Regulatory Compliance Specialist

Behavioral Health Allies • Kansas City, MO

8h

About The Position

The Regulatory Compliance Specialist plays a critical role in ensuring Behavioral Health Allies (BHA) operates in full compliance with applicable federal, state, and local laws, regulations, accreditation standards, and contractual requirements, with a specific emphasis on Kansas and Missouri regulatory frameworks. Working closely with the Director of Safety, Risk and Compliance, this position supports the development, implementation, monitoring, and continuous improvement of BHA’s compliance, privacy, and risk management programs. This role supports compliance with oversight agencies including, but not limited to, the Kansas Department of Children and Families, Missouri Department of Mental Health, Missouri Department of Social Services, Missouri Department of Elementary and Secondary Education and Centers for Medicare & Medicaid Services, and applicable Medicaid Managed Care Organizations. Responsibilities include conducting internal reviews and audits, tracking regulatory changes, assisting with enterprise-wide risk assessments, supporting external surveys and third-party audits, and maintaining accurate compliance documentation. The Regulatory Compliance Specialist serves as a key partner to cross-functional teams, helping translate regulatory and contractual requirements into practical, workable policies and procedures that support safe, ethical, and high-quality services for individuals with developmental disabilities and complex behavioral needs, while reinforcing adherence to BHA’s mission and core values.

Requirements

• Associate’s degree in Healthcare Administration, Business, Public Administration, Risk Management, Compliance, or a related field.
• Minimum of 3–5 years of experience in healthcare compliance, risk management, quality assurance, auditing, or a related regulatory role.
• Working knowledge of applicable healthcare regulations, including but not limited to HIPAA, Medicare, Medicaid, insurer requirements, and state regulatory frameworks.
• Strong analytical, research, and problem-solving skills.
• Exceptional attention to detail with strong organization and document management skills.
• Ability to handle sensitive and confidential information with integrity and professionalism.
• Strong written and verbal communication skills, including the ability to clearly document findings and communicate expectations.
• Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint).
• Ability to manage multiple priorities, meet deadlines, and adapt to changing regulatory requirements.
• Demonstrated ability to work independently and collaboratively across departments.

Nice To Haves

• Bachelor’s degree in Healthcare Administration, Compliance, Risk Management, Legal Studies, or a related field.
• Experience working in behavioral health, social services, or healthcare organizations serving high-risk or vulnerable populations.
• Familiarity with accreditation standards and audit frameworks.
• Certification or progress toward certification such as CHC (Certified in Healthcare Compliance), CHPC, or similar.
• Experience participating in or supporting external audits, surveys, or regulatory reviews.
• Experience working with governmental regulatory agencies.
• Experience analyzing statutory law and administrative regulations and translating requirements into compliant organizational practices.

Responsibilities

• Assist the Director of Safety, Risk and Compliance with internal reviews, audits, and compliance assessments to verify adherence to applicable federal and state laws, CMS Conditions of Participation, Medicaid waiver requirements, state plan services, accreditation standards, payer contracts, and organizational policies.
• Support compliance monitoring related to Kansas and Missouri Medicaid programs, including HCBS waivers, MCO requirements, and state-specific provider manuals and regulations.
• Identify, document, and organize compliance findings, trends, and potential risk areas; assist in developing and tracking corrective action plans, plans of correction (POCs), and quality improvement initiatives.
• Verify compliance with insurer rules, Medicare, Medicaid, HIPAA, and applicable Kansas and Missouri statutes, administrative regulations, and DMH/KDADS requirements.
• Assist in conducting enterprise-wide risk assessments, including identification of operational, regulatory, privacy, and compliance risks.
• Support preparation for, participation in, and follow-up from third-party audits, surveys, licensing reviews, and regulatory inquiries.
• Assist with the development, review, implementation, and revision of policies, procedures, and compliance-related documents based on regulatory changes and organizational needs.
• Coordinate with departments and cross-functional teams to ensure documents are reviewed, updated, and approved within required timeframes.
• Perform document control functions, including tracking, formatting, version control, distribution, and archiving.
• Evaluate document organization, proofread materials, and perform quality checks prior to finalization.
• Monitor and stay informed of changes in federal, state, and local regulations impacting healthcare and behavioral health services, including CMS guidance, Kansas and Missouri statutes and administrative rules, DMH directives, and Medicaid policy updates.
• Assist in interpreting regulatory guidance and translating requirements into actionable operational practices.
• Support timely and accurate reporting to regulatory agencies, state oversight bodies, and internal leadership, as required by CMS, DMH, and contractual obligations.
• Assist with maintaining readiness for unannounced surveys, audits, and site visits.
• Receive, document, investigate, and assist in resolving compliance- and privacy-related complaints or concerns.
• Maintain compliance, privacy, and investigation logs as required by law and organizational policy.
• Support corrective actions and follow-up activities to ensure sustained compliance.
• Assist with compliance, privacy, and regulatory training initiatives aligned with CMS, DMH, HIPAA, and Medicaid requirements.
• Support onboarding, annual, and refresher training related to compliance, documentation standards, incident reporting, abuse and neglect prevention, privacy, and ethical responsibilities.
• Promote awareness of regulatory expectations and individual accountability across all levels of the organization to support survey readiness and continuous compliance.
• Support implementation of regulatory and policy changes through clear communication, practical planning, and collaboration.
• Help build understanding, commitment, and adoption of compliance-related changes across departments.
• Respond promptly and professionally to internal and external inquiries related to compliance.
• Demonstrate dependability by following instructions, meeting commitments, and taking responsibility for assigned duties.
• Maintain professionalism under pressure and respond constructively to changing priorities.
• Promote diversity, equity, and inclusion by respecting cultural differences, supporting EEO principles, and fostering a harassment-free environment.
• Perform other related duties as assigned by management.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 251-500 employees