Compliance Specialist

Sun River Health•New York, NY

17d•Remote

About The Position

Sun River Health is seeking a Full Time Remote Compliance Specialist to join their team. This role involves promoting adherence to regulatory and organizational policies concerning compliance, non-discrimination, and confidentiality. The Compliance Specialist will participate in investigations, develop training materials, respond to critical reports, and contribute to the Compliance Committee. They will also be involved in audit readiness activities and ongoing compliance audits, including HIPAA/Confidentiality Site Visits. The position will oversee all Behavioral Health audit readiness, quality assurance, and compliance activities, such as policy review, participation in Death Reviews, the Zero Suicide Initiative, and risk/compliance audits. In collaboration with program management, the specialist will ensure the implementation and maintenance of corrective action plans and the preparation of documentation and reporting in accordance with external requirements and internal policies.

Requirements

Bachelor's Degree

Nice To Haves

Master's Degree

Responsibilities

Assist the Vice President, Risk Management, Compliance & Patient Experience in development and implementation of the Compliance program plan and evaluation.
Facilitate quality and compliance assurance activities to promote program conformance with expectations set forth by oversight entities, including the NYS OMH, DOH, HRSA, FTCA and other accrediting bodies.
Develops additional audit tools to assess organization compliance with internal and external regulations as they apply to chart documentation.
Conducts audits and assess/trend audit findings across program sites to identify improvement opportunities.
Conducts Death Reviews in partnership with Behavioral Health Medical Directors as required by OMH.
Contribute to or leads critical investigations, responds to critical reports of compliance and confidentiality concerns, and report activities to the Compliance Committee.
Conducts HIPAA/Confidentiality Site Visits to ensure organizational adherence to required standards.
Participate in audit readiness activities and site visit preparations.
Review of organizational policies and procedures on an annual basis.
In collaboration with program management, ensure that corrective action plans are implemented and maintained and that all documentation and reporting requirements are prepared and maintained in a professional and well-coordinated manner, consistent with all applicable external reporting requirements and internal policies.
Identify staff training needs, develop training curriculums, and present training as part of ongoing efforts to improve staff knowledge.
Oversee the development of clear, concise, timely and actionable written audit reports reflecting review findings and recommendations for presentation to Executive, Management and Program Staff.
All other assignments and activities as requested by VP of Risk Management and Patient Experience.