Lead Compliance Investigator

AmeriCare • New York, NY

2d

About The Position

The Lead Grievance Investigator is an essential component of the CHHA team. The Lead Grievance Investigator plans, develops, implements, and oversees the Agency’s grievance investigation and resolution processes to ensure compliance with Medicare, Medicaid, federal, state, and local regulations, as well as Agency policies and procedures.

Requirements

• Demonstrated knowledge of Medicare, Medicaid, CHHA grievance, patient rights, and complaint resolution requirements.
• Ability to exercise initiative, sound judgment, and discretion in sensitive matters.
• Strong analytical, investigative, and problem-solving skills.
• Ability to work effectively with staff at all levels and to enlist cooperation to achieve timely and effective grievance resolution.

Nice To Haves

• Bachelor's Degree preferred.
• Five (5) or more years of health care experience, preferred.
• Three (3) or more years of experience in home care, compliance, quality management, or investigations, preferred.

Responsibilities

• Plans, develops, implements, and oversees the Agency’s grievance investigation and resolution processes.
• Ensures compliance with Medicare, Medicaid, federal, state, and local regulations, as well as Agency policies and procedures.

Benefits

• Comprehensive benefits including medical, dental, and vision.
• 401K plan with company match
• Supportive Management team
• Robust time off including vacation, sick, personal, floating holiday, Cultural Heritage Day and your birthday off!
• Employee discount program on events, movie tickets, mobile phone plan discounts and more

What This Job Offers

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