JOB TITLE : Compliance Specialist
Fair Labor Standards Act (FLSA) Status : Exempt
Reports to : Chief Strategy Officer
JOB SUMMARY : The Compliance Specialist ensures Spectra Health complies with regulatory requirements and internal policies. The Compliance Specialist works with Executive and Senior leadership to implement and maintain Spectra Health's compliance program, conducting regular audits, and advising leadership on potential risks. This position requires strong analytical skills, in-depth knowledge of healthcare regulations, and the ability to foster a culture of compliance across the organization. The Compliance Specialist reports to the Chief Strategy Officer.
ORGANIZATIONAL PHILOSOPHY :
- Privacy & confidentiality : Maintain strict adherence to privacy and confidentiality protocols, ensuring the protection of both patient and employee information in accordance with Spectra Health's policies.
- Champion organizational values : Promote and embody Spectra Health's core values of Compassion, Trust, Respect, Equity, and Inclusivity in all interactions and decision-making processes.
- Culture of safety : Foster a culture of safety; proactively addressing hazards, incidents, and security concerns while contributing to a positive and safe work environment for employees and patients.
- Teamwork & collaboration : Approach teamwork with a positive and collaborative mindset, building strong relationships across departments and sharing knowledge and experiences to enhance overall organizational effectiveness.
- Be part of the solution : Actively support organizational change, offering solutions, participating in leadership initiatives, and championing efforts that align with Spectra Health's evolving mission and goals.
- Patient-centered decision making : Prioritize the best interests of Spectra Health's patients, ensuring quality care and positive outcomes.
- Training & meetings : Complete mandatory training requirements and attend at least 80% of departmental meetings to stay informed and aligned with organizational goals and policies.
- Policy adherence & compliance champion : Strictly adhere to all Spectra Health policies and procedures, and act as a departmental advocate for Spectra Health's Compliance Program activities.
ESSENTIAL JOB FUNCTIONS :
Functions as Spectra Health's Compliance Officer, overseeing the compliance program for Spectra Health, including responding to employee compliance concerns, as needed.Manages privileging and credentialing for the organization, including Federal Tort Claims Act (FTCA) tracking and reporting. Works in collaboration with the Risk Manager to ensure FTCA program compliance.Responsible for collecting and maintaining employee and Board of Directors Conflict of Interest statements.Utilizes current systems, i.e. EPIC, Azara, Compliatric for the collection and compilation of data for use in UDS reporting and the monitoring of progress of organizational goals.Conducts routine and random internal audits, as needed, of Spectra systems, both tangible and electronic, to make sure these systems are functioning properly.Assists with creating and maintaining the Spectra Health Emergency Preparedness Plan.Assists with safety and process improvement initiatives as appropriate.Performs routine 340B program compliance audits; is a member of Spectra's internal 340B committee.Other duties as assigned by the Chief Strategy Officer.JOB QUALIFICATIONS : Required :
Associates degree in an appropriate fieldExperience in quality improvement systemsExperience in health care environmentStrong verbal communication and writing skillsExperience problem solving on an organizational levelPreferred :
Bachelor's degree in an appropriate field.Previous experience in nursing management, quality improvement, or referral management.5-7 years healthcare experience in operational management.Experience in enterprise compliance systemsPHYSICAL REQUIREMENTS : The Compliance Specialist is primarily a desk job that requires the ability to sit for long periods of time (up to 8 hours) at a desk or workstation. Periodically, the position requires lifting or carrying items that would be appropriate in an office environment, not more than 20 pounds.
REMOTE WORK : The Compliance Specialist is NOT eligible for full-time or hybrid remote work. For more information about remote work, please see HR Policy 1.28 - Remote Work.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Spectra Health provides job opportunities, salaries and benefits, training, promotions, facilities, and other conditions of employment without discrimination based on race, color, national origin, religion, sex, age, disability, genetic information, or any other characteristic protected by federal or state laws. Spectra Health does not retaliate against applicants, employees, or former employees for filing a charge or complaint of discrimination, participating in a discrimination investigation or lawsuit, or opposing discrimination.
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