Compliance Specialist

Lucet
Remote

About The Position

At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body. As part of the Lucet team, employees join a mission-driven organization committed to making a lasting impact. Whether through behavioral health navigation, in-home medical care, or 24/7 crisis support, our work is rooted in empathy, collaboration, and a shared passion for helping people thrive. At Lucet, we’re committed to creating a workplace where top talent thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has real impact, your unique background and experience are valued, and no two days are alike. If you’re passionate about meaningful work and delivering impactful results, we encourage you to apply! At Lucet, your work will directly support our mission to improve behavioral, physical, and social health—one member at a time.

Requirements

  • Bachelor’s level degree or equivalent experience.
  • 3-5 years’ experience in compliance, quality, legal, managed care, audit, project management, or as a business analyst.
  • Proven business project management experience including independent project identification, planning, deployment, monitoring, and completion.
  • Advanced skills with Microsoft Office (Word, Excel, Outlook, etc.) and Adobe Acrobat
  • Excellent written and verbal communication skills.
  • Demonstration of strong organizational, analytical, and problem-solving skills.
  • History of interaction with all levels of an organization and types of internal and external stakeholders.
  • Must be flexible and able to manage multiple priorities and meet all applicable deadlines.
  • Willingness to work non-traditional hours as rarely needed to assist with urgent business needs and IT initiatives related to clinical communications and be the point of contact for organizational emergency letter outages.
  • Ability to work autonomously, independently managing and organizing necessary meetings and workplans to effectuate change.
  • Demonstrated ownership and accountability for an entire organizational workstream or process, resulting in positive outcomes.
  • Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.

Nice To Haves

  • Serving everyone with compassion and leading with empathy.
  • Stepping up and creating value by taking charge and acting when there is an opportunity.
  • Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
  • Nurturing growth and belonging by respecting and celebrating everyone for who they are.
  • Strong interpersonal skills, and ability to effectively present information to employee at all levels of the organization
  • Ability to recognize an issue when it exists, and to independently identify root cause and remediation
  • Analytical
  • Ability to think critically and apply information to improve processes
  • Detail oriented
  • High level of initiative and strong independent work ethic
  • Able to work independently and in a team environment
  • Ability to embrace change

Responsibilities

  • Lead the annual compliance workplan, auditing and monitoring activities to ensure continuous alignment with regulatory, accreditation, and policy requirements.
  • Analyze processes, conduct root cause analyses, and drive remediation and corrective action plans to reduce organizational risk.
  • Represent compliance in business initiatives and new account implementations, ensuring adherence to UM standards, regulatory requirements, accreditation standards, and customer‑specific needs.
  • Lead cross‑functional approvals for operational and technical changes to ensure compliance with ERISA, NCQA, URAC, Medicare, Medicaid, and state‑specific regulations.
  • Maintain SME‑level expertise in written communications systems, oversee vendors and delegate audits, and manage IT change requests and prioritization.
  • Partner with business owners, vendors, and leadership; present findings to Compliance Committee or Board, and ensure effective communication across all stakeholders.
  • Adhere to Lucet’s Mission Statement, Core Values, Behaviors, Code of Ethical Business Conduct, and Compliance Program.
  • Comply with all Federal and applicable State and local laws and Lucet Policies and Procedures regarding privacy, confidentiality, and security of health information, and other designated information.

Benefits

  • Annual compensation between $65,000 - $74,000, PLUS an annual performance-based, discretionary incentive.
  • Comprehensive health benefit options: Medical, dental, and vision coverage
  • 401(k) with competitive employer match
  • Company-paid life and disability insurance
  • Paid parental leave and wellbeing incentives
  • Generous paid time off, including volunteer time
  • Flexible spending accounts for healthcare and dependent care
  • Professional development opportunities and tuition reimbursement
  • Remote work flexibility (role-dependent)
  • Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
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