Compliance Specialist - Washington, United States - Service Coordination, Inc.

Description

Job Description

SCI Summary: SCI supports people with disabilities, behavioral challenges, medically complex needs, transitioning youth, the elderly, and other populations using Maryland Department of Health's Targeted Case Management and Supports Planning work models as well as a concierge level geriatric care management and care partner model.

Position Summary: Under the supervision of the Compliance Manager, the Compliance Specialist works to ensure that the organizations policies, procedures, and processes meet legal, ethical, and regulatory compliance specifications to support Team Members in providing high quality, effective, and efficient person - centered case management services. The Compliance Specialist will support Programs to improve regulatory compliance and audit readiness by conducting regular and ongoing internal audits. The Compliance Specialist will serve as an investigator for compliance concerns as identified through the incident reporting system. The Compliance Specialist will remain abreast of changes to regulatory standards and guidance and ensure training requirements are updated appropriately.

SCI Team Member Expectations: All SCI team members are expected to: Ensure services provided follow the organization's mission statement, core operating values and policies and procedures, follow HIPAA, confidentiality and security procedures and principles; collaborate with peers, leadership, and support areas of the organization; actively participate in and contribute to leadership and other staff meetings and trainings; maintains compliance with federal, state, and local employment laws and regulations; follow self-direction and person-centered planning procedures and philosophy; and to foster a culture that values diversity.

Essential Duties:

• Conduct internal program audits and monitoring to verify compliance with regulatory standards, organization policies and procedures and industry best practices.
• Provide recommendations for corrective action and track and monitor the actions taken for adequate implementation.
• Assist in organizational readiness and preparation for external/internal compliance audits.
• Assist in the coordination of organizational responses to regulatory findings and assist in the submission of response documentation as needed.
• Assist in the communication of compliance concerns, regulatory and legal agencies expectations and industry standards and trends as part of ongoing education and training.
• Work closely with Team Members to ensure compliance.
• Participate in the development of compliance related procedures.
• Assist with the preparation of internal and external compliance reporting and communications.
• Conduct neutral and unbiased investigations into alleged violations of organization, regulatory, and legal compliance procedures and regulations.
• Complete thorough and concise investigative reports.
• Maintain a high level understanding of program specific regulations and law.

Supervisory Duties:

• N/A

Education Required:

• Bachelor's Degree in Human Services or Related Field

Experience Required:

• 2 plus years of work experience within a regulated environment (health care, child welfare).
• Strong leadership skills.
• Excellent verbal and written communication skills.
• Experience working with multi-functional teams.
• Prior regulatory compliance investigation experience, preferred.
• Prior compliance auditing and monitoring experience, preferred.
• Understanding of Microsoft Office 365 applications and other technologies.

SCI Value Related Competencies:

• People Come First (Customer Focus): Thinks and acts with people we support in mind when making decisions. Dedicated to meeting the expectations and requirements of internal and external shareholders, uses information and feedback to improve services.
• Building Relationships and Connections: Interpersonal savvy. Relates to all kinds of people. Builds appropriate rapport, uses diplomacy and tact, diffuses high-tension situations comfortably. Establishes and maintains meaningful connections within the community and the organization (internal and external stakeholders)
• Education (Informing Others): Quickly finds common ground to solve problems. Is seen as a cooperative team player. Provides coaching and mentoring to team members. Consistent communicator, provides team members with the tools they need to perform their jobs in a timely manner. Explores all available options to make the best decision for internal and external holders
• Diversity: Values, appreciates and honors the ways in which cultural differences can create value in organizations. Is service oriented: Demonstrates a commitment to the philosophies for services and the goal of independence for the people we serve. Raises awareness in communities to appreciate the similarities and unique gifts of each person. Interacts with all kinds of team members equitably, deals effectively with all races, nationalities, cultures, disabilities, ages, and genders, supports equal and fair treatment and opportunity for all.
• Driving Solutions (Perseverance): Pursues all initiatives with energy, drive, and the goal to succeed.

Job-Specific Competencies:

• Action Oriented: Taking on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm
• Collaborates: Building partnerships and working collaboratively with others to meet shared objectives
• Communicates Effectively: Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences
• Courage: Stepping up to address difficult issues, saying what needs to be said
• Cultivates Innovation: Creating new and better ways for the organization to be successful
• Customer Focus: Building strong customer relationships and delivering customer-centric solutions
• Decision Quality: Making good and timely decisions that keep the organization moving forward
• Drives Results: Consistently achieving results, even under tough circumstances
• Instills Trust: Gaining the confidence and trust of others through honesty, integrity, and authenticity
• Optimizes Work Processes: Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement
• Resourcefulness: Securing and deploying resources effectively and efficiently
• Self-Development: Actively seeking new ways to grow and be challenged using both formal and informal development channels
• Values Differences: Recognizing the value that different perspectives and cultures bring to an organization
• Balances Stakeholders: Anticipating and balancing the needs of multiple stakeholders
• Builds Networks: Effectively building formal and informal relationship networks inside and outside the organization

Physical Demands: Generally, presents standard office environment. Must be able to remain in a stationary position >95% of the time. Continually operates a computer, keyboard and mouse, and other office productivity machinery, such as a calculator, copy machine, printer, and mobile Smartphone device. Constantly positions self to comfortably maintain computer equipment. May occasionally be required to move about in an office setting or position office equipment weighing between 10-25 pounds. Vision abilities required by this job include close vision. Ability to operate a motor vehicle. The person in this position frequently communicates with other people. Must be able to exchange accurate information in these situations.

IT Roles must be able to position self to maintain computers and equipment, including under desks and in server room(s). Frequently moves equipment weighing up to 50 pounds.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job. This job description is subject to change at any time.

#INDSCIO

Disclaimer: The recruitment process is approved by Service Coordination Inc.'s Recruitment Committee and subject to change based on business needs.

In recognition of the continuing COVID-19 pandemic, Service Coordination Inc (SCI) is committed to maintaining a safe and healthy workplace. Because of this, SCI is requiring all new hires to be fully vaccinated. New hires will be required to provide proof of vaccination status as part of the on-boarding process. SCI provides reasonable accommodations, absent undue hardship, for medical reasons under ADA and for employees with sincerely held religious beliefs, observances, or practices that conflict with getting vaccinated. You may request reasonable accommodation or other exemption to Sonji Ashford at -

Service Coordination is an equal opportunity employer and committed to the full inclusion of all qualified individuals. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, hair texture or protected hairstyle, veteran status, or genetic information. Service Coordination is also committed to providing equal opportunity and access to individuals with disabilities by ensuring reasonable accommodations are provided to participants in the job application or interview process. To request a reasonable accommodation, contact Kathryn Eckert at or

SCI does not sponsor for immigration, including for H-1B, TN, and other non-immigrant visas, for this role.