Job Description

The Compliance Specialist reports to the Director of Compliance. The Specialist will support the oversight and management of JCCA’s regulatory compliance activities, including perform audits, investigations and risk assessments to understand risk level, significance and scope. Keep up to date with, and understand, relevant laws and regulations. Monitor compliance with laws, regulations and internal policies. Contribute to the annual Compliance risk analysis and Work Plan. Ensuring the JCCA Compliance plans and related Compliance training are accurate and updated.

JOB DESCRIPTION

• Contribute to the annual risk assessment and work plan, ensuring the gathering and provision of regulatory compliance related information.
• Conduct regular chart reviews of Medicaid billing programs to monitor compliance with regulations
• Compose and revise high level policy and procedures for ALL agency programs/departments
• Supports the regular development and review of Compliance policies and procedures for the general operation of the Plan’s compliance program and its’ related activities for CMS and JCCA lines of business.
• Contributes quality and timely data for both the internal Compliance Committee meetings and the Audit and Compliance Subcommittee of the Board of Directors.
• Synthesizes regulatory guidance into Compliance activities and track related due dates and provide support to the business areas completing deliverables.
• Possess knowledge of government regulations, guidelines and agency policies and procedures applicable to program.
• Assist with the management of client records request by performing supportive tasks
• Conduct root cause analysis and submit corrective action plans, with guidance on methodology and identification of relevant regulatory requirements to programs.
• Plays a critical role in driving the progress for corrective actions throughout the organization.
• Ensures thorough investigation of all issues reported to the anonymous Hotline.
• Assist in the development and facilitation of compliance related trainings
• Represent the department and agency at internal and external meetings as needed
• Facilitate program
• Other duties as assigned or requested

QUALIFICATIONS:

• Bachelor’s Degree in Public or Business Administration, or Human Services Field
• Minimum of three years of experience working in a non-profit (child welfare experience a plus)
• Advanced knowledge of Microsoft Office Suite
• Excellent writing, assessment, planning and analytical skills
• Knowledge of ACS, OCFS, OMH, DOHMH regulations is preferred
• Experience conducting audits and internal investigations is preferred
• Knowledge of CNNX, PROMIS, NetSmart (MyEvolv) is a plus.
• Excellent data analysis skills and commitment to serving children and families required.
• Strong attention to detail, organizational skills, and data management; be a self-starter who is highly organized,
• Strong critical thinking and problem-solving skills.

Company Description

JCCA, formerly known as Jewish Child Care Association, provides comprehensive care to thousands of children, young people and families who come from New York’s diverse communities. Since 1822, we have embraced those who need us most — abused, neglected and traumatized young people who are struggling with poverty, developmental disabilities and complex mental illness. Our programs include foster and residential care, educational assistance and remediation, case management for young people with mental health challenges and services to families to prevent child abuse and maltreatment. JCCA offers safety, stability and lifesaving support to help our clients transform their lives. JCCA programs help more than 16,000 children and families annually. JCCA complies with applicable state and local laws governing nondiscrimination in employment in every location in which JCCA has facilities. Visit our website: www.jccany.org