Compliance Specialist (69226)

Posted 9 Days Ago
Be an Early Applicant
85374, Surprise, AZ, USA
In-Office
Junior
Healthtech • Insurance
The Role
Reviews and investigates compliance concerns within medical centers, maintains knowledge of healthcare regulations, supports audits, manages incident reporting, prepares findings and corrective action plans, and develops compliance training. The role promotes ethical behavior, coordinates compliance initiatives, protects organizational assets and reputation, and works with cross-functional teams to resolve compliance issues. Travel to multiple locations is required 20% of the time.
Summary Generated by Built In

Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”


Job Summary

The Compliance Specialist shall report directly to the Compliance Director/Manager. The role functions as an objective resource to review and evaluate compliance issues/concerns within the medical centers. They Endorse compliance with applicable state and federal laws and regulations as well as company policies and procedures. This position promotes an awareness and understanding of positive ethical and moral principles consistent with the mission, vision and values of the organization.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Promotes understanding, communication and coordination of the organization’s Compliance Program.
  • Maintains up-to-date working knowledge of applicable standards and guidelines.
  • Encourages understanding, communication and coordination of the clinical quality, compliance initiatives and compliance standards.
  • Building a strong, proactive, and well-integrated Compliance Program that mitigates risks, promotes ethical behavior, and safeguards the organization's reputation and legal standing.
  • Educates employees on the incident reporting platform and manages incidents following an investigative process.
  • Reports findings (at various levels of detail) to the Risk and Compliance Director, including proposed recommendations and corrective action plans.
  • Provides support for internal and external regulatory and quality audits.
  • Actively participates in compliance meetings.
  • Works with functional areas to assure compliance-related issues have the appropriate support to proactively measure/assess compliance.
  • Conducts thorough and impartial investigations into allegations of compliance, ethical misconduct, or related concerns.
  • Gathers and analyzes evidence, interview witnesses, and document findings to ensure a fair and comprehensive investigative process; Completes investigative reports; and collaborates with relevant stakeholders to resolve cases and recommend appropriate actions.
  • Foster a culture of compliance and ethical behavior.
  • Develops, delivers, and maintains comprehensive compliance training programs for employees and students.
  • Maintain a culture of compliance.
  • Protect the company's reputation and assets.
Qualifications

Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Education

  • Associate’s degree in Business, Health Care Administration, or related field acceptable.
  • Current knowledge of applicable federal and state Healthcare regulations, including privacy laws and accreditation standards.

Required Experience

  • Minimum 2 years of experience in a health care practice environment, with electronic medical records usage.
  • At least 2 years of experience working with HIPAA related compliance rules and regulations, procedures, policies, standards and obligations.

Required Licenses and Certifications

  • N/A

Required Knowledge, Skills, and Abilities

  • Exceptional written, verbal and communication skills.
  • Ability to motivate and lead teams of cross-functional resources.
  • Google Suite knowledge.
  • Ability to maintain confidentiality.
  • Detail-oriented, well-organized critical thinker with strong analytical skills.
  • Strong consultative relationship and interpersonal skills.

Preferred Qualifications

  • N/A

Financial Responsibilities

This position does not currently handle physical money or negotiates contracts.

N/A


Budget Responsibilities

This position does not have budget responsibilities.

N/A

 

Languages

English

Advanced

Spanish

Preferred

Creole

Preferred

 

Travel

Required

Must be willing to travel 20% of the time.


Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. 

While performing the duties of this job the employee is regularly required to work standing up, walk, use hands to operate tools and equipment and must be able to exert regularly up to 10 pounds of force, frequently exert 30 pounds of force and occasionally exert 50 pounds of force to constantly perform the essential job functions. The employee will be frequently required to reach with hands and arms, bend, balance, kneel, crouch, crawl, push, and pull. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.


Environmental Conditions

Inside: The employee is subject to environmental conditions, protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level.


Physical/Environmental Activities

Please indicate with an X the frequency for the activities that apply to the essential functions of the job based on the chart below. Please select Not Required for physical demands that aren’t essential to job performance.


Working Condition

Not Required

Occasionally 

(1-33%)

Frequently

(34-66%)

Constantly

(67-100%)

Must be able to travel to multiple locations for work (i.e.

travel to attend meetings, events, conferences).

 

X

   

May be exposed to outdoor weather conditions of cold,

heat, wet, and humidity.

X

     

May be exposed to outdoor or warehouse conditions of loud

noises, vibration, fumes, dust, odors, and mists.

X

     

Must be able to ascend and descend ladders, stairs, or other equipment.

X

     

Subject to exposure to hazardous material.

X

     

Skills Required

  • Associate degree in Business, Health Care Administration, or a related field
  • Current knowledge of applicable federal and state healthcare regulations, including privacy laws and accreditation standards
  • At least 2 years of experience in a healthcare practice environment
  • Experience using electronic medical records
  • At least 2 years of experience with HIPAA compliance rules, regulations, procedures, policies, standards, and obligations
  • Exceptional written, verbal, and communication skills
  • Ability to motivate and lead cross-functional resources
  • Google Suite knowledge
  • Ability to maintain confidentiality
  • Detail-oriented, well-organized critical thinker with strong analytical skills
  • Strong consultative relationship and interpersonal skills
  • Advanced English proficiency
  • Spanish proficiency
  • Creole proficiency
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The Company
14,000 Employees
Year Founded: 1980

What We Do

Sanitas is a leading multinational health business group with over 40 years of experience. Originally founded as an insurance provider in Colombia, it expanded across Latin America and entered the United States in 2014 through a strategic alliance with GuideWell. The company focuses on providing high-quality, comprehensive, and culturally relevant medical care and health insurance services to diverse communities through its network of medical centers.

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