Compliance Generalist

Job Description

Job Description

A Spanish version of this position is available upon request
La version de esta posicion esta disponible en Español si es requerida

BHSN , one of the fastest-growing organizations providing whole-person care in the region, is in search of a detail-oriented and dedicated Compliance Generalist to join our team!

Your role at BHSN:
As a Compliance Generalist , you will play a critical role in ensuring BHSN complies with regulatory standards across programs throughout the organization. Working closely with the Compliance Manager, you will coordinate reporting, tracking, investigation, and follow-up on incidents, while executing other departmental duties to support the operations of an effective Quality and Compliance Department.

This position may be based out of our Plattsburgh or Queensbury, NY office locations.

Work Schedule: Monday - Friday, 8:00am to 4:00pm

Essential Duties and Responsibilities:

• Assist the Compliance Department in logging, reviewing, and documenting reportable incidents, and conducting formal investigations as necessary.

• Assist the Ombudsman with hearing complaints or grievances and conducting investigations as needed.

• Report violations, including potential or actual breaches, as required.

• Monitor implementation and effectiveness of Program Improvement Plans or other corrective action plans.

• Participate in record audits, including but not limited to state agency regulatory recertification, grant compliance, and/or health plan audits—preparing requested documents, securely sharing documentation, and corresponding with auditors/reviewers.

• Ensure timely, accurate completion and proper filing of all documentation related to audits, compliance hotline calls, investigations, self-disclosures, operating certificates, training records, and policy/procedure distributions.

• Assist in the self-disclosure process and related activities to continually improve programmatic and overall agency compliance.

• Gather information regarding payer reimbursement as part of follow-up on pre/post-billing compliance, utilization reviews, and/or compliance investigations.

• Provide data and reports related to compliance activities as requested.

• Correspond with OMH, OASAS, DOH, OCFS, and/or the Justice Center as needed to clarify compliance expectations.

• Identify and communicate potential areas of compliance vulnerability and risk.

• Assist with gathering and reporting data across OMH programs for the Patient Characteristics Survey.

• Maintain and protect client confidentiality and Protected Health Information in compliance with policy, training, and risk management practices.

• Stay informed of federal and state regulatory requirements.

• Perform additional duties as assigned.

Required Skills and Qualifications:

• Associate’s degree in a related field.

• Proficiency in Microsoft Word and Excel.

• Strong organizational, interpersonal, and communication skills.

• Ability to maintain strict confidentiality.

• Detail-oriented with strong follow-through skills.

• Ability to work effectively with a diverse group of people.

• Valid NYS driver’s license and reliable transportation.

Preferred Skills and Qualifications:

• Bachelor’s degree in a related field.

• Experience in compliance or a regulatory role.

• Strong understanding of relevant regulations.

• Previous experience with regulatory agencies.

What’s in it for you:

• Comprehensive health, dental, and vision insurance.

• Employer-paid life insurance and long-term disability coverage.

• Generous paid time off, plus 12 paid holidays.

• 403(b) retirement plan with employer contribution.

• Employee Assistance Program (EAP) for you and your household members.

• Opportunities for professional development and career growth.

• A supportive, mission-driven work environment where your contributions matter.

EEO Statement: BHSN is an Equal Opportunity Employer, and supports Diversity, Equity, and Inclusion in its hiring and employment practices so that every team member can feel like they belong and be their authentic self to thrive in their personal and professional lives. In order to do that, all applicants will receive consideration for employment without regard to age, race (including traits historically associated with race, including but not limited to, hair texture and protective hairstyles), creed, color, national origin, sexual orientation, military status, sex, disability, genetic predisposition or carrier status, marital status, arrest record or status as a victim of domestic violence, familial status, gender/gender expression, reproductive health decisions , citizenship or immigration status or any other factor prohibited by law.