Compliance Manager

Key Point Health Services; Aberdeen (MD); On-site; USD 63,000 - 77,000; Full time

Benefits offered by this job

Health, Dental & Life Insurance

PTO & Sick leave

Tuition reimbursement

Job summary

Key Point Health Services in Aberdeen, MD is seeking a Compliance Manager to lead CARF accreditation activities, develop readiness plans, and oversee ongoing compliance with state and federal behavioral health regulations.

The role requires coordinating regulatory surveys, designing education for staff, and ensuring data integrity across policy, incident reporting, and medication compliance as part of our corporate compliance program.

Qualifications

• Experience with CARF accreditation processes.
• Knowledge of HIPAA, CMS, Medicaid, and OSHA standards.
• Experience with regulatory compliance monitoring and training.

Responsibilities

• Lead CARF accreditation activities and develop readiness plans.
• Monitor compliance with CARF standards throughout accreditation cycles.
• Coordinate regulatory surveys and licensing reviews.
• Develop and maintain compliance policies and procedures.
• Provide staff education on CARF, HIPAA, Fraud, Waste and Abuse, and documentation standards.

Job description

Job Details

Job Location: HQ - Aberdeen, MD 21001

Salary Range: $70,000.00 - $70,000.00

Title: Compliance Manager

Website: www.keypoint.org

DETAILS

• Job Location: HQ - Aberdeen, MD 21001
• Salary Range: $70,000.00 - $70,000.00
• Title: Compliance Manager
• Job Type: Full-Time Compliance Counselor
• Days: Monday-Friday
• Hours: 8am-4:30pm
• Pay: $70,000 annual

What We Offer:

• Comprehensive Health, Dental & Life Insurance.
• Generous PTO and Sick leave plan (6 weeks in first year)
• Tuition reimbursement
• And more!

Who We Are:

Key Point Health Services is a leading nonprofit agency serving people with behavioral healthcare needs in the Greater Baltimore area. We provide comprehensive community-based services that help people thrive while realizing and choosing their goals. We provide opportunities, support and integration within our community. Among the programs and services, we provide are Outpatient Mental Health Centers, Adult and Child Psychiatric Rehabilitation Programs, School-Based Therapy, Community Outreach, and Residential Services.

Who We Need:

We are currently looking for a Compliance Counselor to join our Aberdeen team.

SUMMARY OF RESPONSIBILITIES

CARF Accreditation

• Lead all organizational CARF accreditation activities.
• Develop and maintain CARF readiness plans and accreditation timelines.
• Monitor compliance with CARF standards throughout the accreditation cycle.
• Coordinate mock surveys and internal readiness assessments.
• Maintain accreditation evidence files and documentation.
• Provide ongoing education regarding CARF standards to staff and leadership.
• Coordinate survey logistics and organizational readiness activities.
• Monitor implementation of corrective action plans following surveys or audits.
• Support departments in integrating CARF standards into daily operations.

Behavioral Health Regulatory Compliance

• Monitor compliance with Maryland COMAR regulations, CMS requirements, Medicaid regulations, HIPAA, 42 CFR Part 2, OSHA standards, and other applicable behavioral health regulations.
• Develop and maintain organizational compliance policies and procedures.
• Oversight of the collection of data and analysis of trends related to medical record compliance.
• Conduct ongoing compliance monitoring activities.
• Investigate potential compliance concerns and recommend corrective actions.
• Coordinate regulatory surveys and licensing reviews.

Pharmacy Compliance

• Coordinate organizational compliance with applicable pharmacy regulations.
• Monitor compliance (either directly or through oversight of staff) with:
• Maryland Board of Pharmacy requirements
• DEA regulations
• Controlled substance requirements
• Medication storage and security standards
• Medication disposal procedures
• Provide oversight to the Medication Auditor
• Review medication-related incidents and identify trends.
• Recommend improvements to medication management practices.

Corporate Compliance

• Maintain the organization's compliance program.
• Conduct annual compliance risk assessments.
• Develop and monitor the annual compliance work plan.
• Coordinate investigations related to compliance concerns.
• Monitor OIG, SAM, and state exclusion lists.
• Coordinate annual compliance education.
• Maintain confidential reporting mechanisms.
• Track compliance activities and recommend corrective actions.

Quality Improvement

• Collaborate with Quality Improvement initiatives.
• Identify compliance trends through data analysis.
• Recommend process improvements.
• Participate in performance improvement projects.
• Support organizational KPI reporting.
• Assist with risk management activities.

Education & Training

• Develop and coordinate annual compliance training.
• Provide education related to:
• CARF standards
• HIPAA
• Fraud, Waste and Abuse
• Documentation standards
• Medication compliance
• Ethics
• Corporate Compliance
• Conduct new employee orientation training related to compliance.
• Develop educational materials and maintain training records.

Incident Management

• Review reportable incidents for compliance implications.
• Monitor incident trends.