Contract Compliance Specialist

About Centria Healthcare:

Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiring the skills to succeed in the world on their own terms. Too many children with ASD are untreated or undertreated and Centria is committed to reaching every child in need and their families with interventions based on the principles of Applied Behavior Analysis that meet and exceed -- best practices. Our Optimal Outcomes Model(TM) looks at the whole-child engages families in aspirational treatment planning and leverages team-based care to allow BCBAs to focus on clinical issues and support Centrias dedication to quality family satisfaction and developmental outcomes. Founded in 2009 Centria now operates in 13 states and is working hard to develop approaches to sustain quality while reaching tens of thousands of children across the country; we use data-driven analytics and sophisticated software platforms to constantly evaluate our quality and performance and develop new approaches to supporting our clients and their families on their journey.

Managerial Responsibility

This role acts as an individual contributor with no direct reports.

Key Fiscal Responsibilities

This role has no budgetary control or financial oversight responsibilities.

Qualifications

These guidelines can be used to make a list of qualifications required (or preferred) to perform the job successfully. Experience may be substituted for the educational requirement.

Education

• Associate degree
• Bachelors degree preferred

Equipment and Technology Requirements

• Laptop
• G Suite (Gmail Drive Docs Sheets Google Meet)
• Microsoft Office (Word Excel Access PowerPoint)

Other Competency Requirements

An initial assessment of competency will be completed during the interview period and evaluated on an ongoing basis.

• Ability to follow written instructions
• Ability to use computers and computer/software programs
• Ability to communicate expressively and receptively

Knowledge and Skills

• Excellent communication skills both written and verbal;
• Data-driven with an aptitude for interpreting results and firm adherence to process;
• Comprehensive understanding of payor requirements and proficiency in navigating CareConnect;
• Track record of success in payor audit responses;
• Knowledge of ABA requirements for nationwide payors;
• Strong understanding of Centria operational processes with the ability to work collaboratively with other departments in collecting documentation;
• Knowledge of computer systems related to compliance operational and HR functions;
• Knowledge of audit and compliance process;
• Knowledge of medical terminology and clinical concepts;
• Ability to organize prioritize and handle multiple tasks adhere to established deadlines and produce work that consistently meets or exceeds team benchmarks;
• Proven adaptability with a willingness to work both collaboratively and individually to achieve desired business outcomes;
• Excellent interpersonal and listening skills;
• Demonstrated strong work ethic with attention to detail accuracy and quality;
• Established track record of generating error-free work.

Interpersonal Demands

• Some interactions with other teams
• Some interactions with key internal and external stakeholders

Decision Making

Mostly choosing from other options suggested by leaders and/or teammates

Working Conditions

• Centrias office hours are Monday through Friday from 8:30 AM 6:00 PM.
• Additional time or occasional shifts in schedule may be required to complete the above work or meet company objectives.
• Overtime is not a planned part of this role; if required overtime must be pre-approved in writing by a department leader.

Physical Demands

While performing the duties of this job physical requirements such as bending reaching lifting pushing or pulling up to 30 pounds may be required. This role will require sitting most of the day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race religion color national origin gender sexual orientation age marital status Veteran status or disability status. This job description is not intended to be an exhaustive list of qualifications skills efforts duties responsibilities or working conditions associated with the position. Centria reserves the right to amend this job description at any time with or without written notice.