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Healthcare Compliance Specialist

2 months ago

Alpharetta, United States Southeastpcp Full time

Description The Healthcare Compliance Specialist at Southeast Primary Care Partners is a key figure in upholding the organization's commitment to compliance. This role involves setting the standard for compliance, educating staff, and offering guidance on compliance-related matters. The specialist works collaboratively across various departments to ensure the organization's compliance framework is robust and effective. Reporting directly to the SPCP Compliance Officer. Requirements Key Responsibilities: Coordinate and facilitate compliance meetings to ensure ongoing awareness and adherence to regulations. Undertake special projects and research to identify trends, analyze data, and evaluate the impact and efficiency of compliance initiatives. Collect and report data to monitor and evaluate the effectiveness of projects and programs. Review submissions related to healthcare professionals, medical institutions, and government officials to ensure alignment with organizational policies. Stay updated with US and state healthcare compliance laws, regulations, and enforcement environments. Provide guidance on the organization's compliance policies and programs, and educate staff on applicable rules, regulations, and best practices. Collaborate with departments such as Sales, Marketing, Finance, Legal, Regulatory, Medical Education, and Clinical to ensure a cohesive compliance strategy. Manage compliance matters and risks professionally. Prepare compliance presentations and reports, including incident and training metrics. Promote a zero-tolerance environment for fraud or non-compliance. Conduct regular reviews of policies, training, communications, and other compliance program components for continuous improvement. Requirements: Associates degree in Healthcare, Business, Legal, Accounting, Finance, or a related field (Bachelor's degree preferred). In-depth knowledge of healthcare laws and regulations, and ethics in healthcare. Experience in Compliance, Legal, Internal Audit, Risk Management, or similar regulatory/investigatory roles in healthcare. Strong analytical skills for conducting complex and sensitive compliance and fraud investigations. Excellent interpersonal skills to effectively establish rapport and manage relationships. Paralegal certification and experience are preferred. Exceptional communication skills for educating and counseling on compliance issues. Proficiency in computer applications like Microsoft Word, Excel, and PowerPoint. Preferred certification by the Compliance Certification Board, such as Certified Healthcare Compliance (CHC) or Certified Compliance & Ethics Professional (CCEP). Outstanding organizational skills to handle multiple projects, meet deadlines, and execute plans within time frames. Physical & Mental Requirements: Ability to lift up to 25 pounds. Ability to push or pull heavy objects using up to 25 pounds of force. Ability to sit and stand for extended periods of time. Ability to use fine motor skills to operate office equipment and/or machinery. Ability to properly drive and operate a company vehicle. Ability to receive and comprehend instructions verbally and/or in writing. Ability to use logical reasoning for simple and complex problem-solving.

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