What are the responsibilities and job description for the Compliance Coordinator position at Independent Living Systems?
ABOUT US
Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources.
Position Summary
The Compliance Coordinator assists the Chief Compliance Officer and the Compliance Director with key compliance oversight activities aimed at ensuring operational adherence to regulatory, contractual, legal, and programmatic compliance. The Compliance Coordinator also facilitates the regulatory report submission process, providing technical assistance across the submission lifecycle and compiling submission trending reports over time for internal stakeholders. This role involves coordinating compliance-related activities, maintaining accurate records, and supporting the implementation of compliance initiatives across the organization.
Essential Functions
- Assists in tracking compliance activities, including regulatory reporting and filing deadlines, audits, and risk assessments.
- Maintains the Compliance Department's database of compliance plans, policies, and procedures, ensuring timely updates and dissemination.
- Develops standard operating procedures for continuity of operations and standardization purposes.
- Generates written correspondence, such as acknowledgement and grievance resolution letters, to members and relevant stakeholders.
- Compiles and validates regulatory and licensure report submissions.
- Conducts research on relevant laws and regulations affecting the organization, including TPA licensure, Medicaid, Medicare Advantage, and HIPAA requirements.
- Assists in periodic auditing and monitoring activities with the objective of identifying compliance risks and opportunities for compliance program enhancement.
- Assists with the development of all compliance reports and dashboards aimed at measuring compliance effectiveness and communicating compliance risks to relevant stakeholders.
- Assists with the development and finalization of all regulatory report submissions, including providing technical assistance with all submissions and supporting compliance quality reviews.
- Compiles trending reports for internal stakeholders that supports the forecasting of potential compliance actions and related exposure.
- Logs and tracks complaints, incidents, and investigations, ensuring timely resolution and documentation.
- Provides support for internal investigations, including recordkeeping, scheduling interviews, writing narratives, and developing exhibits.
Education And Experience
- At least 1 year of experience in a compliance, healthcare administration, or related field.
- Associate degree in a related field/ Bachelor’s degree preferred.
- Bi-lingual – English/Spanish a plus.
Required Skills
- Excellent verbal communication skills with the ability to clearly present information orally and/or influence others through oral presentation.
- Excellent written communication skills with the ability to effectively write and extract information from written material.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and other compliance-related tools.
- Demonstrated ability to work independently and collaboratively in a fast-paced environment.
- Ability to handle sensitive and confidential information responsibly.
- Ability to work with people and effectively motivate others to achieve intended goals and objectives.
- Ability to prioritize, organize tasks and develop the necessary action plans to accomplish specific goals, within the required timeframes/deadlines.
- Ability to influence the actions and opinions of others in a desired action; to exhibit good sound judgment in leading others to profitable and rewarding objectives.
- Ability to identify a problem and implement interventions and solutions while exhibiting good sound judgment in the process; ability to take a systematic approach to decision making by identifying a problem or deficiency, examining the cause or barriers, and implementing interventions and improvement strategies.
EEO STATEMENT
In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.