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Chimes · 2 days ago

Senior Compliance Specialist

Baltimore, MD

Full-time

Onsite

Mid, Senior Level

$60K/yr - $60K/yr

5+ years exp

Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential. The Senior Compliance Specialist will be responsible for ensuring compliance with regulatory requirements, conducting audits, and maintaining professional relationships with staff and clients.

GovernmentNon Profit

Responsibilities

Submit credentialing applications and ensure all licensure/certifications are current

Conduct audits to ensure compliance with regulatory requirements concerning service delivery documentation

Comply with all policies and regulations for credentialing providers

Maintain database of timelines and credentialed providers for use by other departments Complete formal audit reports containing findings

Assist in investigations of alleged violations of rules, regulations, policies and procedures, related to the prevision/detection of fraud, waste and abuse

Assist in developing/implementing corrective action plans for resolution of compliance problems

Assists with coordination of program performance improvement program

Assists in design of program performance improvement initiatives, measure and analyze progress

Assists in development and maintenance of monthly program indicators

Conducts random unannounced audits of program monthly indicators and compliance service verifications to assure accuracy and appropriate follow up

Assists with development of annual Performance Improvement Report

Present trainings to staff on compliance/quality assurance topics

Maintain professional relationships with staff, clients, payers, other agencies

Attend relevant meetings, external and internal, and participate in agency committees as assigned by supervisors

Other responsibilities as assigned