Clinical Compliance Specialist

How will this role have an impact?

The Clinical Compliance Specialist will be responsible for reviewing and analyzing client audit requests comprehensively to ensure accuracy, compliance with regulation requirements, and adherence to contractual obligations. You play a critical role as the conduit between Client Success and necessary parties in identifying requests, gathering and effectively organizing and maintaining accurate inputs, communicating audit needs, and playing point during all client audit process activities.

What will you do?

• Manage/oversee audit process
• Populate requests from the client, communicate findings to internal and external stakeholders, and follow up and follow through with additional requests to ensure the client’s audit is satisfied regarding corrective actions, attestations, regulation update and reviews, and risk assessments
• Own audit planning; Partner with Client Success team as well as other departments, managing audit evidence preparation, maintain detailed documentation of audit procedures, findings, and follow-up actions
• Maintain thorough and accurate records of all audits and related activities
• Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates
• Stay up-to-date through departmental discussions on industry regulations, law, and strategies to create best practices with subject matter experts
• Conduct facilitation of collection of required inputs, document findings in repository, and ensure comprehensiveness
• Interface with internal subject matter experts and Legal and Compliance and external clients throughout audit process
• Develop and update internal policies and procedures to ensure efficient and effective yearly audits for our clients

We are looking for someone with:

• Bachelor’s degree preferred
• 3+ years experience in an health care setting
• Working understanding of business, financials, and CMS/Regulatory requirements
• Excellent project management skills
• Self-directed independent performer, able to act independently and manage day to day objectives
• Ability to work in a fast-paced environment with rapidly changing priorities, flexibility and a positive attitude
• Read, analyze and interpret business, professional, technical or governmental documents. Write reports, business correspondence and procedure manuals
• Exceptional organizational skills and attention to detail
• Excellent written and verbal communication skills
• Expertise in providing advice and consultation on complex topics to non-specialists; ability to communicate effectively with leadership
• Expertise in collaboration and the generation of a spirit for cooperation while coordinating different activities and groups within a group
• Able to quickly respond to changing business needs, priorities and timelines
• Curious, analytical, and data-driven

The base salary hiring range for this position is $46,988 to $75,400. Compensation offered will be determined by factors such as location, level, job-related knowledge, skills, and experience. Certain roles may be eligible for incentive compensation, equity, and benefits.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  Eligible employees may enroll in a full range of medical, dental, and vision benefits, 401(k) retirement savings plan, and an Employee Stock Purchase Plan.  We also offer education assistance, free development courses, paid time off programs, paid holidays, a CVS store discount, and discount programs with participating partners.  

About Us:

Signify Health is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals’ clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers and community resources, we’re able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.

Our high-performance networks are powered by more than 9,000 mobile doctors and nurses covering every county in the U.S., 3,500 healthcare providers and facilities in value-based arrangements, and hundreds of community-based organizations. Signify’s intelligent technology and decision-support services enable these resources to radically simplify care coordination for more than 1.5 million individuals each year while helping payers and providers more effectively implement value-based care programs.

To learn more about how we’re driving outcomes and making healthcare work better, please visit us at www.signifyhealth.com

Diversity and Inclusion are core values at Signify Health, and fostering a workplace culture reflective of that is critical to our continued success as an organization.

We are committed to equal employment opportunities for employees and job applicants in compliance with applicable law and to an environment where employees are valued for their differences.