Compliance Specialist

Job Description

Job Description

What is PACE?

At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve.

Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of each.

Job Title - Compliance Specialist

Department - PACE Quality and Compliance

Reports to - Quality and Compliance Director

Benefits -

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• Paid Holidays
• CME (Continuing Medical Education)

About Position :

Job Summary : The primary responsibility of the Compliance Specialist is to coordinate processes to ensure regulatory compliance. Most specifically, the role ensures timely coordination, communication, and completion of service delivery requests, appeals, grievances, incidents, and care plans. This position also functions as a subject matter or regulations’ expert with regard to the aforementioned program elements, and as such provides necessary guidance for them to the interdisciplinary teams. In addition, the position provides data collection and reporting to pertinent regulators and stakeholders. Lastly, the position supports quality control through audits.

Minimum Qualifications -

Education : Associates Degree in a health related field, or High School Diploma with 3-5 of relevant experience.

Experience : Two (2) years’ experience in healthcare; 1 year experience in corporate compliance, quality or risk management experience in a healthcare setting; or a combination of experience and education. Demonstrated experience working independently.

Computer Skills : Ability to use computerized tracking tools; Experience with data collection, analysis and reporting as it relates to clinical issues, including medical charts. audits and clinical analysis. Experience with EMR. Proficient in Excel.

Immunizations : Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment

Pay Range : $57,858 - $77,757

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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