Corporate Compliance Program Specialist

About the role

The Corporate Compliance Program Specialist provides advanced administrative guidance and direction on the effective implementation of the Corporate Compliance Program. They assist with managing the day-to-day operations of the compliance program and help maintain a comprehensive process for an evidence-based compliance approach.

Responsibilities

• Assists with managing the day-to-day operation of the compliance program
• Helps maintain a comprehensive process for an evidence-based compliance approach
• Reviews and evaluates compliance issues/concerns and ensures 100% compliance with the organization’s Corporate Compliance Program
• Establishes and implements a risk-based audit and internal monitoring plan to detect and prevent fraud, waste, and abuse (FWA), and misconduct
• Conducts independent investigations and audits related to Medicare, Medicaid, Commercial, Military, and Provider-related business segments compliance
• Serves as the organization’s key Corporate Compliance leader in the absence of the Chief Compliance and Privacy Officer

Requirements

• Associate's degree required
• Bachelor's degree preferred
• 5+ years in Healthcare required
• 1+ year compliance/regulatory experience preferred
• CHC - Certified Healthcare Compliance certification required within first 24 months