Compliance Specialist
About The Position
A Compliance Specialist reviews and verifies document records to ensure the documentation complies with regulations and internal quality control practices. The Compliance Specialist works closely with Care Navigators to advise what information is needed from the client to provide all available services efficiently. They monitor and confirm crucial documents and conduct file audits, ensuring all regulatory timelines are adhered to and are critical to ensuring a clean external audit. Compliance Specialists are skilled in time and priority management, have strong attention to detail and compliance, and have a high level of personal accountability. Compliance Specialists collaborate extensively within the organization to ensure all i’s are dotted, and t’s are crossed.
Requirements
- Prioritizing and completing tasks to deliver desired outcomes within allotted time frames.
- Effectively uses both creative and analytical thinking to find innovative solutions while maintaining compliance.
- Establishing courses of action to ensure that work is completed effectively.
- Defining, analyzing, and diagnosing critical components of a problem to formulate a solution.
- Setting, pursuing, and attaining goals, regardless of obstacles or circumstances.
- Collaborates with others to meet objectives, shares responsibility with team members for successes and failures, and recognizes and appreciates the contributions of team members.
- Ability to anticipate next steps, be proactive, and collaborate with coworkers and stakeholders.
- Ability to use good judgment and problem-solving skills, effectively respond to challenging situations, and resolve conflicts.
- Ability to work independently in a fast-paced environment and successfully complete tasks with little or no supervision.
Responsibilities
- Ensure compliance with internal and external funding requirements
- Maintain a thorough understanding of available funding sources and allowable uses to support Care Navigation in providing resources needed to achieve client goals
- Works closely with Care Navigation to communicate all documentation required for services in a complete and timely manner
- Ensure file documentation is complete, organized, and reconciled across all data platforms (on exit)
- Procure supplies and essential items as indicated by Care Navigation for client success
- Prepare and submit POs to finance for client financial assistance
- Conduct through exit process for each client file working closely with Care Navigation to gather the required elements
- Update contract spend-down report on a regular and timely basis
- Input data and monitor database entries
- Assist management team with report preparation
Benefits
- 100% of insurance premiums covered for you for medical, dental, life, and vision, and 60% of medical premiums covered for your dependents to ensure you and your family have quality care
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
