Healthcare Compliance Specialist

Overview At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary The Healthcare Compliance Specialist supports Essen Healthcare’s commitment to delivering high-quality, compliant patient care by ensuring adherence to federal, state and payer regulations. This role conducts audits, monitors operational processes, identifies compliance risks and collaborates across divisions to implement corrective action plans. The ideal candidate brings clinical experience, strong analytical skills and a deep understanding of patient care workflows within medical office settings. Responsibilities Conduct routine and targeted compliance audits across clinical and administrative areas (documentation, coding, billing, regulatory processes, policy adherence, etc.). Review patient care workflows in medical offices and identify gaps or opportunities for improvement. Monitor regulatory updates and ensure organizational policies and procedures are aligned with federal, state and payer requirements. Work collaboratively with clinical leadership, operations, quality and IT to support corrective actions, training and process improvement initiatives. Utilize EMR systems and BI reporting tools to analyze data, measure compliance trends and prepare reports for leadership. Investigate potential compliance issues, support incident follow-up and maintain documentation on outcomes and resolutions. Serve as a resource to staff and leadership on compliance-related issues and best practices. Assist with development and delivery of compliance education and training programs. Maintain confidentiality and handle sensitive information in line with regulatory standards. Qualifications Education Bachelor’s degree required. Master’s degree preferred. RN strongly preferred: RN-BSN preferred, RN Associate Degree acceptable. Experience Minimum 2 years of direct patient care experience required. Demonstrated understanding of medical office patient care workflows. Experience with EMR systems and/or business intelligence (BI) reporting tools. Prior experience in Healthcare Compliance and/or audit functions strongly preferred. Experience communicating with clinical, operational, and executive leadership. Skills & Competencies Strong analytical and problem-solving skills. Ability to function independently with minimal supervision. Excellent verbal and written communication skills. Ability to collaborate across diverse teams and departments. High attention to detail and strong organizational skills. Working knowledge of HIPAA, CMS regulations, state regulations, and payer compliance requirements. Equal Opportunity Employer Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population. #J-18808-Ljbffr