Regulatory Compliance Specialist

Why Work for Person Centered Services?
When you join the Person Centered Services team, you can make a difference in the lives of people with intellectual and developmental disabilities, while also reaching your own career goals:

• 20 Days of paid time off (PTO) in your first year! Increasing to 25 Days in your second year!

• 13 Paid Holidays
• Comprehensive health insurance plans for you to choose what best fits your needs (Medical, Dental & Vision)
• 401(k) - the Company matches 50% of the first 6% up to a maximum of 3%
• Company paid benefits: basic life insurance, long-term disability, and a Lifestyle Spending Account with a benefit of up to $500 set aside for employees to spend on wellness eligible expenses!
• Employee Discount and Wellness Programs - Currently providing 3 paid hours per week for exercise, volunteering or personal wellness!
• Professional development opportunities including mentorship program options and ongoing coaching

The Regulatory Compliance Specialist champions quality in the organization by implementing and monitoring the investigation management process and other quality/compliance tasks. The Regulatory Compliance Specialist also coordinates and maintains all activities of the Organization related to investigating issues on non- compliance and performs compliance internal audits.
Position Requirements:

• Bachelor's degree preferred, or a combination of education, training, and related experience.
• Minimum 2 years of experience working in a health care or human services setting,required.
• Minimum 3 years of experience in the Quality Assurance and Corporate Compliance areas, preferred.
• Knowledge of OPWDD and/or DOH operations preferred.
• Knowledge of OPWDD and/or DOH regulations in the audit, incident and quality assurance areas, particularly Care Coordination, preferred.

Position Responsibilities:

• Assists in the implementation and promotion of the Corporate Compliance Program.
• Assists in the maintenance and updating of a database/library of regulations and guidelines relating to program compliance.
• Assists in developing and maintaining audit tools and checklists for targeted audits. Using critical thinking skills, makes judgment calls on when to escalate investigations and non-compliance concerns to the Compliance and Incident Manager, and does so in a timely manner
• Determines appropriate documentation for investigation depending on severity and escalation of incident. Ensures documentation is clear, concise, and organized to provide a complete picture of the investigation process and conclusion.
• Independently conducts targeted audits as assigned and other monitoring activities utilizing audit tools, checklists and reports to investigate reported or discovered potential areas of non-compliance with applicable state and federal laws.
• Independently conducts fidelity calls, both random and targeted, utilizing established fidelity call process.
• Facilitates the process and preparation for Redesignation and Recertification audits by OPWDD/DOH.
• Performs investigations involving areas of potential non-compliance discovered or reported and prepares reports for review by the Regulatory Compliance Manager.
• Communicates and collaborates with the appropriate staff regarding audits and compliance issues, including follow-up regarding issues found during the targeted audit process, fidelity calls, and investigations.
• Maintains a thorough understanding of applicable state and federal laws and regulations as well as internal policies and procedures.
• Maintain knowledge of quality assurance, compliance and care coordination policies and procedures.
• May be called upon to assist with or complete incidents discovered or reported and prepare reports for review by the Compliance and Incident Manager.
• Assists with tracking and responses to the ticketing system as well as random audits of compliance with guidance given.
• Assists with monitoring and tracking corrective action related to audits conducted by quality auditors and follow up as needed.
• Completes QA audits as necessary based on workload and identified department needs.
• Assists as needed in preparing trending analyses and reports regarding incident, compliance, and other quality related data, as needed.
• Commits to a respectful, just, and supportive environment for individuals and coworkers aligning with the company's commitment to diversity, equity, and inclusion.
• Other duties as necessary or assigned.

Knowledge, Skills, and Abilities:

• Strong knowledge of OPWDD funded services and supports.
• Knowledgeable of person-centered planning regulations.
• Familiarity with Electronic Medical Record systems.
• Ability to build relationships and effectively communicate.
• Excellent customer service skills.
• Strong organizational skills and attention to detail.
• Excellent writing and word processing skills.
• Ability to work autonomously.
• Completes work in a timely manner and ability to prioritize.
• Demonstrates cultural competence.
• Ability to keep sensitive and privileged information confidential.

• Demonstrates ethical and professional responsibilities and boundaries.

Person Centered Services has a commitment to equal employment opportunity for all staff and applicants for employment. Employment decisions including, but not limited to, those such as staff selection, performance evaluation, administration of benefits, working conditions, staff programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical hereditary cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.
Other details

• Pay Type Salary
• Min Hiring Rate $55,341.00
• Max Hiring Rate $56,100.00
• Required Education Bachelor's Degree

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