Behavioral Health Regulatory Compliance Specialist

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.

Skills

• 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

Minimum Qualifications:

• 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.