Compliance Administrative Assistant at AllCare Health with the Compliance team

We Are Seeking Qualified Candidates to Join Our Team!

AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and telecommute, remote work, and flexible schedule options.

Summary

The Compliance Administrative Assistant is responsible for assisting in the oversight of an enterprise-wide Corporate Compliance Program to detect, correct, and prevent violations of Federal and State laws, rules, or regulations. The position is responsible for assisting the VP of Compliance with implementing, maintaining and monitoring the compliance program elements that include: scheduling of the annual compliance trainings, logging all compliance incidents, reviewing policies, standards, workforce training, and awareness of general compliance requirements, communications, reporting, monitoring and auditing internal departments and subcontractors. This position will help in the maintaining the FWA, Compliance, HIPAA Privacy and Security and Ethics Program. The Compliance Administrative Assistant will work closely with the VP of Compliance in the logging of suspected violations and in the oversight of corrective action plans. The Compliance program involves a continuous process of adhering to legal, ethical and professional standards applicable to AllCare employees, Board of Governors, providers, contractors, temporary employees, consultants and subcontractors. The Compliance Administrative Assistant will cooperate and assist in gathering the appropriate information for referrals and case documentation to enforcement agencies such as the Medicaid Fraud Unit (MFCU), Office of Program Integrity (OPI), Office of Inspector General (OIG), Department of Justice (DOJ), Center for Medicaid and Medicare Services (CMS), and the Oregon Health Authority (OHA) for auditing, monitoring and oversight of external subcontractors (delegates).

Essential Duties

• Maintains a comprehensive knowledge of applicable federal and state laws, regulations and other requirements.
• Oversees audits conducted by outside regulatory agencies and AllCare Health’s subcontractor (delegate) or First Tier Entities.
• Upholds the highest level of confidentiality in verbal, written, or electronic communications pertaining to Compliance, FWA or HIPAA Privacy and Security referrals.
• Assists in conducting the annual enterprise-wide risk assessment and program evaluations.
• Assists the VP of Compliance in the tracking of risk-based compliance monitoring work plan and protocols.

Job Requirements

• May require the use of personal vehicle for local travel (subject to mileage reimbursement)

Education & Experience

• Associate's degree (AA) or equivalent from a two-year college or technical school; or six months to one-year related experience and/or training; or equivalent combination of education and experience.
• Knowledge of CPT Codes, ICD-10 Codes, Medicare Guideline, OIG Work Plan priorities, Oregon Health Plan Contract requirements, HIPPA, FWA and Compliance CFRs, Regulations and Statues.

Certificates, Licenses, and/or Registrations

• Valid Oregon Driver’s License and vehicle insurance.
• Valid Certified Healthcare Compliance (CHC), preferred.

Physical Demands & Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate.

• The employee must be able to work onsite for all scheduled shifts.
• The employee must be able to travel locally, as needed.

Company Overview

AllCare Health Website: https://www.allcarehealth.com.

AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp® status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at https://bcorporation.net/about-b-corps)

AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more.

The AllCare Health family of businesses is guided by our corporate principles:

Purpose | Working together with our communities to improve the health and well-being of everyone.

Values | Trust, Innovation, Relationships, and Voice.

Vision | Thriving, Inclusive, and Equitable communities.

Brand Promise | Changing Healthcare to Work for You.

AllCare Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.