Compliance Specialist

Responsibilities Monitor and coordinate Health Services compliance activities of other departments to remain well-informed of the status of compliance issues and to identify trends. Manage and conduct appeals, inquiries, evaluations, and investigations of identified compliance and concerns involving associates, patrons, vendors, or former associates of the Choctaw Nation of Oklahoma. Prepare comprehensive reports with findings to include identification and evaluation of any Health Service compliance/ethics process gaps or practices that create risk to avoid organizational liability and collaborate/partner with other departments to facilitate resolution of compliance issues. Maintain accurate, confidential records regarding appeals, inquiries, evaluations, and investigations. Make recommendations to ensure that the Health Service compliance program is efficient in identifying, preventing, and correcting noncompliance with applicable policies, procedures, laws and regulations, and provide reporting. Participate in development of procedures to mitigate Health Services organizational risk. Evaluate business activities to assess and identify compliance risk. Communicate with Department Leadership the status of appeals, inquiries, evaluations, or investigations. Perform other duties as may be assigned. Requirements Bachelor’s degree in business or healthcare administration or related field and four [4] years’ directly related experience including investigations, and conflict resolution responsibilities, OR eight [8] years of directly related experience in lieu of education. Obtain or be willing to obtain certifications required by each department within the allotted amount of time. Working knowledge of federal, state and tribal employment laws and regulations. Ability to maintain knowledge/certifications of Compliance & Ethics through continuing education. Ability to protect confidentiality and handling of sensitive documents and records. #J-18808-Ljbffr