Compliance Specialist

JOB TITLE: Compliance Specialist

Fair Labor Standards Act (FLSA) Status: Exempt

Reports to: Chief Strategy Officer

JOB SUMMARY: The Compliance Specialist ensures Spectra Health complies with regulatory requirements and internal policies. The Compliance Specialist works with Executive and Senior leadership to implement and maintain Spectra Healths compliance program conducting regular audits and advising leadership on potential risks. This position requires strong analytical skills in-depth knowledge of healthcare regulations and the ability to foster a culture of compliance across the organization. The Compliance Specialist reports to the Chief Strategy Officer.

ORGANIZATIONAL PHILOSOPHY:

• Privacy & confidentiality: Maintain strict adherence to privacy and confidentiality protocols ensuring the protection of both patient and employee information in accordance with Spectra Healths policies.
• Champion organizational values: Promote and embody Spectra Healths core values of Compassion Trust Respect Equity and Inclusivity in all interactions and decision-making processes.
• Culture of safety: Foster a culture of safety; proactively addressing hazards incidents and security concerns while contributing to a positive and safe work environment for employees and patients.
• Teamwork & collaboration: Approach teamwork with a positive and collaborative mindset building strong relationships across departments and sharing knowledge and experiences to enhance overall organizational effectiveness.
• Be part of the solution: Actively support organizational change offering solutions participating in leadership initiatives and championing efforts that align with Spectra Healths evolving mission and goals.
• Patient-centered decision making: Prioritize the best interests of Spectra Healths patients ensuring quality care and positive outcomes.
• Training & meetings: Complete mandatory training requirements and attend at least 80% of departmental meetings to stay informed and aligned with organizational goals and policies.
• Policy adherence & compliance champion: Strictly adhere to all Spectra Health policies and procedures and act as a departmental advocate for Spectra Healths Compliance Program activities.

ESSENTIAL JOB FUNCTIONS:

• Functions as Spectra Healths Compliance Officer overseeing the compliance program for Spectra Health including responding to employee compliance concerns as needed.
• Manages privileging and credentialing for the organization including Federal Tort Claims Act (FTCA) tracking and reporting. Works in collaboration with the Risk Manager to ensure FTCA program compliance.
• Responsible for collecting and maintaining employee and Board of Directors Conflict of Interest statements.
• Utilizes current systems i.e. EPIC Azara Compliatric for the collection and compilation of data for use in UDS reporting and the monitoring of progress of organizational goals.
• Conducts routine and random internal audits as needed of Spectra systems both tangible and electronic to make sure these systems are functioning properly.
• Assists with creating and maintaining the Spectra Health Emergency Preparedness Plan.
• Assists with safety and process improvement initiatives as appropriate.
• Performs routine 340B program compliance audits; is a member of Spectras internal 340B committee.
• Other duties as assigned by the Chief Strategy Officer.

JOB QUALIFICATIONS:

Required:

• Associates degree in an appropriate field
• Experience in quality improvement systems
• Experience in health care environment
• Strong verbal communication and writing skills
• Experience problem solving on an organizational level

Preferred:

• Bachelors degree in an appropriate field.
• Previous experience in nursing management quality improvement or referral management.
• 5-7 years healthcare experience in operational management.
• Experience in enterprise compliance systems

PHYSICAL REQUIREMENTS: The Compliance Specialist is primarily a desk job that requires the ability to sit for long periods of time (up to 8 hours) at a desk or workstation. Periodically the position requires lifting or carrying items that would be appropriate in an office environment not more than 20 pounds.

REMOTE WORK: The Compliance Specialist is NOT eligible for full-time or hybrid remote work. For more information about remote work please see HR Policy 1.28 - Remote Work.

Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.

Spectra Health provides job opportunities salaries and benefits training promotions facilities and other conditions of employment without discrimination based on race color national origin religion sex age disability genetic information or any other characteristic protected by federal or state laws. Spectra Health does not retaliate against applicants employees or former employees for filing a charge or complaint of discrimination participating in a discrimination investigation or lawsuit or opposing discrimination.

Required Experience:

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