COMPLIANCE AND PRIVACY SPECIALIST

About this position If you are looking to make an impact by helping others, then Preferred Behavioral Health Group is the place for you! By joining our award-winning team, you will become part of the premier behavioral health organization in New Jersey. PBHG is a dynamic and innovative non‑profit organization that was proudly named one of \"THE BEST PLACES TO WORK IN NEW JERSEY\" for BOTH 2024 and 2025 by NJBIZ ! Our mission is to change lives and save lives across the state of New Jersey through a Trauma Informed Care culture. Our staff is at the core of everything we do. We are dedicated to building a diverse team where employees feel a sense of belonging and are valued for their individual contributions. We encourage staff development and embrace a growth mindset. If you are interested in pursuing an exciting and rewarding career while being part of a recognized “ Best Place to Work ”, please submit your resume today for consideration! Job Title: Compliance and Privacy Specialist Department: Quality and Compliance Position Type: Full Time Job Description/Summary This individual is responsible formonitoring and ensuring the organization’s compliance with all regulatory agencies; licensing and accreditation. Responsibilities Ensures timely completion/submission of Quality/compliance documents, data, reports, etc., and conducts follow-up for missing data Reviews regulations and standards against programmatic and organization-wide policies and procedures to determine organizational-level of compliance, processes, recommendations, and initiates actions to ensure compliance Maintains current knowledge of requirements and standards for accreditation and licensing, including, but not limited to, state regulations, HIPAA, ACA, CARF, etc. Develops, initiates, maintains and revises policies and procedures as needed for the general operation of the Compliance Program and its related activities, as well as for risk management purposes Coordinates the development, implementation and maintenance of audit controls and measurements for internal processes, ensuring correct processes are in place for accurate, complete and compliant programs across the organization Monitors compliance with USTF reporting requirements Completes internal investigations as directed by Director of Quality & Compliance Monitors for and reports HIPAA or compliance breaches to appropriate agencies Institutes and maintains an effective compliance communication program for the organization which includes both written materials and training programs designed specifically to promote understanding of compliance issues, laws and regulations and consequences of non-compliance Collaborates with the Human Resources Department and others, as appropriate, to provide an effective compliance training program, including appropriate introductory training for new employees as well as ongoing training for all employees and managers Monitors implementation of the Quality Improvement Plan Facilitates root cause analysis meetings and incorporates policy change as required Monitors ISR account list for Medicaid PEs Completes licensing and accreditation applications Reviews all Business Associate Agreements (BAA) with external entities Maintains Governance, Risk, and Compliance software (ComplyAssistant), including contract maintenance Serves as a liaison to licensing and accreditation bodies as needed Collaborates with leadership and program staff to prepare for licensing and accreditation inspections and to remediate findings, as needed Assists with all site visit activities, prepares plans of correction and monitors implementation Knowledge of HIPAA and privacy regulations Knowledge of mental health and substance abuse regulations Proficient in Microsoft Office Suite, including advanced Excel functions for data analysis and reporting. Experienced with Microsoft Teams, Outlook, SharePoint, and cloud-based collaboration tools. Skilled in data management, dashboard development, and performance monitoring. Knowledge of electronic health record systems and quality improvement databases. Qualifications Education: Master’s Degree in Social Work or related field Licensure: LSW/LCSW preferred Experience: minimum of three years' experience in behavioral field, and clinical licensure or direct care experience in respective field o Medical, Dental and Prescription Insurance o 403(b) Retirement Plan o Generous Paid Time Off and Paid Holidays o Long Term Disability Insurance o Life and AD&D Insurance o Employee Assistance Program o Flexible Spending Account and Health Savings Account o Voluntary Benefits, such as Vision Insurance, Aflac, Pet Insurance o Staff Training and Development Opportunities o Employee Referral Bonus program eoe #J-18808-Ljbffr PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY