8 часов назад
State Adherence Specialist I (Healthcare Compliance)
20 - 24$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
State Adherence Specialist I (Healthcare Compliance): Monitoring administrative compliance for Georgia Elderly and Disabled Waiver Program member and caregiver cases with an accent on documentation accuracy, eligibility validation, audit readiness, and regulatory requirements. Focus on identifying compliance risks, coordinating corrective actions, and maintaining ongoing adherence across the Pre-Care and On-Care lifecycle.
Location: Douglasville, Georgia, United States. Hybrid schedule: 3 days in the Douglasville office and 2 days remote, Monday through Friday, 9AM–6PM Eastern Time.
Salary: $20.34–$24.00 USD per hour.
Company
is a healthcare company delivering consumer-directed home care and supporting patients and caregivers through home-based care services and technology-enabled operations.
What you will do
- Monitor administrative compliance for assigned member and caregiver cases throughout the Pre-Care and On-Care lifecycle.
- Validate authorization, eligibility, background and registry screenings, qualifying relationships, co-residence, and onboarding documentation.
- Review enrollment and ongoing compliance records, including required contacts, in-home visits, caregiver training, CPR certification, competency examinations, and annual renewals.
- Maintain emergency and backup-care plans and coordinate corrections for documentation deficiencies.
- Audit member, caregiver, and incident records and support internal and external audits.
- Research regulatory questions, escalate risks, and recommend improvements to compliance workflows and documentation quality.
Requirements
- Strong attention to detail, organization, integrity, accountability, and ethical decision-making.
- Ability to interpret and apply policies, procedures, program requirements, and regulatory guidance.
- Ability to manage competing priorities and collaborate with Operations, Compliance, the RN clinical team, and internal leadership.
- Ability to maintain strict adherence to HIPAA, confidentiality standards, HCBS requirements, Georgia Medicaid, EDWP, SFC, payer, and company requirements.
- Proficiency with Microsoft Office, Google Workspace, Salesforce, and electronic document management systems is preferred.
- Associate’s degree preferred; equivalent experience may be considered. Bilingual Spanish or another language is a plus.
Nice to have
- 0–2 years of experience in healthcare operations, compliance, onboarding, quality assurance, medical records, or related administrative work.
- Experience in a regulated healthcare environment or with confidential, audit-ready records.
- Knowledge of Georgia Medicaid, EDWP, CCSP/SOURCE, SFC, and HCBS requirements.
- Experience monitoring high-volume compliance deadlines and coordinating corrective actions.
Culture & Benefits
- Medical, dental, vision, life, short-term disability, and long-term disability insurance.
- 401(k) with company match.
- Continuing education, professional development, and career growth opportunities.
- Wellness programs, gym reimbursement, and internet reimbursement.
- Technology and tools supporting communication, documentation, and care coordination.
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