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Compliance Specialist, Healthcare

Job in Worcester, Worcester County, Massachusetts, 01609, USA
Listing for: Veterans Inc
Full Time position
Listed on 2026-09-21
Job specializations:
  • Healthcare
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 70000 - 95000 USD Yearly USD 70000.00 95000.00 YEAR
Job Description & How to Apply Below

Veterans Inc. Is seeking a detail oriented individual who can work in a fast paced environment.

Under the general supervision of the Senior Director of Client Services and Training, this position is responsible for oversight of compliance with requirements of the Massachusetts Executive Office of Health and Human Services (EOHHS) Department of Public Health (DPH) Bureau of Substance Addiction Services (BSAS) and Mass Health, including regulatory and licensing requirements, guidelines, reporting requirements, and applicable federal and state requirements.

ESSENTIAL JOB FUNCTIONS:

Regulatory and Licensing Compliance:

Oversee compliance with state requirements, including applicable provisions of 105 CMR 164.000, as well as SAMHSA, HHS, and other federal and state requirements governing substance use disorder and behavioral health services

Audits and Corrective Actions:

Lead organizational readiness for regulatory audits, surveys, and reviews. Respond to Deficiency Correction Orders (DC) Os with Corrective Action Plans (CAPs) in a timely manner. Support subsequent creation and implementation of Standard Operating Procedures and organizational policies to submit as corrective action evidence

Program, Clinical, and Personnel Compliance:

Monitor program operations, clinical practices, and personnel documentation to ensure compliance. Collaborate with Human Resources and clinical teams to conduct periodic audits of personnel files, credentials, training, supervision, and program documentation, as well as patient files including case notes, medication records, and other required documentation; identify deficiencies and coordinate timely corrective action

Incident, Risk, and Regulatory Reporting:

Oversee incident identification, documentation, investigation, and reporting in accordance with DPH/BSAS and organizational requirements.

Compliance Program Management and Quality Improvement:

Monitor and report compliance and performance data supporting regulatory requirements, accreditation, contracts, grants, and organizational initiatives.

QUALIFICATIONS:
  • Deep knowledge of Massachusetts BSAS (105 CMR 164.000), 42 CFR Part 2, SAMHSA, and HIPAA privacy laws.
  • Proven ability to conduct clinical chart audits, manage incident investigations, and implement effective Corrective Action Plans (CAPs) using EHR systems like AdvancedMD.
  • Strong capability to interpret complex, shifting state and federal regulations and translate them into practical agency policies and clinical workflows.
  • Proficiency with Electronic Health Records (EHR) and Practice Management (PM) software, with AdvancedMD preference.
  • Strong root-cause investigation skills to manage incident reporting, analyze data trends, and identify compliance vulnerabilities.
  • Outstanding written communication skills tailored for formal regulatory reporting, corrective action responses, and executive briefings.
Education and Experience Requirements:
  • Minimum of bachelor's degree in healthcare administration, Public Health, Human Services, Business Administration, Public Administration, or a related field required. Master's degree in Business Administration (MBA), Public Administration (MPA), Public Health (MPH), or a related field preferred.
  • Minimum of 3-5 years' experience in healthcare, nonprofit, or governmental compliance environments.
WHAT WE CAN OFFER YOU:

Comprehensive Benefits Package for FT employees includes:

  • BCBS Medical, Dental, and Vision Insurance
  • Employer Paid Short and Long-Term Disability and Life Insurance.
  • $2500 Medical Opt-Out program if you have medical coverage through another source.
  • Retirement Plan (403B) with a $2000 Match
  • Flexible Spending Accounts
  • Tuition Reimbursement Program
  • Paid Parental Leave

Veterans Inc. is proud to be an equal opportunity employer. We are committed to equal employment opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, marital status, disability, gender identity or protected Veteran status.

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