Compliance Specialist

About the Role

The Compliance Specialist supports the organization's Corporate Compliance Program by promoting adherence to applicable federal and state laws, regulations, payer requirements, and organizational policies. This position assists in the development, implementation, and ongoing maintenance of an effective compliance program with a particular focus on Medicaid compliance, billing integrity, auditing, staff education, risk assessment, and regulatory preparedness.

The Compliance Specialist works collaboratively with program leadership, finance, clinical, and operational departments to identify compliance risks, monitor corrective actions, and support a culture of ethical conduct and accountability throughout the organization.

This position operates within a nonprofit organization serving youth ages 5-21 who may be experiencing mental health challenges, family instability, risk of sex trafficking, or risk of foster care placement. Programs are subject to oversight by the New York State Office of Mental Health (OMH), Office of Children and Family Services (OCFS), and other applicable regulatory agencies.

Responsibilities

• Promote adherence to applicable federal and state laws, regulations, payer requirements, and organizational policies.
• Assist in the development, implementation, and ongoing maintenance of an effective compliance program.
• Focus on Medicaid compliance, billing integrity, auditing, staff education, risk assessment, and regulatory preparedness.
• Collaborate with program leadership, finance, clinical, and operational departments to identify compliance risks and monitor corrective actions.
• Support a culture of ethical conduct and accountability throughout the organization.

Qualifications

Minimum Qualifications:

• Bachelor's degree in public or healthcare administration, human services, compliance, or a related field with at least two (2) years of experience, OR
• Associate's degree/certifications/experience with a minimum of five (5) years in healthcare compliance, auditing, quality assurance, or regulatory work.
• Experience with NYS Medicaid billing OR experience working with OMH, OCFS, or OMIG environments.

Preferred Qualifications:

• Master's degree.
• Compliance certification (e.g., CCEP, CHC, CHPC).

Benefits

• Medical, vision, and dental insurance.
• Life insurance.
• 403(b) retirement plan.
• Tuition reimbursement.
• Paid time off, including:
• 4 weeks of vacation annually.
• 3 personal days annually.
• 12 holidays annually.
• 9 sick days annually.

Schedule

Business hours, minimum of 40 hours per week.