Compliance Specialist

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

👻 Ghost score 15%

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One Senior Care

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

📦 Logistics

💼 Consulting

Healthcare • Logistics • Consulting

One Senior Care is dedicated to enhancing the quality of life for seniors, particularly those in rural and underserved areas, by providing comprehensive, person-centered healthcare and social services. Their mission focuses on supporting PACE programs through innovative solutions and exceptional service, allowing caregivers to concentrate on offering quality care while minimizing administrative burdens. One Senior Care fosters partnerships among PACE community leaders to collaborate on best practices, share resources, and improve care outcomes for seniors, ultimately enabling them to live independently in their homes.

📋 Description

• Support high standards of care and regulatory compliance across PACE programs • Complete recurring audits as defined by the Compliance Program • Conduct daily internal monitoring and audits to identify opportunities for improvement • Review Participant records for accuracy, completeness, consistency, and follow-through with care plan directives • Audit documentation for compliance with regulatory and organizational standards • Identify documentation discrepancies and communicate findings to appropriate IDT members for follow-up • Track and monitor corrective actions and opportunities for improvement • Collect, organize, and maintain data for reporting and analysis • Track and analyze real-time data and compliance-related information • Review data to identify trends, patterns, and areas of concern • Prepare summaries and reports supporting compliance and quality improvement efforts • Maintain knowledge of applicable laws, regulations, policies, and procedures related to PACE services • Identify potential deviations from standards of care or organizational requirements • Communicate findings and concerns clearly and professionally • Collaborate with Compliance, clinical leadership, and interdisciplinary teams • Participate in compliance, quality, and PACE-related training and professional development • Support accountability, quality, and continuous improvement • Perform other duties as assigned

🎯 Requirements

• Detail-oriented, organized, and comfortable working with large amounts of information • Strong analytical and problem-solving skills • Able to identify inconsistencies, trends, and opportunities for improvement • Comfortable reviewing healthcare documentation and Participant records • Strong written and verbal communication skills • Able to communicate findings in a professional and constructive manner • Team-oriented and comfortable collaborating with interdisciplinary teams • Able to work independently while managing multiple priorities and deadlines • Strong computer skills, including Microsoft Excel and electronic medical record systems • Committed to maintaining confidentiality and protecting Participant information • Must be able to sit and work at a computer for extended periods • Must be able to remain focused and attentive while reviewing detailed documentation and data • Must be able to use standard office and computer equipment • Bachelor's degree in healthcare administration, healthcare, business, or a related field preferred • Experience in healthcare compliance, quality assurance, auditing, or data analysis preferred • Experience working with healthcare documentation and electronic medical records preferred • Familiarity with PACE regulations, healthcare compliance, or quality programs is a plus • Experience with data management, reporting, and analysis tools, including Excel, preferred • Employment contingent upon successful completion of required background checks, health and safety screenings, and any clearances required for healthcare programs

🏖️ Benefits

• 9 Paid Holidays • PTO starting at 3 weeks + 1 day per year (accrued from date of hire for full-time employees) • Medical, Dental, & Vision • Free Life and AD&D Insurance Plan • Health Savings and Flexible Spending Accounts • Short Term Disability Insurance • Group Voluntary Term Life Insurance for Employee, Spouses, and Dependents • Paid Parental Leave • Tuition Reimbursement and Paid Training Opportunities • Retirement Plan with company annual match • Mileage Reimbursement at annual IRS rate as applicable • Training, mentorship, and career development programs