Compliance Specialist

Cayuga Health and its affiliates are the region's leading healthcare system and most trusted providers of integrated health services, empowering our people in our mission to equitably improve the well-being of the communities we serve. Our commitment to providing extraordinary healthcare begins with our team of extraordinary professionals who are continuously discovering clinical innovations and enhancing access to the most up-to-date facilities, equipment, technologies, and research protocols. Cayuga Health's commitment to our employees includes competitive compensation, comprehensive employee benefits programs, and the opportunity to explore and build a career in healthcare through our many professional development programs. 

The Compliance Specialist for CARS maintains and oversees the Compliance Program at CARS as directed by the System Director of Compliance and has the primary responsibility for the development, implementation, monitoring and evaluation of the program for effectiveness.

Roles And Responsibilities

• Overseeing and monitoring the adoption, implementation, and maintenance of the Compliance Program for CARS.
• Developing and implementing Compliance Program policies and procedures (P&P) and Standards of Conduct.
• Reviewing and revising, periodically, the Standards of Conduct, the Compliance Program, and policies and procedures as changes occur within CARS, and/or in the law, regulations, or governmental and third-party payers.
• Evaluating the effectiveness of the CARS Compliance Program, policies and procedures, and Standards of Conduct.
• Developing, implementing, and monitoring the annual Compliance Work Plan.
• Assisting the Chief Executive, Senior Leadership, Management, and the Compliance Committee in establishing methods to improve CARS quality of service and to reduce vulnerability to fraud, abuse, and waste.
• Directing CARS internal audits established to monitor effectiveness of compliance standards and the Compliance Program.
• Independently investigating and acting on matters related to compliance, including the flexibility to design and coordinate internal investigations (e.g., responding to reports of problems or suspected violations) and any resulting corrective action with all departments, providers, and sub-providers, agents, and, if appropriate, independent contractors.
• Maintaining a reporting system, including an anonymous means to report, and responding to concerns, complaints, and questions related to the Compliance Program.
  
  

Required Skills And Experience

• Bachelor's degree and 2 years experience working in behavioral health or related field required.
• Familiarity with the following regulatory frameworks: NYS OASAS, NYS Medicaid, NYS OMIG, NYS Mental Hygiene regulations, Centers for Medicare and Medicaid Services (CMS) regulations.
• Basic understanding of regulatory compliance.
• Experience interpreting and translating complex regulatory guidance
• Ability to communicate clearly and effectively both orally and in writing
• Ability to work with a diverse population including clients, staff, and professionals
• Ability to manage several projects simultaneously
  
  

Preferred Skills And Experience

• 5 years or more experience working in behavioral health or related field.
• Working knowledge of and experience with one or more of the following regulatory frameworks: NYS OASAS, NYS Medicaid, NYS OMIG, NYS Mental Hygiene regulations, Centers for Medicare and Medicaid Services (CMS) regulations.
• Experience with regulatory compliance in a healthcare and/or behavioral health services field
  
  

Physical Requirements

• Sitting and standing
  
  

Location and Travel Requirements:

• Onsite
• This role will work on a rotating basis throughout CARS locations.
  
  

Pay Range Disclosure

• $60,403.20 to $60,424.00 per year
  
  

Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all.

We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics.

If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at talentacquisition@cayugahealth.org.

I certify that the information contained in this application is correct and complete to the best of my knowledge. I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me.

I understand that any hiring decision is contingent upon my successful completion of all of the Company's lawful pre-employment/post-offer checks, which may include a background check, drug screen, employment references, and licensing review. If I am made a conditional offer of employment, I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment/post-offer checks. Such checks will not be conducted until allowed under applicable federal, state, and local law. I understand if I have a criminal background, it will not automatically disqualify me from employment unless otherwise required by law. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks.

I also understand that the Company is a drug and alcohol-free workplace and has a drug and alcohol testing program consistent with applicable federal, state, and local law. I understand that after a conditional offer of employment, I must submit to and pass a pre-employment drug test as a condition of employment.

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