Compliance Specialist

Job Description

Job Description

Do you enjoy working with data, identifying opportunities for improvement, and helping teams provide high-quality care?

Are you someone who is detail-oriented, organized, and comfortable reviewing information to make sure it meets regulatory and organizational standards?

If so, you may be the perfect fit for our One Senior Care family of businesses, including LIFE-NWPA, Mountain View PACE, and Buckeye PACE.

Job Summary:

As a Compliance Specialist, you’ll help support high standards of care and regulatory compliance across our PACE programs. You’ll conduct internal audits and monitoring, review Participant records, analyze data, and identify opportunities to improve documentation, processes, and care delivery. You’ll work closely with the Compliance team and interdisciplinary teams to help ensure services are delivered consistently and in accordance with PACE requirements.

This position is ideal for someone who is detail-oriented, analytical, organized, and comfortable working with healthcare data and documentation. You’ll be part of a team focused on compliance, quality, continuous improvement, and supporting the best possible outcomes for Participants.

Schedule:

Remote, full-time hours. Specific work hours will be established in consultation with your supervisor. While schedules are planned in advance whenever possible, participant care needs may occasionally require schedule adjustments, early start times, weekend rotations, or changes throughout the workday.

Benefits:

• 9 Paid Holidays
• PTO starting at 3 weeks + 1 day per year (accrued from date of hire for full-time employees)
• Medical, Dental, & Vision
• Free Life and AD&D Insurance Plan
• Health Savings and Flexible Spending Accounts
• Short Term Disability Insurance
• Group Voluntary Term Life Insurance for Employee, Spouses, and Dependents
• Paid Parental Leave
• Tuition Reimbursement and Paid Training Opportunities
• Retirement Plan with company annual match
• Mileage Reimbursement at annual IRS rate as applicable

Duties and Responsibilities:

• Complete recurring audits as defined by the Compliance Program.
• Conduct daily internal monitoring and audits to identify opportunities for improvement.
• Review Participant records for accuracy, completeness, consistency, and follow-through with care plan directives.
• Audit documentation to ensure compliance with regulatory and organizational standards.
• Identify documentation discrepancies and communicate findings to appropriate IDT members for follow-up.
• Assist with tracking and monitoring corrective actions and opportunities for improvement.
• Collect, organize, and maintain data for reporting and analysis.
• Track and analyze real-time data and compliance-related information.
• Review data to identify trends, patterns, and areas of concern.
• Prepare summaries and reports to support compliance and quality improvement efforts.
• Maintain knowledge of applicable laws, regulations, policies, and procedures related to PACE services.
• Use sound judgment to identify potential deviations from standards of care or organizational requirements.
• Communicate findings and concerns clearly and professionally.
• Work collaboratively with Compliance, clinical leadership, and interdisciplinary teams.
• Participate in training and professional development activities related to compliance, quality, and PACE requirements.
• Support a culture of accountability, quality, and continuous improvement.
• Other duties as assigned.

Everyone's journey is unique. Even if you haven't done it all, your dedication to learning and helping others is what counts. With our training, mentorship, and career development programs, we'll help you grow and succeed.

What Makes You a Great Fit:

• Detail-oriented, organized, and comfortable working with large amounts of information.
• Strong analytical and problem-solving skills.
• Able to identify inconsistencies, trends, and opportunities for improvement.
• Comfortable reviewing healthcare documentation and Participant records.
• Strong written and verbal communication skills.
• Able to communicate findings in a professional and constructive manner.
• Team-oriented and comfortable collaborating with interdisciplinary teams.
• Able to work independently while managing multiple priorities and deadlines.
• Strong computer skills, including Microsoft Excel and electronic medical record systems.
• Committed to maintaining confidentiality and protecting Participant information.

Education and Experience:

• Bachelor’s degree in healthcare administration, healthcare, business, or a related field preferred.
• Experience in healthcare compliance, quality assurance, auditing, or data analysis preferred.
• Experience working with healthcare documentation and electronic medical records preferred.
• Familiarity with PACE regulations, healthcare compliance, or quality programs is a plus.
• Experience with data management, reporting, and analysis tools, including Excel, preferred.

Physical Requirements:

• Must be able to sit and work at a computer for extended periods.
• Must be able to remain focused and attentive while reviewing detailed documentation and data.
• May be subject to frequent interruptions and changing priorities.
• Must be able to use standard office and computer equipment.

Join Us!

At One Senior Care, you'll be part of a compassionate team that makes a tangible difference in seniors' lives — working together to keep participants safe, healthy, connected, and at home. Every day is different. If you enjoy helping others, working as part of a supportive team, and adapting to meet the changing needs of seniors, you'll find meaningful work and opportunities to grow at One Senior Care.

One Senior Care is an Equal Opportunity Employer. Employment is contingent upon successful completion of required background checks, health and safety screenings, and any clearances required for healthcare programs.