Compliance & Risk Analyst

Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We’re the largest consumer-directed home care agency in NY State and are continually expanding our areas of focus including operations in other states and tech-based innovations.  

We pride ourselves on our values which drive the level of care that we deliver to our patients:

• Here For You (An attitude of service, empathy, and availability)
• Own It (Drive and ownership)
• Do the Right Thing (High integrity)
• Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a Compliance & Risk Analyst for our team. 

This is a remote position with some required domestic travel as needed.

Department & Position Overview: 

The Compliance & Risk Analyst is a primary compliance and training resource for General Managers, providing expert guidance and support and maintaining active communication with the corporate training and compliance teams to ensure that all training materials are current and effective.

Every Day You Will:

Compliance & Risk Management:  

• This position will assist in building both initial and annual training programs for caregivers in each state in which FreedomCare operates. The role will be responsible for helping to build out training programs, monitoring adherence to training requirements, and reporting to the Compliance Managers & General Managers of each state when caregivers are at risk of non-compliance. This position will also be the main point of contact for audit responses regarding training programs. 
• This role will be primary in reporting functions for state required in-home visits. This will involve consistently monitoring upcoming home visits and identifying trends to report to the Compliance Managers & General Managers of each state when the company is at risk of non-compliance. This position will also be the main point of contact for audit responses regarding in-home visit percentages. 
• This role will assist in monitoring open complaints and critical incident reports to maintain compliance with closing cases within a timely period that will either be defined by the state guidelines or within 72 business hours.
• This position will identify trends and report to the Compliance Managers & General Managers of each state if the company is at risk of non-compliance. This position will also be the main point of contact for audit responses regarding complaint and incident reporting. 
• Physical site visits to audit compliance with policies and guidelines regarding state-required postings. 
• Conduct regular and retrospective audits in new and existing states to ensure consistent adherence to compliance guidelines.
• Support the Compliance Department in preparing for and managing internal, external, Medicaid, and State audits and inspections.
• Function as a key liaison in audit readiness and response strategies, improving compliance controls based on audit outcomes.

Training:  

• Responsible for helping build out state-specific training when gaps are identified. 
• Responsible for training the General Managers in each state on new/updated requirements and how to enroll all necessary team members in required training. 

 Process Review/ Enhancement: 

• Collaborate with General Managers and staff to identify caregiver compliance training needs, focusing on specific gaps identified through audits and operational feedback. 
• Identify gaps in training programs for front line operations team members considering state-specific requirements and changes in healthcare regulations.  
• Lead the effort to document all training identified and implemented while ensuring it is standardized with the Learning, Training and Development and Compliance departments as necessary. 
• Monitor and evaluate the effectiveness of training sessions, ensuring continuous improvement in compliance adherence by auditing service records and providing feedback during early stages of launching in a new state.

Ideal Candidate Will Possess:

• Strong working knowledge of auditing procedures; prior 3-4 years of applying such guidelines for overall compliance with a large scope preferrable in the healthcare sector, healthcare/hospital facility/system, or Insurance provider.
• Strong working knowledge of billing and diagnosis codes that would permit proper auditing of reimbursement payments, insurance billing and claims for a healthcare services/products provider, 
• Minimum of 5 years of experience with progressively increasing responsibility (coaching employees on guidelines, functions, etc.)  
• Prior working experience driving change. 
• New program/system implementation experience
• Must possess a compliance mindset with a high level of attention to detail, a proven ability to understand compliance regulations and an understanding of how those regulations apply to specific situations.   
• Documented ability and success in working cross-functionally to attain/maintain compliance with guidelines and regulations
• Background in creating training modules which support a variety of audiences within an organization. 
• Experience driving results in a direct and dotted line reporting environment. 
• Active participation in audit responses with established success rates.

Why work at FreedomCare?

We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.

This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!

At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, citizenship or immigration status, or other applicable legally protected characteristics.

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