Compliance Specialist

Requirements

Our ideal candidate will possess the following skills:

• Bachelor's Degree in Human Services, Business Administration or related field preferred but not required or equivalent experience.
• Available for travel around 30% of the time.
• Experience conducting Compliance and Certified Incident Investigations in a human services/healthcare organization is preferred.
• Certified Investigator Certification is preferred.
• Must be fully vaccinated or have an approved exemption.

External Description

Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking Compliance Specialistto join our team at our program. This is a remote position.

Position Summary:

The Compliance Specialist shall be responsible for conducting focused investigations within a large behavioral health, intellectual disability, and educational provider to determine compliance in accordance with laws, regulations, program service description, policies and payer requirements.

Location: Employee must be able to physically report in to one of the following Merakey locations on a hybrid basis:

Philadelphia

Harrisburg

Greensburg

Pittsburg

General Responsibilities:

• Responsible to manage assigned cases, including the following case types; Compliance Investigations (i.e.: Investigation Standard), Initial Inquires, Complaints, Compliance Audit, Payer Audit, Payer Directed Self Audit, Quality Review and Questions/Consultations. Case management functions require responsibility to manage the investigatory time frames and tasks required for each assigned case.
• Maintains a supportive role through participation in collaborative projects within Merakey Quality and Compliance Organization, to include Privacy, Quality, Safety and Incident Management.
• Participation in corporate and/or divisional workgroups; representing QCO and Compliance perspective.
• Utilization of the company's EHR systems, for each respective Division, for responsibilities associated with assigned cases. This includes billing reports, documentation reports and chart documentation associated with an assigned case/investigation.
• Coordinate notification of investigation outcomes through scheduled Findings Calls; inclusive of Operations, Human Resources and other identified Merakey Department services representatives.

Competencies and Skills:

• Verbal Communication-demonstrates appropriate and professional interpersonal skills related to the investigatory process, to include facilitation of interviews, in-person program review(s) and meetings. Time Management-exhibits the ability to assess and manage priorities, as needed/required to meet the requested supports of divisions and corporate departments.
• Written Communication-demonstrates competency with written investigatory findings/report structure, as well as maintaining case records within the QCO data base system.
• Maintains objectivity throughout the investigatory process, with assigned cases and investigations. This is demonstrated through verbal and written communication aspects of the position/job responsibilities. This includes face to face/phone/video conference interview(s), investigatory summaries, verbal findings review.
• Performs other duties as assigned by supervisor.

Earn $58,000-$61,000 annually

To fill out an on-line application: www.merakey.org/careers

Requisition number: 93025

Benefits

Merakey offers medical, dental - vision insurance plans, competitive compensation plans and more!

• DailyPay
• Work/Life Balance
• Flexible Schedules
• Cell Phone Discount Plans
• Employee Referral Bonuses
• Tuition Reimbursement
• Care.com Membership

About Merakey

Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Click here to watch a video about Merakey. Merakey strictly follows a zero-tolerance policy for abuse.

Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!