Compliance Program Specialist

TheroleoftheComplianceSpecialistis to ensureallprogramsandprocessesarealignedwithallregulatory requirements. Requirements Specific Knowledge, Skills, and Abilities: Ability to effectively communicate verbally and in a written manner Self-starter with ability to complete objectives quickly Ability to organize, schedule, prioritize and utilize time effectively Excellent interpersonal skills, confidentiality and professionalism Must be detail oriented, efficient, and organized. Ability to multitask and meet tight deadlines Required Experience Minimum 2 years in a Quality Assurance role OPWDD, CMS, and DOH knowledge Provide SSP/Data Security Support Handle all SSP related reporting/triage, including Quarterly Names List & User access reports Lists Conduct weekly test calls and prepare the weekly phone report. Perform other activities, as assigned, to support overall organization’s goals and objectives Summary Keep informed of all modified and existing codes, rules, regulations, respond to requests from government agencies and meet with government officials when needed. Support PCR and NCI coordination with outside entities Communication with state reviewers Conducting internal audits/reviews, including Medicaid Standards Reviews Assist the Chief Compliance Officer with responses to regulatory requests, subpoenas, and other document inquiries, ensuring accuracy and timely submission. Gathering data on non-compliance trends Familiarity with NYS OPWDD and NYSDOH regulations and implementation of policies and procedures Familiarity with Medicaid and OMIG requirements Manage all external audits – involved in all aspects of potential OMIG audits. Assist with regulatory and compliance-related research Identify, replicate, analyze and manage deviations in all aspects of the quality assurance function; especially as it relates to conducting and hosting audits Participate in mandatory staff meetings. Handle all compliance breaches, investigations, and compliance reports Provide SSP/Data Security Support Handle all SSP related reporting/triage, including Quarterly Names List & User access reports Lists Conduct weekly test calls and prepare the weekly phone report. Perform other activities, as assigned, to support overall organization’s goals and objectives #J-18808-Ljbffr