Senior Compliance Specialist

Join Chimes

• and go further to help others go far!

Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential.

Our vast array of services

• educational, employment, vocational, residential, habilitative and behavioral health
• are delivered through a network of national and international affiliates. This allows us to take a comprehensive, holistic approach to improving the lives of every person we serve
• those who receive and those who reap the benefits of our innovative, responsive solutions.

Compensation:

$64,000 annually

PRIMARY JOB FUNCTION

(S):

• Submit credentialing applications and ensure all licensure/certifications are current.
• Conduct audits to ensure compliance with regulatory requirements concerning service delivery documentation.
• Comply with all policies and regulations for credentialing providers.
• Maintain database of timelines and credentialed providers for use by other departments Complete formal audit reports containing findings.
• Assist in investigations of alleged violations of rules, regulations, policies and procedures, related to the prevision/detection of fraud, waste and abuse.
• Assist in developing/implementing corrective action plans for resolution of compliance problems.
• Assists with coordination of program performance improvement program.
• Assists in design of program performance improvement initiatives, measure and analyze progress.
• Assists in development and maintenance of monthly program indicators.
• Conducts random unannounced audits of program monthly indicators and compliance service verifications to assure accuracy and appropriate follow up.
• Assists with development of annual Performance Improvement Report.
• Present trainings to staff on compliance/quality assurance topics.
• Maintain professional relationships with staff, clients, payers, other agencies.
• Attend relevant meetings, external and internal, and participate in agency committees as assigned by supervisors.
• Other responsibilities as assigned.

REQUIREMENT QUALIFICATION

• Obtain CI certification within 90 days of hire
• Driver's license

Minimum Education:

Bachelor's Degree. All degree(s) must be from a regionally accredited institution of higher learning.

Minimum Experience:

5 years administrative experience in behavioral health or other healthcare field. What's in it for you? Total Rewards (For Full-Time Employees = >30 hours/week):

• Competitive Pay
• Medical, Dental, and Vision Insurance
• Tuition Reimbursement options
• Flexible Spending Accounts (Health, Dependent, and Transportation)
• Life Insurance
• Disability Insurance
• Paid Time Off
• 403(b) with Employer Match
• Employee Recognition Programs
• Employee Referral Bonus opportunities
• Discounts through "Tickets at Work"
• And More!

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