Compliance Specialist Principal (work from home - must reside in Pennsylvania, near Scranton, PA)

Job Duties

• Independently manages a defined compliance program area from annual work plan development through execution, monitoring, reporting, and closure without requiring supervisory structuring of tasks or priorities.
• Analyzes complex and novel regulatory requirements, federal and state guidance documents, and enforcement trends; produces written regulatory impact analyses identifying the specific operational change required, the responsible business unit, and the recommended implementation timeline.
• Designs and executes monitoring and auditing activities for assigned program areas, including selection of review methodology, sample design, data collection, findings documentation, and written presentation of results to the Manager or Director.
• Leads compliance investigations assigned at the Principal level by coordinating information collection, conducting or managing interviews, documenting evidentiary findings, and producing a written investigative report that includes substantiation analysis and recommended corrective action for Director review.
• Develops, drafts, and revises compliance policies, standards, and procedures for review and approval by the Director or Associate Officer; ensures each policy accurately reflects current regulatory requirements and is written to be operationally executable by the functions it governs.
• Identifies compliance gaps through proactive program assessment; documents each gap with a risk severity rating using the function's established scoring methodology, a root cause analysis, and a recommended remediation plan with an assigned implementation owner.
• Manages cross-functional compliance projects by developing the project work plan, assigning tasks to participating staff, tracking progress against established milestones, and escalating risks or delays to the Manager or Director with a documented options analysis.
• Prepares written materials, including regulatory analysis memos, program status reports, and executive summary decks that communicate findings and recommendations to Director and VP-level leadership in a form suitable for executive review without additional editing.
• Serves as the primary compliance point of contact for assigned operational business partners; manages the relationship by conducting regular touchpoints, communicating program requirements, and tracking open compliance commitments to closure.

Work Environment

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Preferred Qualifications

• Experience in an integrated delivery network (IDN) operating across both provider and payer environments simultaneously.
• Experience presenting compliance, risk, or privacy program findings directly to Director or Associate Officer-level leadership.
• Advanced degree (JD, MPH, MBA, MHA, or MS in a relevant field) or an active advanced professional certification (CHC, CHPC, CHRC, CIPP/US, or equivalent).

Skills & Competencies

• Demonstrated ability to read, interpret, and apply federal and state healthcare regulatory requirements to organizational operations independently, including identifying operational impact and formulating a recommended response without supervisory direction.
• Demonstrated ability to manage multiple concurrent work streams to established deadlines without supervisory structuring of priorities.
• Demonstrated ability to communicate complex regulatory or risk findings in writing to non-specialist audiences, including business operations leaders and executive staff, in a form requiring no technical translation by the recipient.
• Demonstrated ability to conduct or lead investigations, including evidence collection, interview management, and production of a written substantiation analysis sufficient for legal review.

Education

Bachelor's Degree-Related Field of Study (Required), Master's Degree-Related Field of Study (Preferred)

Experience

Minimum of 8 years-Related work experience (Required)

About Geisinger

Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

Our Vision & Values

Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.

KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.

EXCELLENCE: We treasure colleagues who humbly strive for excellence.

LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.

INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

Our Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.

A place where you can lead a healthy lifestyle and follow your dreams.

Only at Geisinger.

Best employer for healthy lifestyles – National Business Group

Access to 121 state parks