Compliance Specialist - CommUnityCare (Hybrid)

Overview

The Compliance Specialist is responsible for supporting the Compliance team with auditing and monitoring, designing and delivering education, creating and revising policies / procedures, and investigating, responding and trending incident reports. This role collaborates with staff across all disciplines / departments and possibly with patients and their family members.

Responsibilities

Essential Functions:

- Perform compliance audits, prepare written reports including recommendations based on findings, and monitor related action plans.- Identify, investigate, and/or report compliance issues, irregularities, and violations.- Support the Compliance team with Risk assessments including facilitating interventions and monitoring outcomes.- Participate in the development, coordination, and presentation of compliance training programs.- Coordinate management of all organizational policies and procedures through CommUnityCare’s policy management system including system training, workflow status reports, and preparing Board summary reports as needed.- Monitor and facilitate required policy/procedure updates to ensure compliance with current local, state, and federal regulations and coordinate implementation of changes into program activities.- Ensure all tasks/duties comply with all regulatory and accreditation standards including The Joint Commission, Health Resources Services Administration and CommUnityCare Policies / Standard Operating Procedures.- Develop and maintain favorable internal relationships, partnerships with co-workers.- Support CommUnityCare as a system administrator back-up for CommUnityCare’s compliance software package(s).- Perform other duties as assigned.

Knowledge, Skills and Abilities- High level of skill at building relationships within the organization.- Excellent verbal and written communication skills.- Strong analytical, critical thinking and presentation skills.- Ability to audit and monitor compliance.- Ability to summarize, recommend process improvements, and articulate audit findings.- Ability to trend data and make recommendations.- Proficiency in the use of a computer and commonly used software packages, including Microsoft Office.- Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization.- Maintain confidentiality and adhere to all HIPAA guidelines and regulations.- Ensure all actions, job performance, personal conduct and communications represent CommUnityCare in a highly professional manner at all times.- Attention to detail.- Ensure all assignments are done in a timely and accurate manner.

Qualifications

Minimum Education: Bachelor's Degree

Minimum Experience: 

- Two (2) years of compliance in a healthcare setting

Preferred Experience:

- Experience with federal, state, and local healthcare regulations, processes and procedures.

Licenses/Certifications:

- CHC within 1 Year