Compliance Officer

LTE Care Plus Inc.•Town of Huntington, NY

3d•$70,000 - $100,000•Hybrid

About The Position

As Compliance Officer at LTE Care Plus, you’ll safeguard our ethical and legal integrity as a 501(c)(3) nonprofit while ensuring every ABA and Early Intervention (EI) service meets Medicaid, OMH, and other regulatory standards. You’ll partner with clinical, billing, and administrative teams to strengthen documentation, prevent risk, and build a culture of transparency, accountability, and continuous improvement.

Requirements

Bachelor’s degree required
3–5+ years in healthcare or nonprofit compliance, ideally in behavioral health, ABA, or Medicaid-funded programs
Strong working knowledge of Medicaid NY regulations, including billing, supervision, and documentation for ABA/EI
Familiarity with BACB Ethics Code, HIPAA, OMH, OPWDD, and NYS DOH frameworks
Proven ability to conduct audits, implement compliance protocols, and respond to regulatory inquiries or investigations
Highly analytical with excellent communication, problem-solving, and attention to detail
Comfortable working independently and collaborating across clinical, administrative, and billing teams
Proficient with EHR systems and compliance tracking tools

Nice To Haves

Master’s in Healthcare Administration, Public Policy, Behavioral Health, Law, or related field preferred
Experience with 501(c)(3) governance and compliance reporting is a plus
Experience with parent training requirements and clinical supervision standards is a plus

Responsibilities

Monitor and enforce compliance with federal and state rules (Medicaid NY, OMH, OPWDD, NYS DOH, CMS, BACB), with deep focus on ABA/EI billing and documentation requirements.
Develop, update, and socialize agency-wide compliance policies; deliver annual training on confidentiality, billing, supervision, and clinical documentation.
Run quarterly audits and targeted reviews of clinical records, billing reports, supervision logs, and intake procedures.
Identify compliance risks, lead investigations, and implement corrective action plans with clear follow-up and documentation.
Audit Medicaid and insurance claims for accuracy; verify treatment plans, session notes, and authorizations; ensure services occur only within valid authorization windows.
Monitor reassessment timelines to avoid service interruptions or denials (target: reassessments completed and submitted at least 30 days before current authorization expires).
Partner with clinical, intake, and billing teams to resolve discrepancies and strengthen internal controls.
Prepare quarterly and annual compliance reports for the Executive Director and Board; maintain audit, training, and incident records; support external audits or regulatory inquiries.