Description

Culture Highlights!

• Hiring anywhere in Wisconsin statewide only.
• Flexible work environment – work from where it's most convenient, home or office.
• Flexible work model – flex your time to blend work and life to fit various lifestyles/needs.
• Monday through Friday schedule.
• 9 paid holidays, and 3 additional floating holidays (pro-rate applies).
• Volunteer in your community – 24 hours awarded annually.
• Professional Growth – internal and external learning and development opportunities.
• Robust Total Rewards – Medical/Dental/Vision, Telehealth, Flex Spending, 401k Matching, Life insurance, LT/ST Disability, EAP, & Mileage Reimbursement.

Position Summary:

Under the general supervision of the Compliance Manager, the Compliance Specialist is responsible for operational support duties of the Compliance Department within the Compliance & Organizational Risk Division at Lakeland Care, Inc. (LCI). This role assists in maintaining LCI’s compliance program to ensure conformity and adherence with applicable federal, state, and local contracts, laws, and regulations. The Compliance Specialist supports LCI’s Program Integrity (PI), HIPAA, Civil Rights, and Conflict of Interest functions. 

Responsibilities & Competencies:

• Investigate and report all PI and HIPAA incidents and submit required documentation to regulatory agencies, as necessary. 
• Establish individual and team projects to increase efficiency in compliance processes and implement measures to determine project effectiveness. 
• Recognize opportunities for process improvement and provide recommendations based on investigation results and audit monitoring. 
• Monitor and evaluate compliance reporting trends to identify potential risks and solutions. 
• Develop, conduct, and monitor new employee and annual employee compliance training. 
• Support the oversight of conflicts of interest for new hires and current staff through required annual disclosures and monitoring. 
• Coach all staff on ongoing PI, HIPAA, Civil Rights, and Conflict of Interest topics.
• Encourage compliance-related learning/development by frequently providing updated and engaging trainings
• Collaborate with internal and external stakeholders to maintain an environment supportive of reporting compliance concerns to continuously improve LCI’s compliance position. 
• Support colleagues in the Compliance & Organizational Risk Division by assisting with records requests, preparation of audits, regulatory submissions, and other support duties as requested.

Are you excited about this role but not sure if your work experiences align to the role or qualifications? We encourage you to apply anyway. At Lakeland Care, our values drive how we do our work and how we hire. We strive to build an inclusive, authentic workforce that embraces diversity and differences in strengths. So be sure to highlight your skill set and competencies you’re confident in! You may be the right candidate in disguise and/or for other roles.

Requirements

• Bachelor’s degree in Business, Finance, Healthcare Administration, other related field, or equivalent combination of education and experience (includes knowledge, skills, and abilities).
• Compliance experience or healthcare experience preferred. 
• Thorough understanding of ethics, regulations, and laws. 
• Investigation and interview skills required. Knowledge of compliance ethics/control and forensic financial investigation preferred.
• Knowledge of Program Integrity requirements specific to fraud, waste, and abuse.
• Knowledge of HIPAA, state and federal guidelines on privacy, transactions, and security, electronic medical records, and releases of information.
• Solid understanding of Civil Rights regulations and ability to comply.
• Previous experience in development of policies and procedures preferred.
• Ability to work and collaborate in a remote work environment across all departments and levels of management. 
• Proficiency with Microsoft 365, including Outlook, Microsoft Teams, SharePoint, OneDrive, Word, Excel, and PowerPoint. 
• Current driver’s license, acceptable driving record, and proof of adequate insurance required. 

APPLICATION DEADLINE DATE: Accepting through 1/30/2023.

For questions on this role, please reach out to the Talent Acquisition Specialist Becky Vang at becky.vang@lakelandcareinc.com.

**COMPENSATION CAN BE DISCUSSED WITH HUMAN RESOURCES.**

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Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), Lakeland Care provides long-term care services and supports to eligible frail elders and individuals with physical and intellectual or developmental disabilities through Wisconsin’s Family Care program. Currently we serve in 22 counties and have 11 offices in the Central to North East region of Wisconsin.

Our Mission

Empowering individuals. Strengthening communities. Inspiring futures.

Our Vision

To create a world we all want to live in.

Our Core Values

Kindness – We believe kindness is always possible and that no compassionate act is ever wasted.

Inclusion – We believe that open hearts and open minds are the only path to a brighter future.

Trust – We believe that honesty is still in style and that promises still have power.

We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.