internally and externally.
• Perform program audits as assigned and assist programs with pre-audit preparations.
• Demonstrate knowledge, awareness and working relationships with social, educational, human services programs and other resources available to participants and their families.
• Complete Medicaid billing tasks, provide the first level of qualitative review for Medicaid related documentation, complete internal Medicaid audits, and assist with external Medicaid processes.
• Work to maximize Medicaid billing.
• May assist on special projects connected to staffing, compliance, budgeting, and professional development.
• Acquire knowledge of all programs supported by Arrow Child & Family Ministries including an understanding of the culture, values, principles, and practices.
• Communicate and report the organization’s performance outcomes, indicators and target goals.
• Perform all duties within contract, state and federal regulations, company policy, and regulatory agency standards.
• May be required to drive vehicles, be insurable with our auto insurance provider, and complete company vehicle training.

A high school diploma and at least 3 years of child welfare or human services experience is required. For positions assigned to special education schools, a Bachelor’s degree and eligibility for MSDE certification is also preferred.