Jobs · Legal · New York

Behavioral Health Regulatory Compliance Specialist

Upstate Caring Partners · Utica, NY · 1 mo ago
Legal$28.85–$33.65/hrFull-time
We need to output HTML fragment with sections: Pay, Schedule, About the role? The posting includes a brief intro: "We are hiring a Compliance Review Specialist to join our growing team! This position will be responsible to develop recommendations based upon review findings, develop review protocols, conduct risk assessments and prepare reports." That's about the role. Then "Standard schedule is 8 am - 4 pm Monday - Friday, but there is some flexibility available to meet candidate needs." That's schedule. Then "Core Responsibilities" list. Then "Required Abilities" list. Then "Qualifications" list (including Bachelor's degree, etc). Then "Preferred Qualifications" list (maybe combine with Qualifications? But we can have separate sections: Qualifications and Preferred Qualifications). Then "Benefits" list. Also Pay given: "$28.85 - $33.65 an hour". So Pay section. We must not repeat job title as heading. No Job ID. Remove boilerplate like "Please visit our careers website..." etc. Also remove duplicated lines. Also remove EEO etc (none). Also remove navigation etc. We need to use

for section headings: e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. However we must only include sections when posting has real specific content. We have content for: About the role (intro), Responsibilities (Core Responsibilities), Requirements? Could map Required Abilities as Requirements or Skills. Qualifications (Bachelor's degree etc). Preferred Qualifications maybe as Qualifications? But we can have Qualifications and Preferred Qualifications separate? The instruction says use headings like Qualifications, Skills, Benefits, Pay, Schedule. It didn't list Preferred Qualifications but we could treat as Qualifications (maybe combine). However we must not create thin sections. We could combine Required Abilities and Qualifications into one "Requirements" section? But we have separate lists: Required Abilities (skills) and Qualifications (education/experience). Could make two sections: Requirements (for Required Abilities) and Qualifications (for education/experience). Preferred Qualifications could be part of Qualifications (maybe as a subsection). But we need to avoid filler. We'll include:

About the role

... intro ...

Responsibilities

  • ... each responsibility ...

Requirements

  • ... each required ability ...

Qualifications

  • ... each qualification (Bachelor's degree, experience, proficiency, travel, driver's license) ...
plus maybe preferred qualifications as separate? Could add another

