Compliance Specialist II - Compliance and Ethics

Choctaw Nation of Oklahoma • Durant, OK

3d • Hybrid

About The Position

Responsible for monitoring and ensuring adherence to all procedures and tribal, state, and federal regulations about Health Services and collaborating with departments to maintain a culture of culture of compliance within Health Services. You will report to the Compliance and Ethics Officer.

Requirements

• Bachelor’s degree in business or healthcare administration or related field and four [4] years’ directly related experience including investigations, and conflict resolution responsibilities, OR eight [8] years of directly related experience in lieu of education.
• Obtain or be willing to obtain certifications required by each department within the allotted amount of time.
• Working knowledge of federal, state and tribal employment laws and regulations.
• Ability to maintain knowledge/certifications of Compliance & Ethics through continuing education
• Ability to protect confidentiality and handling of sensitive documents and records

Responsibilities

• Monitor and coordinate Health Services compliance activities of other departments to remain well-informed of the status of compliance issues and to identify trends.
• Manage and conduct appeals, inquiries, evaluations, and investigations of identified compliance and concerns involving associates, patrons, vendors, or former associates of the Choctaw Nation of Oklahoma.
• Prepare comprehensive reports with findings to include identification and evaluation of any Health Service compliance/ethics process gaps or practices that create risk to avoid organizational liability and collaborate/partner with other departments to facilitate resolution of compliance issues.
• Maintain accurate, confidential records regarding appeals, inquiries, evaluations, and investigations.
• Make recommendations to ensure that the Health Service compliance program is efficient in identifying, preventing, and correcting noncompliance with applicable policies, procedures, laws and regulations, and provide reporting.
• Participate in development of procedures to mitigate Health Services organizational risk.
• Evaluate business activities to assess and identify compliance risk.
• Communicate with Department Leadership the status of appeals, inquiries, evaluations, or investigations.
• Perform other duties as may be assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level