Compliance Specialist

Baltimore, MD

Employer:	Chimes
Category:	Admin - Clerical
Job Type:	Full Time
Description
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: $60,000 PRIMARY 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" Discounts on Verizon mobile service And More! Want to learn more? To learn more about Chimes, and how you can achieve personal and professional growth within a purpose-driven organization, visit us at: https://chimes.org/Careers. #cmd410

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Compliance Specialist

Baltimore, MD

Description