Compliance Specialist

Integrated Resources Inc.; Baton Rouge (LA); On-site; USD 55,000 - 75,000; Full time

Job summary

A leading staffing firm in Baton Rouge seeks a Compliance Specialist to manage activities related to federal and state regulations. This role focuses on ensuring compliance with Medicare policies, supporting departments with vulnerability assessments, and preparing work plans to mitigate identified risks. Ideal candidates possess a bachelor’s degree and at least two years of relevant healthcare experience.

Qualifications

• Minimum of two years in healthcare industry or health plan.
• Previous compliance experience is preferred.

Responsibilities

• Responsible for tracking and analyzing Medicare policies and compliance requirements.
• Serve as subject matter expert on Medicaid compliance issues.
• Implement processes to ensure regulatory compliance.

Skills

Regulatory Compliance

Medicare Policy Analysis

Healthcare Industry Knowledge

Education

Bachelor’s Degree

Job description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-state's most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing.

Job Description

Title: Compliance Specialist

Responsibilities:

1. The Compliance Specialist is responsible for activities related to federal and state regulations and industry standards.
2. This includes tracking, reviewing, and analyzing Medicare policies, regulations, and compliance requirements that could impact Medicaid products, as well as responding to internal requests for regulatory interpretation.
3. The incumbent will serve as a subject matter expert within the company regarding Medicaid compliance issues, working with departments to research, identify, and address areas of vulnerability related to compliance, and preparing work plans to control against identified risks.
4. This individual is also responsible for implementing processes to ensure regulatory compliance, including monitoring activities and validating departmental audits.
5. Minimum of two (2) years of healthcare industry, pharmacy benefit management, or health plan experience.
6. Bachelor’s Degree or relevant experience.
7. Previous compliance experience or related field preferred.

If you are not interested in new opportunities at this time, I fully understand. I would appreciate any referrals from your network of friends and colleagues in the industry. We offer a referral bonus that I’d be happy to extend if they turn out to be a great fit for my client.