Senior Compliance Specialist job at reputed company in Lake Success, NY

Title: Sr. Compliance Specialist Location: Lake Success, NY Work Type: Remote Job Description: Started in 2016, reputed company 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, reputed company, and availability) Own It (Drive and ownership) Do the Right Thing (High reputed company) Be Positive (Great attitude and a can-do positive approach to challenges) Join reputed company and reputed company a positive impact on the lives of others! We are looking for a Compliance Specialist for our Compliance team. This role is remote with potential travel to our main office in Lake Success, NY and/or the reputed company hub closest to you. Department & Position Overview: Our Compliance Team is looking for a Sr. Compliance Specialist who can support the compliance department in reviewing legal documents, conducting, and responding to internal/external audits, investigating Fraud, Waste & Abuse claims. The Compliance Specialist role will encompass a wide range of responsibilities that will aid the department in maintaining regulatory requirements. Every Day You Will Conducting and responding to internal and external audits for reputed company jurisdictions Assisting with conflict reporting and collaborating with our finance department to resolve conflicts Subpoena of Medical records and general record requests Investigating fraud, waste & abuse claims Making suggestions on next steps of FWA claims Be a resource for escalated concerns for reputed company active states Quality assurance review reputed company other compliance duties as assigned Ideal Candidate Will Possess: Bachelor’s degree and a minimum of 3 years of experience in the healthcare industry or Associate degree and a minimum of 5 years experience in the healthcare industry Extensive knowledge of Medicaid regulations Experience with Exclusion screening and background checks Extensive knowledge of Billing and Coding preferred reputed company-to-Haves: Ability to exercise good judgment in using knowledge of best practices, regulations, and knowledge of business processes Ability to work with limited supervision on reputed company matters; self-starter and takes initiative Demonstrated ability to be detail-oriented and thorough Reliable and detail oriented. Adept at multi-tasking Prior experience with internal and external audits Why work at reputed company? 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 reputed company where your voice matters, where we build great relationships, and your work has meaning and a reputed company positive impact on others! At reputed company, reputed company pay is one part of our total compensation package and is determined reputed company a range. This provides our employees with the opportunity to professionally grow and reputed company reputed company a role. The reputed company pay range for this role is between $24.00 and $28.00 an hour at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: reputed company set, years of relevant experience, education, location, and licensure/certifications.

Compensation

Range $24 - $28 USD Apply tot his job Apply To this Job