Compliance Specialist

ChristianaCare • Wilmington, DE

6d • $81,078 - $129,750

About The Position

The General Compliance Specialist supports ChristianaCare’s Compliance Department in implementing and maintaining the Compliance Program and promoting adherence to applicable federal and state healthcare laws, regulations, and organizational policies, including the Code of Conduct. The role supports compliance projects and assigned activities that help maintain organizational compliance and ensure effective documentation.

Through education, communication, and guidance, the Specialist responds to operational compliance inquiries and clarifies policies, documentation standards, and regulatory requirements. The Specialist also supports the identification, investigation, and resolution of potential compliance concerns by conducting assessments, facilitating or recommending root cause analyses, tracking corrective action plans, and monitoring follow-up to help ensure sustained compliance and continuous improvement.

The position supports day-to-day Compliance Program operations under the direction of the Director of Compliance (Auditing & Monitoring). It includes privacy-related work, regulatory research, audits and focused reviews, policy and procedure support, and compliance reporting. The role also requires maintaining confidentiality, professional growth, and safe work practices.

Requirements

• Bachelor’s degree required.
• Three to five years of experience in a healthcare organization, privacy operations, privacy auditing, administration, or consulting is preferred.

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, privacy operations, privacy auditing, administration, or consulting.

Responsibilities

• Ensure timely resolution of privacy issues and facilitate communication of 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.
• Keep abreast of current privacy and compliance regulations and regulatory changes to conduct accurate audits and reviews.
• Perform assigned work plan schedule reviews and projects as 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 that promote awareness and understanding of compliance issues, the Organizational Code of Conduct, and related laws, regulations, government directives, and 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/clinical billing compliance matters, including government and third-party payor requests.
• Maintain required credentials, take responsibility for ongoing professional growth, demonstrate professionalism, and act 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.
• 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 Care.com membership.
• 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, movie tickets, and other offerings.
• Employee assistance program.

What This Job Offers

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