Compliance Specialist

Christiana Care Health Services•Wilmington, DE

About The Position

The General Compliance Specialist supports ChristianaCare’s Compliance Department in implementing and maintaining the organization’s Compliance Program and promoting adherence to applicable federal and state laws, regulations, organizational policies, and the Code of Conduct. The role supports compliance projects and initiatives, maintains effective documentation, and provides information and clarification on compliance inquiries, policies, documentation standards, and regulatory requirements through communication, education, and training. The Specialist helps identify, investigate, and resolve potential compliance concerns. This includes conducting assessments and privacy audits, facilitating or recommending root cause analyses, tracking corrective action plans, and monitoring follow-up activities to support sustained compliance and continuous improvement. The role also conducts regulatory research, provides written guidance to business partners, and supports compliance reporting and governance-level metrics.

Requirements

Bachelor’s degree required.
Three to five years of experience in a healthcare organization, prior privacy operations, privacy auditing, administrative, or consultative experience is preferred.
Maintain required credentials.
Maintain confidentiality of patient/member and staff information.

Nice To Haves

Certification in Healthcare Compliance (CHC) and/or Certification in Healthcare Privacy Compliance (CHPC).
Three to five years of experience in a healthcare organization, prior privacy operations, privacy auditing, administrative, or consultative experience.

Responsibilities

Work to ensure timely resolution of privacy issues and facilitate communication about privacy-related matters.
Support day-to-day Compliance Program operations under the direction of the Director of Compliance (Auditing & Monitoring).
Assist in developing, implementing, and reviewing compliance and privacy policies and procedures as needed.
Stay current on privacy and compliance regulations and regulatory changes to conduct accurate audits and reviews.
Perform assigned work-plan schedule reviews and projects outlined in the Compliance Department Workplan.
Respond to alleged violations of rules, regulations, policies, procedures, and standards of care by evaluating or recommending root cause analyses and taking steps to restore compliance, including tracking corrective actions.
Support communication of compliance initiatives through written materials and training programs promoting awareness and understanding of compliance issues, the Organizational Code of Conduct, applicable laws, regulations, and government directives or guidance.
Conduct regulatory research and provide written guidance to business partners on regulatory changes.
Conduct privacy audits and focused reviews to ensure compliance with government and payor guidelines.
Assist with regular governance-level reporting and Compliance Department metrics, including dashboards, board reporting, and weekly, monthly, and annual compliance and ethics reporting.
Assist with reviewing internal and external inquiries regarding professional and hospital or clinical billing compliance matters, including government and third-party payor requests.
Maintain required credentials, pursue ongoing professional growth, demonstrate professionalism, and serve as a role model.
Maintain confidentiality of patient/member and staff information.
Perform assigned work safely, follow departmental safety rules and practices, and promptly report unsafe activities, conditions, hazards, or safety violations to a supervisor.
Perform other related duties as required.

Benefits

Full medical, dental, vision, and life insurance.
Two retirement planning offerings, including a 403(b) with company contributions.
Generous paid time off with annual rollover and opportunities to cash out.
12-week paid parental leave.
Annual membership to Care.com.
Access to backup care services for dependents through Care@Work.
Retirement planning services.
Financial coaching.
Fitness and wellness reimbursement.
Discounts through vendors for hotels, rental cars, theme parks, shows, sporting events, and movie tickets.
Employee assistance program.