Compliance Specialist

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee timely licensing, certification, and regulatory submissions.

• Prepare for and ensure punctual submissions for audits and external quality assessments.

• Manage reporting requirements at the state and county levels, ensuring timely submissions.

• Monitor EHR reports to guarantee data accuracy, completeness, and compliance.

• Reconcile county reports and analyze data to identify trends, risks, and areas for improvement.

• Prepare for and respond to county program audits, site reviews, chart reviews, and focused reviews.

• Develop and implement Corrective Action Plans (CAPs) within required deadlines to address findings and concerns.

• Monitor the implementation of CAPs to ensure sustained improvements.

• Support initiatives for process improvement and quality assurance across programs.

• Track audit and submission schedules to ensure timely responses.

• Analyze data and reporting trends to identify risks, gaps, and opportunities for enhancement.

• Back quality assurance and compliance initiatives across programs to promote continuous improvement.

• Collaborate closely with program management, leadership, and the Quality Assurance/Management team.

• Coordinate with local and/or state partners to facilitate successful program auditing and monitoring.

• Manage external compliance audits, including drafting responses and gathering necessary materials.

• Update policies and procedures and assist in internal peer review processes.

• Report directly to Recover's Head of Administration.

⛳️ Requirements

• A minimum of 2 years of experience in compliance, quality assurance, healthcare operations, behavioral health, or a related field.

• Strong knowledge of regulatory compliance, audits, corrective actions, facility licensing, and certification processes.

• Experience in data analysis, validating information, and translating findings into actionable recommendations.

• Proficiency in managing complex documentation and reports.

• Familiarity with EHR systems, reporting tools, and data management processes.

• Excellent organizational, communication, and problem-solving skills, with the ability to juggle multiple priorities.

• A proactive, detail-oriented approach, with a strong commitment to quality and accountability.

• Comfortable working independently.

• Self-starter mentality.

• Experience in a government or publicly funded substance use disorder (SUD), behavioral health, or community healthcare environment.

• Knowledge of various regulatory mandates related to substance use services.

• Familiarity with SMHS, DMC-ODS, CalOMS, DATAR, timeliness, network adequacy, and other Medicaid reporting requirements.

• Understanding of Medi-Cal and Drug Medi-Cal Certification, AOD Certification, DUI Program licensing, and other administrative mandates for behavioral health programs.

• Experience in supporting telehealth services.

• Background in quality improvement, process optimization, or performance management.

• Understanding of data analysis, validation, and reporting methodologies.

• Personal experience with substance use recovery and/or the criminal justice system.

🏝️ Benefits

• Health Care Plan

• Paid Time Off (Vacation, Sick & Public Holidays)

• Training & Development