Compliance Specialist - Spring, United States - Arrow Child and Family Ministries

Arrow Child and Family Ministries
Arrow Child and Family Ministries
Verified Company
Spring, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Overview:


The Compliance Specialist's primary responsibility is the assurance of Medicaid policies & procedures across all Arrow Health Solutions (AHS) services.

These processes will inform and improve practices that have a direct impact on services to children, families, and compliance. This position is responsible for developing systems for routine evaluation, tracking performance, and establishing a consistent feedback loop. This position will assist program leadership in administrative and strategic tasks.


Benefits Include:

  • Medical, dental, vision, and supplemental insurance options, including HSA match for qualifying contributions.
  • Parental Paid Leave
  • Retirement savings plan with company match.
  • Paid time off and holiday pay.
  • Mileage reimbursement.
  • Tuition reimbursement available.
  • Company sponsored learning and development

Min:
USD $45,000.00/Yr


Max:
USD $50,000.00/Yr


Responsibilities:

Other duties may be assigned as necessary.

  • Develop, implement, and maintain system for tracking sales order, compliance with MCO contracts.
  • Develop tools for evaluating compliance in member, client records that mirrors state contract monitoring.
  • Implement and maintain a quarterly review cycle for member, client and/or account records.
  • Help support the development of standardized services and practices across all assigned programs.
  • Prepare and monitor, in partnership with the program staff, corrective action plans developed internally and externally.
  • Perform program audits as assigned and assist programs with preaudit preparations.
  • Demonstrate knowledge, awareness of AHS product lines and equipment per MCO authorization requirements.
  • May assist on special projects connected to staffing, compliance, budgeting, and professional development.
  • Communicate and report AHS performance outcomes, indicators, and target goals.
  • Perform all duties within contract, state and federal regulations, company policy, and regulatory agency standards.
  • May be required to drive vehicles, be insurable with our auto insurance provider, and complete company vehicle training.

Qualifications:
A high school diploma and at least 3 years of Medicaid claims experience preferred.
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