Compliance Officer

Job Description

Job Description

Pay: $70,000.00 - $100,000.00 per year

Job description:

Lead compliance with purpose. As Compliance Officer at LTE Care Plus, you’ll safeguard our ethical and legal integrity as a 501(c)(3) nonprofit while ensuring every ABA and Early Intervention (EI) service meets Medicaid, OMH, and other regulatory standards. You’ll partner with clinical, billing, and administrative teams to strengthen documentation, prevent risk, and build a culture of transparency, accountability, and continuous improvement.

What You’ll Do

• Regulatory Compliance : Monitor and enforce compliance with federal and state rules (Medicaid NY, OMH, OPWDD, NYS DOH, CMS, BACB), with deep focus on ABA/EI billing and documentation requirements.
   
• Policy & Training: Develop, update, and socialize agency-wide compliance policies; deliver annual training on confidentiality, billing, supervision, and clinical documentation.

• Audits & Spot Checks : Run quarterly audits and targeted reviews of clinical records, billing reports, supervision logs, and intake procedures.

• Risk Management: Identify compliance risks, lead investigations, and implement corrective action plans with clear follow-up and documentation.
  
• Claims & Authorization Integrity : Audit Medicaid and insurance claims for accuracy; verify treatment plans, session notes, and authorizations; ensure services occur only within valid authorization windows.

• Timeline Oversight: Monitor reassessment timelines to avoid service interruptions or denials (target: reassessments completed and submitted at least 30 days before current authorization expires).

• Cross-Functional Collaboration : Partner with clinical, intake, and billing teams to resolve discrepancies and strengthen internal controls.

• Reporting & Governance : Prepare quarterly and annual compliance reports for the Executive Director and Board; maintain audit, training, and incident records; support external audits or regulatory inquiries.
  What You Bring
• Bachelor’s degree required; Master’s in Healthcare Administration, Public Policy, Behavioral Health, Law, or related field preferred
  
• 3–5+ years in healthcare or nonprofit compliance, ideally in behavioral health, ABA, or Medicaid-funded programs
  
• Strong working knowledge of Medicaid NY regulations, including billing, supervision, and documentation for ABA/EI
  
• Familiarity with BACB Ethics Code, HIPAA, OMH, OPWDD, and NYS DOH frameworks
  
• Experience with 501(c)(3) governance and compliance reporting is a plus
  
• Proven ability to conduct audits, implement compliance protocols, and respond to regulatory inquiries or investigations
  
• Highly analytical with excellent communication, problem-solving, and attention to detail
  
• Comfortable working independently and collaborating across clinical, administrative, and billing teams
  
• Proficient with EHR systems and compliance tracking tools; experience with parent training requirements and clinical supervision standards is a plus
  Why LTE Care Plus

• Mission-driven work that directly protects clients, caregivers, and community trust
  
• Hybrid role based in Melville, NY with a collaborative, supportive leadership team
  
• Competitive salary: $70,000–$100,000, based on experience
  
• Full-time role with opportunities to shape compliance strategy across a growing nonprofit

Details

• Job Type: Full-time
  
• Work Arrangement: Hybrid (in-person in Melville, NY)
  Ready to lead compliance with clarity and impact? Apply today and help us uphold the highest standards of care and integrity.

Job Type: Full-time

Benefits:

• 401(k) matching
  
• Flexible schedule
  
• Health insurance
  
• Health savings account
  
• Life insurance
  
• Paid time off
  
• Tuition reimbursement
  
• Vision insurance
  Experience:
• Compliance management: 5 years (Required)
  
• Medical documentation: 2 years (Preferred)
  
• Applied behavior analysis: 3 years (Preferred)

Ability to Commute:

• Melville, NY 11747 (Required)
  Work Location: Hybrid remote in Melville, NY 11747