Compliance Specialist

Join Chimes - and go further to help others go far! Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential.Our vast array of services - educational, employment, vocational, residential, habilitative and behavioral health - are delivered through a network of national and international affiliates.

This allows us to take a comprehensive, holistic approach to improving the lives of every person we serve - those who receive and those who reap the benefits of our innovative, responsive solutions.Compensation: $60,000PRIMARY JOB FUNCTION(S):


* Submit credentialing applications and ensure all licensure/certifications are current.


* Conduct audits to ensure compliance with regulatory requirements concerning service delivery documentation.


* Comply with all policies and regulations for credentialing providers.


* Maintain database of timelines and credentialed providers for use by other departments
Complete formal audit reports containing findings.


* Assist in investigations of alleged violations of rules, regulations, policies and procedures, related to the prevision/detection of fraud, waste and abuse.


* Assist in developing/implementing corrective action plans for resolution of compliance problems.


* Assists with coordination of program performance improvement program.


* Assists in design of program performance improvement initiatives, measure and analyze progress.


* Assists in development and maintenance of monthly program indicators.


* Conducts random unannounced audits of program monthly indicators and compliance service verifications to assure accuracy and appropriate follow up.


* Assists with development of annual Performance Improvement Report.


* Present trainings to staff on compliance/quality assurance topics.


* Maintain professional relationships with staff, clients, payers, other agencies.


* Attend relevant meetings, external and internal, and participate in agency committees as assigned by supervisors.


* Other responsibilities as assigned.

REQUIREMENT QUALIFICATION:


* Obtain CI certification within 90 days of hire


* Driver's license

Minimum Education: Bachelor's Degree.

All degree(s) must be from a regionally accredited institution of higher learning.Minimum Experience: 5 years administrative experience in behavioral health or other healthcare field.

What's in it for you? Total Rewards (For Full-Time Employees = >30 hours/week):


* Competitive Pay


* Medical, Dental, and Vision Insurance


* Tuition Reimbursement options


* Flexible Spending Accounts (Health, Dependent, and Transportation)


* Life Insurance


* Disability Insurance


* Paid Time Off


* 403(b) with Employer Match


* Employee Recognition Programs


* Employee Referral Bonus opportunities


* Discounts through "Tickets at Work"


* And More!

Want to learn more...