Lead Compliance Specialist

Circle of Life Home Care and Soaring Eagles Home Care; Shoreview (MN); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

Dental

401(k)

Mileage reimbursement

Flexible schedules

Vision

Year-end bonus

Job summary

Circle of Life Home Care and Soaring Eagles Home Care in Shoreview, MN, is seeking a Lead Compliance Specialist for our corporate office. The role monitors, advises, audits and reports to ensure complete and timely adherence to all compliance provisions across our home care services.

Qualified candidates have a minimum of 3 years in a directly relatable healthcare role, with preferred payer relations and contracting experience.

Qualifications

• Minimum 3 years in a healthcare role directly related to compliance.
• Preferred experience with payer relations and payer contracting.
• Background in RCM compliance needs.

Responsibilities

• Payer contract and license management (health plans, DHS).
• Facilitate training on regulatory and payer compliance updates.
• Provide training on compliance components.
• Support VA compliance for clients and caregivers.
• Draft policies and procedures.
• Maintain record retention policy and processes.
• Ensure data integrity and system alignment.
• Maintain the compliance scorecard.
• Track audit trends and create training plans to close gaps.

Skills

Regulatory compliance

Payer relations

Data integrity

Job description

Circle of Life is a leading home care agency serving 6 states. We provide services for seniors, children, and people with disabilities, and our mission is to “honor those we serve.” We take pride in the responsibility we have to care for our clients so that they can stay independent in their own homes and communities because we believe that home is the safest place to be.

Circle of Life is growing, and we have an opening for a Lead Compliance Specialist to join our corporate office in Shoreview. The Compliance Specialist monitors, advises, audits, reports and serves as a resource and services business line to help ensure complete and timely adherence to all compliance provisions.

Good For Employees

Circle of Life’s focus is creating a workplace where respect, appreciation and teamwork are the shared experiences of our team. We do good for our employees by collaborating on scheduling, a focus on wellbeing, a client-first directive, respecting and valuing every team member while having fun along with top industry compensation and benefits.

Good Deeds

We also do good in our work. Our team of office and field staff cares about each other and the clients we serve. We help one another. We care for and provide for a wide range of clients with a focus on honoring those we serve.

Position Duties Include

• Payer contract and license management (health plans, DHS)
• Facilitate training related to regulatory and payer compliance updates
• Facilitate training related to compliance components
• Support VA compliance for both clients and caregivers
• Participate in drafting policies / procedures
• Record retention policy and process
• Data integrity & system alignment
• Maintain compliance scorecard
• Track audit trends and devise training plans to reconcile identified gaps

Qualified applicants should have a minimum of 3 years in directly relatable healthcare role, preferred direct experience with payer relations and payer contracting, and a background in RCM specific compliance needs.

How Good?

• Positively change the lives of individuals and families in our communities
• Provide access to care for those who have been traditionally overlooked by the health care system
• Support a talented team and be a part of a team that supports each other

Benefits Include

• Medical, Dental, 401K, Mileage, Flexible Schedules, Vision, Year-End Bonus