Compliance Analyst – Web Services Modernization
TrueTandem
DrupalJavaScriptPHPSplunk
VP of Compliance
Transitions Group
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $150,000 - $170,000 per year
Job Level
Lead
About the role
- Oversee and maintain all necessary hospice, branch office, and agency licenses, ensuring compliance with state and federal requirements.
- Manage Medicare and Medicaid provider enrollment, revalidation, and credentialing processes to maintain active status and compliance.
- Coordinate and maintain accreditation certifications and related compliance documentation.
- Ensure controlled substances and pharmacy licenses are current and compliant with applicable laws and regulations.
- Maintain business entity filings and work with the Controller on Certificates of Insurance to ensure organizational compliance.
- Oversee and manage contracts with skilled nursing facilities, assisted living facilities, therapy providers, DME suppliers, ambulatory providers, and other core direct non-labor vendors.
- Manage relationships and contracts with medical directors and other healthcare providers to ensure contractual and regulatory compliance.
- Oversee audits including TPE, SMRC, CERTS, RAC, UPIC, ADR, ZPIC/UPIC, and other regulatory reviews, ensuring timely and accurate responses.
- Review and submit Plans of Correction (POCs) for identified deficiencies, ensuring implementation and ongoing compliance.
- Ensure compliance with facility requirements and standards for hospice operations.
- Work with leadership to maintain survey readiness and respond to survey findings in accordance with applicable regulations.
- Collaborate with internal teams to maintain compliance with managed care contracts and credentialing requirements.
Requirements
- Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field.
- Minimum of 3-5 years of experience in healthcare compliance or internal auditing, with hospice-specific experience preferred.
- Extensive knowledge of CMS Conditions of Participation for hospice care and state health department regulations.
- Certifications (preferred but not required): Certified Healthcare Compliance (CHC)
- Certified Hospice and Palliative Care Administrator (CHPCA)
Benefits
- Competitive salary
- Medical / Dental / Vision Insurance plans
- Life Insurance
- 401(k) matching
- Company Equipment
- Paid Time Off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Medicare provider enrollmentMedicaid provider enrollmentcredentialing processesaccreditation certificationsaudit managementPlans of Correction (POCs)compliance documentationcontract managementregulatory compliancehealthcare compliance
Soft skills
leadershipcollaborationorganizational skillscommunicationrelationship managementproblem-solvingattention to detailtime managementadaptabilitycritical thinking
Certifications
Certified Healthcare Compliance (CHC)Certified Hospice and Palliative Care Administrator (CHPCA)
