Compliance Officer (Gallagher Services)
Compliance Officer (Gallagher Services)
Posted on :
24-05-2025
Employer Active
1 Vacancy
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Share
Send me jobs like this
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
24-05-2025
Job Description
Pay Rate: $88000 (non-negotiable)
JOB DUTIES & RESPONSIBILITIES:
- Maintains expert-level knowledge of relevant laws and regulations (e.g. Medicaid Medicare DDA QIO COMAR OHCQ HCBS Final Rule) ensuring Agency programs adhere to current standards and that necessary updates are identified communicated and implemented timely.
- Develops implements and enforces comprehensive compliance policies and procedures across all service areas holding program leads accountable for consistent application and documented adherence.
- Collaborates with Agency leadership operations Program Directors Finance HR Legal and external stakeholders to interpret regulatory changes and implement a cohesive compliance strategy that aligns internal practices with legal ethical and organizational standards with clear accountability for execution and verification.
- Promotes a culture of accountability rooted in dignity rights protection community inclusion and self-determination and monitors program performance to ensure these values are integrated into daily operations.
- Leads internal audits and continuous monitoring to evaluate service delivery billing and documentation ensuring findings are clearly documented shared and addressed through corrective action plans with defined ownership timelines and progress tracking to maintain Agency-wide audit readiness.
- Maintains centralized accessible records of compliance activities audits corrective actions and billing reviews and ensures timely submission of required reports to internal and external stakeholders.
- Oversees all billing practices including Medicaid to ensure they are accurate timely and fully compliant with applicable regulations through regular review of billing codes documentation and reimbursement processes that uphold financial integrity and accountability.
- Conducts routine audits and investigations to identify and resolve billing discrepancies overpayments or regulatory violations ensuring findings are documented in accordance with policy and that corrective actions are implemented and tracked.
- Designs delivers and tracks ongoing compliance training on billing practices documentation standards ethical responsibilities and regulatory updates ensuring staff demonstrate competency in assigned duties.
- Serves as a subject matter expert and advisor to staff leadership and partners promoting continuous education and best practices in compliance.
- Supports Agency alignment with CQL Personal Outcome Measures and the Quality Assurance Framework by integrating accreditation standards into internal practices and preparing all required documentation to ensure successful initial and renewal CQL accreditation.
- Prepares and delivers transparent accurate compliance reports for senior leadership regulators payers and accrediting bodies.
- Acts as the Agencys primary liaison with regulatory agencies auditors payers and other external partners on all compliance matters.
- Performs other duties as assigned.
EDUCATION & EXPERIENCE REQUIREMENTS:
- Bachelors degree in health administration Social Work Human Services Accounting or a related field.
- Three (3) years of experience in compliance billing or regulatory affairs in healthcare or social services preferably in intellectual and developmental disabilities (IDD) services.
- Experience conducting billing audits and using coding systems.
- Experience with CQL standards and person-centered practices.
- Robust understanding of IDD services Medicaid billing and regulatory frameworks.
- An equivalent combination of education and experience may be considered.
REQUIRED SKILLS & ABILITIES:
- Possesses the ability to influence and engage staff fostering motivation and teamwork.
- Utilizes effective conflict resolution skills to address issues and maintain a positive work environment.
- Apply strong critical thinking and problem-solving skills to navigate challenges and make informed decisions.
- Effectively prioritizes tasks and delegates activities as appropriate to ensure optimal workflow and productivity.
- Displays excellent organizational interpersonal and communication skills and meticulous attention to detail ensuring accuracy and efficiency.
- Demonstrates excellent verbal and written communication skills ensuring clear and effective exchanges.
- Acts with discretion tact and professionalism in all situations maintaining confidentiality and integrity.
- Requires proficiency in using computer systems and software to perform job function including but not limited to basic Windows PC web browsing (i.e. Chrome Internet Explorer etc.) and Microsoft Office applications such as Word Excel PowerPoint Teams and OneDrive and billing systems (e.g. Therap iCM or other EHR platforms).
PHYSICAL REQUIREMENTS & WORK ENVIRONMENT:
- Hybrid work options are available contingent upon business needs and performance expectations in alignment with the Agencys policy.
- Regular travel to program sites within the Baltimore area is required.
- Ability to perform standard office functions (e.g. sitting standing typing) and to remain in a stationary position often standing or sitting for prolonged periods.
- Hearing and vision abilities within normal range (corrected) to drive safely and to observe and communicate with others.
- Adjusting or moving objects up to 25# in all directions which may include lifting carrying pushing pulling or repositioning items as necessary to perform job duties.
- Driving (Agency and/or personal vehicle) is required for this position. The driver must be at least 21 years of age with a minimum of 2 years of driving experience and hold a valid drivers license issued by the state of residence. There can be no state-issued restrictions on the license that would impede the drivers ability to operate the vehicle as required by the Agency and there must not be more than three (3) points on the driving record.
CATHOLIC CHARITIES COMMITMENTS & INCLUSIVITY:
Catholic Charities is committed to creating a diverse equitable and inclusive environment and is proud to be an equal opportunity employer. Catholic Charities recruits employs trains and promotes without regard to race color religion gender gender identity or expression sexual orientation national origin genetics disability age or veteran status.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
Report This Job
Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.
