• Bachelor's Degree in Human Services or related field

• 3 years' experience working in a non-profit agency or social services provider agency

• 2 years' experience developing and implementing social service policy and procedure.

• High proficiency in electronic health record keeping, including database maintenance, generation of reports data collection and reviews

• Proficient in Microsoft Office – Outlook, Word, Excel and PowerPoint

Required Skills:

• The ability to communicate clearly and effectively with all Agency personnel, whether verbal or written

• The ability to practice ethical planning and dissemination of crucial process related to integrity and compliance

• The ability to measure and integrate data effectively

• The ability to demonstrate outcomes of integrity and compliance

• The ability to organize, interview and listen

• The ability to effectively strategize initiative to mobilize compliance to Medicaid standards

• Ability to facilitate staff trainings on Medicaid Law and implementation including but not limited to service delivery documentation and fraud waste and abuse

Responsibilities:

• Works a 40-hour salaried, unlimited flexible schedule, and maintains availability after hours via agency cell phone.

• Engages all Agency departments in the integrity and compliance process.

• Ensures that the Agency is abreast of relevant Medicaid Law when providing active treatment and billing claims to Medicaid; to include training and monitoring of documentation and billing.

• Reports concise and conclusive findings to supervisor.

• Develops plan of correction and recommendations for Agency findings.

• Consults regularly at bi-weekly Medicaid Compliance Committee meetings.

• Conducts all Level Two agency audits to be submitted to supervisor for Level Three reporting.

• Attends conferences and training relevant to Agency compliance and integrity.

• Other duties and special projects as assigned.
  

Benefits offered to Full Time employees: