Compliance Specialist Human Services Job Details Job Location Corporate Headquarters - Kingston, NY Position Type Full Time Education Level High School Salary Range $26.00 Job Shift Day Job Category Admin - Clerical Description When you work forGateway Hudson Valley, you make a difference in people’s lives. Our Vision: To be a leader in supporting individuals as they strive to achieve a hopeful, satisfying, active, and contributing life. We offer Medical, Dental, Life Insurance, 403(b) Retirement, Holidays, and generous PTO $26 per hour POSITION SUMMARY: The Compliance Specialist works with the Chief Quality and Compliance Officer to develop, implement and maintain quality assurance and compliance processes to ensure the delivery of high-quality services. This role involves meticulous monitoring, evaluation, and enhancement of service delivery standards, ensuring compliance with all relevant regulations and improvement, facilitating training, and supporting the overall mission of the agency. RESPONSIBILITIES Auditing: Conduct monthly Medicaid and/or other quality audits to ensure the Agency meets the standards for program compliance and Medicaid billing requirements. Investigation: Assist CQCO in investigating all internal incidents including; tracking incidents, conducting interviews, reporting in databases (IRMA/NIMRS), writing reports and developing and following up on corrective action plans. Training and Support: Assist CQCO in the development of training materials and operating manuals and provide training and support to program staff to ensure understanding and adherence to quality standards. Electronic Health Record (EHR): Provide staff tech and administrative support in use of EHR, problem solving, report management and form building. IRC Committee: Compile monthly Incident Review Meeting agenda and minutes, distribute minutes and agenda, attend monthly meeting and take minutes BQCAC Committee: Attend semi-annual Board Quality, Compliance and Audit Committee meeting, complete minutes and distribute to committee members Continuing Education: Pursue ongoing education and training to stay current with new laws, rules, and regulations affecting quality assurance and service delivery. Documentation and Reporting: Document all quality assurance activities and create detailed audit reports to track progress and identify areas for improvement. Recommendations for Improvement: Make informed recommendations for service and process improvements based on data analysis and quality assurance findings. Participant and Patient Surveys: Administer or assist CQCO with administration of surveys, analyze annual participant satisfaction and Patient Characteristic Surveys to gather feedback and identify areas for service improvement. Data Collection and Analysis: Collect and analyze statistical data related to referrals, program utilization, and participant demographics to inform program development and quality improvement initiatives. Compliance Maintenance: Ensure compliance with all federal, state, local, and organizational laws, regulations, guidelines and policies. Core Values: While carrying out the responsibilities of this position, the Quality Assurance Assistant will embrace the mission, vision, values, and philosophies of the agency. Other: Prepare and send out monthly and annual vendor letters Monitor Compliance Hotline and Anonymous Compliance Box for messages Compile quarterly OMH stats for Compliance Officer Other miscellaneous tasks requested Qualifications REQUIRED QUALIFICATION Education : Bachelor’s degree in a related field preferred; or Associate degree and 1+ years of experience in compliance and QA; or High School Diploma and at least 3 years’ experience in compliance and QA. Experience : Prior experience in Human Services; and Prior experience is quality assurance and compliance preferred Licenses / Certifications: N/A WORKING CONDITIONS Must be able to lift up to 15lbs Must be able to stand, walk, stoop and bend Must be able to sit or stand for 8 hours per day REGULATORY CLEARANCES REQUIRED: Background checks are required We are an EEO/AA employer M/F/D/V/SO employer