Compliance Specialist

Responsibilities

• Conduct ad hoc and ongoing risk assessments and propose risk mitigation strategy as appropriate.
• Perform various monitoring and auditing activities including scheduled or ad hoc audits.
• Develop audit reports and propose and implement remedial actions.
• Analyze results, identify trends or patterns, and propose risk mitigations or recommendations and implement proposed recommendations to address compliance or program integrity risks.
• Develop, maintain, and update Standard Operating Procedures and auditing and monitoring plans.
• Lead or assist with drafting responses to inquiries for compliance related matters. 
• Ensure timely communication and responsiveness to issues, propose recommendations, and track resolution.   
• Communicate routinely with CMS and other external as well as internal stakeholders.
• Conduct or participate in meetings and present findings and outcomes of the various activities as appropriate.

Requirements

• Bachelor's degree in business, accounting, economics, healthcare management, or related field.
• Three or more years of experience developing and implementing compliance programs or audit activities.
• Strong analytical and problem-solving skills; critical thinking skills; strong stakeholder management and meeting management skills. 
• Outstanding written and verbal communication skills; ability to communicate and facilitate communication with individuals at various levels within the organization and external clients.
• Previous experience working with the Center for Medicare and Medicaid Services (CMS) preferred.
• Program and policy knowledge of alternative payment models and/or value-based care experience preferred.
• Ability to thrive in a fast-paced environment and agility to respond to quick turnaround ad hoc client requests.
• Significant experience using Microsoft Applications: Word, Excel, and PowerPoint.