Durant, OK, 74701, USA
4 days ago
Health Services Compliance Specialist II
**Job Purpose or Objective(s):** Responsible for monitoring and ensuring adherence to all procedures and tribal, state, and federal regulations about Health Services and collaborating with departments to maintain a culture of culture of compliance within Health Services. You will report to the Compliance and Ethics Officer. Schedule: 60% on-site, 40% remote after initial in-office training period Location: Durant, OK or Talihina, OK Salary Range: 80-90k **Primary Tasks:** 1. Monitor and coordinate Health Services compliance activities of other departments to remain well-informed of the status of compliance issues and to identify trends. 2. Manage and conduct appeals, inquiries, evaluations, and investigations of identified compliance and concerns involving associates, patrons, vendors, or former associates of the Choctaw Nation of Oklahoma. 3. Prepare comprehensive reports with findings to include identification and evaluation of any Health Service compliance/ethics process gaps or practices that create risk to avoid organizational liability and collaborate/partner with other departments to facilitate resolution of compliance issues. 4. Maintain accurate, confidential records regarding appeals, inquiries, evaluations, and investigations. 5. Make recommendations to ensure that the Health Service compliance program is efficient in identifying, preventing, and correcting noncompliance with applicable policies, procedures, laws and regulations, and provide reporting. 6. Participate in development of procedures to mitigate Health Services organizational risk. 7. Evaluate business activities to assess and identify compliance risk. 8. Communicate with Department Leadership the status of appeals, inquiries, evaluations, or investigations. 9. Perform other duties as may be assigned. **Minimum Requirements:** * Bachelor’s degree in business or healthcare administration or related field and four [4] years’ directly related experience including investigations, and conflict resolution responsibilities, OR eight [8] years of directly related experience in lieu of education. * Obtain or be willing to obtain certifications required by each department within the allotted amount of time. * Working knowledge of federal, state and tribal employment laws and regulations. * Ability to maintain knowledge/certifications of Compliance & Ethics through continuing education * Ability to protect confidentiality and handling of sensitive documents and records About the Choctaw Nation The Choctaw Nation is the third-largest Indian nation in the United States, with over 200,000 tribal members and more than 11,000 employees. The first tribe over the Trail of Tears, historic boundaries are in the southeast corner of Oklahoma. The Choctaw Nation's vision, "Living out the Chahta Spirit of faith, family and culture," is evident as it continues to focus on providing opportunities for growth and prosperity. Benefits Free gym membership Free access to employee health clinic Free lunch for casino & resort associates Earned wages access once per week for hourly Associates Pet insurance Paid vacation / sick time Medical / Dental / Vision 401(K) with company match College tuition reimbursement Short-term disability, long-term disability, and family leave Employee assistance program Employee prescription program CNO Paid Life Insurance Teladoc On Site Dental Clinics (Jet Dental) On Site Mammogram Services Free diabetes and hypertension monitoring benefit (Livongo) Accolade- Concierge Benefits Program Wellness Program that equals savings on health insurance cost (Virgin Pulse) Maternity Care Program **(Benefits provided by the Choctaw Nation are based on employment classification)** CNO was selected as a winner in both HRDUS' and Forbes' 2022 "Employer of Choice" competitions: Choctaw Nation of Oklahoma received recognition as one of six Best Places to Work in the United States as selected by HRDUS Choctaw Casinos & Resorts received recognition from Forbes as a Best Employer for Diversity in the Travel & Leisure category. Forbes also recognized the Choctaw Casino and Resorts as one of America's Best Employers for New Graduates. Job Identification: 15968 Job Category: Administration Posting Date: 03/03/2025, 9:30 PM Job Schedule: Full time Job Shift: Day Shift On-Site/Remote: Hybrid
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