Preferred Qualifications

but that may be okay if content present. The instruction says we can use headings like Qualifications, Skills, Benefits, Pay, Schedule. It didn't forbid other headings but we should follow the given list. However we can still add Preferred Qualifications as a subsection under Qualifications? But we need to use
  • for list. Could embed preferred qualifications as part of Qualifications list, but that mixes required and preferred. Better to have separate sections: Qualifications (required) and Preferred Qualifications (optional). The instruction didn't list Preferred Qualifications but didn't prohibit other headings; it said "Use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." The "e.g." suggests examples, not exhaustive. So we can add Preferred Qualifications. Similarly Skills could be covered by Requirements (abilities). We'll not create Skills separate if we already have Requirements. We'll include Pay and Schedule sections. Benefits section: list benefits. We must not include filler like "commensurate with experience". Not present. We must not include application instructions like "Please visit our careers website...". Remove that. Also remove the line "Upstate Caring Partners is the premier provider..." maybe that's boilerplate? It's descriptive about company; could be considered boilerplate but it's substantive? It's more about company mission. Might be considered boilerplate but not explicitly listed to remove. The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." The company description may be considered boilerplate but not explicitly listed. Safer to keep? It's not navigation/legal/EEO etc. It's a brief description; could be kept as part of About the role? But we already have About the role intro. Could add a separate paragraph about company? Might be considered filler. I'd keep it as part of About the role maybe. We need to preserve all substantive information. The company description is substantive about employer. I'd include it as a paragraph after About the role maybe. Let's extract content: Pay: "$28.85 - $33.65 an hour" About the role: "We are hiring a Compliance Review Specialist to join our growing team! This position will be responsible to develop recommendations based upon review findings, develop review protocols, conduct risk assessments and prepare reports." Schedule: "Standard schedule is 8 am - 4 pm Monday - Friday, but there is some flexibility available to meet candidate needs." Responsibilities (Core Responsibilities): - Conduct internal compliance reviews and complete written report summarizing findings. - Conduct fraud investigations, summarize findings and present to executive leadership. - Provide corporate compliance and documentation training to new agency employees during their initial orientation program. - Conduct regulatory/compliance training for leadership and other agency staff as needed. - Provide technical assistance to program leadership and staff on regulatory and compliance issues. - Serve as agency liaison with government agencies conducting reviews of Upstate Caring Partners programs. - Participate in agency activities that may include, meetings, and committee participation (internal and external) that supports internal compliance improvement/development. - Monitor and remain current with state, federal, and third-party insurance regulations and recommend adjustments to the agency compliance program. - Adhere to mandatory abuse reporting laws and HIPPA requirements. Required Abilities (list): - Strong attention to detail. - Demonstrated skill in written and verbal communication. - Able to manage time independently, adhering to all deadlines including unexpected demands for information and/or additional assignments. - Professionalism in all decision making and use of good judgment based on regulatory and quality standards. - Maintain professional boundaries and confidentiality. - Exercise tact, discretion and judgment in working with a variety of people. - Must possess the ability to make independent decisions when circumstances are warranted. - Ability to be flexible and available to interact with employees at all levels. - Must be self-directed and motivated. - Must be able to manage and cope in sometimes stressful situations. - A high degree of creativity, thorough working knowledge of the business, attention to detail and high level of organizational skills are required. Qualifications (required): - Bachelor's degree in related health and human service field. - Minimum of three years' experience in human services or regulatory compliance. - Proficiency in computer programs (windows, outlook, adobe, word, excel). - Travel is required. - Must have valid NYS Driver’s License. Preferred Qualifications: - Experience working within a behavioral health, mental health, developmental disabilities, or human services organization strongly preferred. - Knowledge of and experience interpreting and applying New York State Office of Mental Health (OMH) regulations, standards, and guidance is highly preferred. - Familiarity with regulatory oversight functions, including OMH audits, certification reviews, incident reporting requirements, quality improvement initiatives, and corrective action planning. - Experience conducting compliance reviews, investigations, risk assessments, or quality assurance activities within a mental health or healthcare setting. - Working knowledge of applicable federal and state regulations affecting behavioral health providers, including Medicaid, HIPAA, fraud, waste and abuse prevention, and documentation standards. - Experience collaborating with clinical, operational, and leadership teams to ensure compliance with OMH regulations and best practices for service delivery. - Knowledge of regulatory agencies impacting human services programs, including OMH, OPWDD, OASAS, DOH, OCFS. - Demonstrated ability to analyze regulatory requirements, identify areas of risk, and develop recommendations that support continuous quality improvement and regulatory compliance. Benefits: - Our work environment provides the opportunity to grow and learn in a fast-paced atmosphere. - We offer competitive benefits and salary to include a low-cost individual health insurance plan, dollar for dollar retirement match (up to 7%), life insurance, voluntary benefits and generous paid time off. - Comprehensive Health/Dental/Vision - Direct Deposit - Flexible Spending Account (FSA) - Retirement Plan 403(b) - Life Insurance - Voluntary Benefits - Employee Assistance Program (EAP) - Generous PTO Plans (Sick, Vacation and Employee Leave) - Tuition Reimbursement - Service Awards - Employee Appreciation Events - Employee Discounts Also company description: "Upstate Caring Partners is the premier provider of direct-care services and programs in Central New York for individuals of all abilities and their families. If you believe in empowering people, Upstate Caring Partners is an excellent place to start or grow your career." We could include that as a paragraph after About the role or as a separate section like "About the organization". But not required. We'll include as a paragraph under About the role maybe. Now construct HTML:

    About the role

    We are hiring a Compliance Review Specialist to join our growing team! This position will be responsible to develop recommendations based upon review findings, develop review protocols, conduct risk assessments and prepare reports. Upstate Caring Partners is the premier provider of direct-care services and programs in Central New York for individuals of all abilities and their families. If you believe in empowering people, Upstate Caring Partners is an excellent place to start or grow your career.

    Pay

    $28.85 - $33.65 an hour

    Schedule

    Standard schedule is 8 am - 4 pm Monday - Friday, but there is some flexibility available to meet candidate needs.

    Responsibilities

    • Conduct internal compliance reviews and complete written report summarizing findings.
    • Conduct fraud investigations, summarize findings and present to executive leadership.
    • Provide corporate compliance and documentation training to new agency employees during their initial orientation program.
    • Conduct regulatory/compliance training for leadership and other agency staff as needed.
    • Provide technical assistance to program leadership and staff on regulatory and compliance issues.
    • Serve as agency liaison with government agencies conducting reviews of Upstate Caring Partners programs.
    • Participate in agency activities that may include meetings, and committee participation (internal and external) that supports internal compliance improvement/development.
    • Monitor and remain current with state, federal, and third-party insurance regulations and recommend adjustments to the agency compliance program.
    • Adhere to mandatory abuse reporting laws and HIPPA requirements.

    Requirements

    • Strong attention to detail.
    • Demonstrated skill in written and verbal communication.
    • Able to manage time independently, adhering to all deadlines including unexpected demands for information and/or additional assignments.
    • Professionalism in all decision making and use of good judgment based on regulatory and quality standards.
    • Maintain professional boundaries and confidentiality.
    • Exercise tact, discretion and judgment in working with a variety of people.
    • Must possess the ability to make independent decisions when circumstances are warranted.
    • Ability to be flexible and available to interact with employees at all levels.
    • Must be self-directed and motivated.
    • Must be able to manage and cope in sometimes stressful situations.
    • A high degree of creativity, thorough working knowledge of the business, attention to detail and high level of organizational skills are required.

    Qualifications

    • Bachelor's degree in related

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