Compliance Audit and Investigation Specialist

Regency Integrated Health Services, LLC; Town of Texas (WI); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a detail-oriented Compliance Audit and Investigation Specialist to ensure adherence to compliance programs in skilled nursing facilities. This role involves auditing, investigating, and enhancing compliance policies while collaborating with various departments. The ideal candidate will have significant experience in compliance auditing, strong analytical skills, and the ability to work independently. Occasional travel within Texas is required.

Qualifications

• Minimum of 5 years of experience in compliance auditing and investigations.
• Strong knowledge of OIG compliance program requirements.

Responsibilities

• Conduct comprehensive audits of long-term care facilities.
• Investigate potential compliance issues and prepare reports.
• Develop and deliver training programs on compliance requirements.

Skills

Analytical Skills

Organizational Skills

Communication Skills

Education

Bachelor's degree in healthcare administration

Advanced degree or certification in compliance or auditing

Tools

Microsoft Office Suite

Compliance management software

Job description

Compliance Audit and Investigation Specialist

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Primary Responsibilities

We are seeking a detail-oriented and experienced Compliance Auditor and Investigator to join our team. This role is generally remote, with occasional travel required in Texas for meetings as needed or directed. The primary responsibility of this position is to audit our long-term care facilities for compliance with the Office of Inspector General's (OIG) compliance program specific to skilled nursing facilities, as well as general best practices in the skilled nursing industry and company policies.

Strong preference that candidate resides in Texas.

Essential Functions

1. Compliance Audits: Conduct comprehensive audits of long-term care facilities to ensure compliance with OIG compliance program requirements, industry best practices, and company policies.
2. Investigations: Investigate potential compliance issues, including conducting interviews, reviewing documents, and preparing detailed reports of findings.
3. Policy Review: Evaluate and recommend improvements to company policies and procedures to enhance compliance and operational efficiency.
4. Training and Education: Develop and deliver training programs to staff on compliance requirements and best practices.
5. Reporting: Prepare and present audit and investigation reports to senior management, including recommendations for corrective actions.
6. Regulatory Updates: Stay current with changes in healthcare regulations and ensure the company’s compliance programs are updated accordingly.
7. Collaboration: Work closely with various departments, including Legal, Clinical, IT, Finance, Operations, and Human Resources, to address compliance issues and implement corrective actions.
8. Support: Assist other compliance functions as needed in support of particular initiatives or projects.

Educational/Training Requirements

• Bachelor's degree in healthcare administration, business, or a related field; advanced degree or certification in compliance or auditing preferred.
• Strong knowledge of OIG compliance program requirements for skilled nursing facilities.
• Excellent analytical, organizational, and communication skills.
• Ability to work independently and manage multiple tasks simultaneously.
• Proficiency in Microsoft Office Suite and compliance management software.

Licensing Requirements

• Certification in compliance or auditing is preferred.

Experience Requirements

• Minimum of 5 years of experience in compliance auditing and investigations, preferably in the healthcare or long-term care industry.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Finance and Sales

Industries

• Hospitals and Health Care and Nursing Homes and Residential Care Facilities