Compliance Specialist

Atlantic Medical Management, LLC; Jacksonville (NC); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

401(k)

Health, Dental and Vision insurance

Employee assistance program

AFLAC

Paid time off

Job summary

Atlantic Medical Management (AMM) is looking for an experienced Compliance Specialist to develop and maintain the organization’s compliance program. The position is based in Jacksonville, NC, with travel to multiple sites across North Carolina.

The role involves monitoring laws and regulations, conducting investigations to identify root causes, providing staff training on compliance procedures, and coordinating with the HR department to address violations.

Qualifications

• Bachelor's degree in Health Care Management or related field preferred.
• 3 years experience in the medical field.
• Ability to work independently or in a team.

Responsibilities

• Design and implement programs/policies useful in ensuring compliance with government and legal regulations
• Monitor laws and regulations with possible impact on company business processes
• Prepare and present to company management compliance reports useful in taking key business decisions
• Conduct investigations to identify the root of a compliance issue in order to resolve it
• Provide training to educate company staff on important compliance procedures and policies
• Liaise with the human resource department to ensure appropriate disciplinary action is taken against compliance violation
• Conduct or oversee internal and external compliance audits
• Analyze payer contracts and third-party payer agreements for actionable insight to mitigate the risk of non-compliance
• Facilitate contract negotiations and communications on behalf of the organization or affiliated practice(s)

Skills

Oral communication

Microsoft Office

Education

Bachelor's degree in Health Care Management or related field

Job description

Summary

Atlantic Medical Management (AMM) is looking for an experienced Compliance Specialist to join our organization. AMM is a corporate medical management firm that is dedicated to improving patient care. The primary responsibility will be to develop, manage and maintain the organization’s compliance program. Home base for this position is in Jacksonville, NC but requires travel to multiple sites within North Carolina.

Responsibilities Include

• Design and implement programs/policies useful in ensuring compliance with government and legal regulations
• Monitor laws and regulations with possible impact on company business processes
• Prepare and present to company management compliance reports useful in taking key business decisions
• Conduct investigations to identify the root of a compliance issue in order to resolve it
• Provide training to educate company staff on important compliance procedures and policies
• Liaise with the human resource department to ensure appropriate disciplinary action is taken against compliance violation
• Conduct or oversee internal and external compliance audits
• Analyze payer contracts and third-party payer agreements for actionable insight to mitigate the risk of non-compliance
• Facilitate contract negotiations and communications on behalf of the organization or affiliated practice(s)

Requirements And Qualification

• Bachelors degree in Health Care Management or related field, preferred
• 3 years experience in the medical field
• Can function both independently and as part of a team.
• Able to efficiently and effectively organize and juggle a results-oriented environment.
• Oral communication skills.
• Proficiency Microsoft products.

Benefits

• 401(k)
• Health, Dental and Vision insurance
• Employee assistance program
• AFLAC
• Paid time off