Compliance Specialist

Job Description

Job Description

Description:

About Jordan Valley Health:

Jordan Valley Health (JVH) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community’s health through access and relationships. By working collaboratively with partners and continually innovating, JVH strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.

Job Summary:

The Compliance Specialist is responsible for management of a contract management system. This position will be responsible for processing Incident Reports within the Compliance Tracking system and managing the policy management system. Specialist will prepare management reports of completed incidents and outcomes providing benchmarking, trends and patterns as well as other data metrics. This position will be responsible for processing authorizations on a walk-in basis for patients looking to obtain their medical records. Education, training, and implementation of process improvement are also critical components of this position. The ability to maintain skilled knowledge of subject content and provide education to providers is essential. The Compliance Specialist will assist the Compliance Manger in the completion of additional reports, reviews and gathering data and metrics for investigations, audits or certification/reviews as identified. 

Key Responsibilities:

• Assist with the implementation and maintenance of the Jordan Valley Health compliance program to include, but not limited to, processing incident reports within the compliance tracking system. Specialist will prepare management reports of completed incidents and outcomes providing routine benchmarking data and identifying areas for improvement based on trended data provided from incident reporting system. Education, training, and implementation of process improvement are critical for this position. 
• Ensure adherence to HIPAA privacy and security requirements.
• Participate in compliance monitoring activities.
• Assist with investigation of reported compliance concerns and potential violations. 
• Maintain accurate compliance records, reports, and documentation. 
• Support employee compliance training and educational initiatives. 
• Coordinate, deliver, and oversee the onboarding training for all new employees; develop and update training materials as needed; monitor training completion and compliance rates; follow up with leaders and staff to ensure timely completion of required training. 
• Prepare reports and presentations related to compliance activities. Assist the Compliance Manger in completion of additional reports, reviews and gathering data and metrics on investigation outcomes. 
• Attends and participates in compliance meetings, departmental meetings, committee meetings, team meetings and vendor calls, as assigned. When requested, attendance will be in person. 
• Attains all agreed goals and objectives within specified time frames, as part of Jordan Valley Health’s overall mission. 
• Responsible for assisting walk-in patients with authorizations and obtaining their medical records in a timely manner. 
• Promotes the education and development of students, interns, residents, apprentices, and other new staff by sharing expertise, responding to questions, and fostering a positive and supportive learning environment. 
• Collaborate with clinical, operational, and administrative teams to promote a culture of compliance.
• All other duties as assigned. 

Benefits Overview:

• Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
• Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
• Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
• Dental and Vision Coverage: Dental insurance through Cigna’s DPPO network and vision coverage through EyeMed’s Insight network.
• Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
• Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
• Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
• Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
• Pay on Demand Available

Holidays:

• Nine paid holidays per year.

Health Requirements:

All employees are required to provide proof of vaccination for Flu, Hepatitis B and Tuberculosis (TB) as part of our commitment to maintaining a safe and healthy workplace.

Application Process:

Interested applicants should submit a resume and cover letter through the JVH career portal at Careers & Education - Jordan Valley. Applications will be accepted on a rolling basis until the position is filled.

Jordan Valley Health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status

Requirements:

Qualifications:

• Bachelor’s degree preferred but not required.
• Minimum of two years’ compliance/quality experience. Basic knowledge of healthcare regulations and compliance principles. 
• Certification in Healthcare Compliance (CHC) via Health Care Compliance Association (HCCA) preferred, but not required.