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Compliance Specialist

Job not on LinkedIn

🔥 1 minute ago

🏄 California – Remote

infoinfo

💵 $65k - $85k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚔 Compliance

🚫👨‍🎓 No degree required

Apply Now
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Logo of Recover

Recover

51 - 200 employees

🏥 Healthcare

🧘 Wellness

🌍 Social Impact

Healthcare • Wellness • Social Impact

Recover is a leading provider of effective, accessible, and innovative substance use treatment. With a focus on telehealth options, Recover partners with state and local governments to combat substance use challenges in communities. Their evidence-based care integrates medical treatment alongside care coordination and counseling, ensuring that patients receive comprehensive support tailored to their needs. With a commitment to reducing treatment costs while improving access, Recover strives to expand the reach of their life-saving strategies across the country.

📋 Description

• Coordinate on-time licensing, certification, and regulatory submissions • Prepare for and ensure timely submissions for audits and external quality reviews • Manage state and county reporting requirements, including timeliness reporting • Monitor EHR reports and ensure data accuracy, completeness, and compliance • Reconcile county reports and analyze data to identify trends, risks, and improvement opportunities • Prepare for and respond to county program audits, site reviews, chart reviews, and focus reviews • Develop and implement Corrective Action Plans (CAPs) by required deadlines to address findings and concerns • Monitor CAP implementation for sustained improvements • Support process improvement and quality assurance initiatives across programs • Monitor audit and submissions schedule and ensure timely responses • Analyze data and reporting trends to identify risks, gaps, and opportunities for improvements • Support quality assurance and compliance initiatives across programs for continuous improvement • Work closely with program management, leadership, and the Quality Assurance/Management team • Coordinate with local and/or state partners for successful program auditing and monitoring • Handle external compliance audits, including writing responses and gathering materials • Update policies and procedures and support internal peer review processes • Report to Recover's Head of Administration

🎯 Requirements

• 2+ years of experience in compliance, quality assurance, healthcare operations, behavioral health, or a related field • Strong understanding of regulatory compliance, audits, corrective actions, facility licensing, and certification processes • Experience analyzing data, validating information, and translating findings into actionable recommendations • Proficiency with complex documentation and reports • Experience with EHR systems, reporting tools, and data management processes • Strong organizational, communication, and problem-solving skills with the ability to manage multiple priorities • A proactive, detail-oriented approach and a commitment to quality and accountability • Comfortable working independently • Self-Starter • Experience in a government or publicly funded substance use disorder (SUD), behavioral health, or community healthcare setting • Familiarity with various substance use services related regulatory mandates • Familiarity with SMHS, DMC-ODS, CalOMS, DATAR, timeliness, network adequacy and other Medicaid reporting requirements • Familiarity with Medi-Cal and Drug Medi-Cal Certification, AOD Certification, DUI Program licensing and other behavioral health program administrative mandates • Experience supporting telehealth services • Background in quality improvement, process optimization, or performance management • Understanding of data analysis, validation, and reporting methodologies • Lived experience with substance use recovery and/or the criminal justice system

🏖️ Benefits

• Health Care Plan • Paid Time Off (Vacation, Sick & Public Holidays) • Training & Development

Apply Now

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