Compliance Specialist

• Track regulatory updates from CMS, OIG, OCR, state agencies, and accreditation bodies; incorporate changes into policy, procedure, and operational workflows; prepare summaries and distribute relevant guidance to internal stakeholders.

• Maintain compliance issue logs, corrective action plans (CAPs), and follow-up activities to help ensure timely and verifiable remediation.

• Participate in risk assessments by gathering data, documenting control gaps, and providing tactical support for mitigation strategies.

• Maintain inventory of compliance policies and procedures, ensuring timely review, revision, and dissemination.

• Assist with drafting, revising, and formatting compliance-related policies and procedures; facilitate version control and appropriate approvals.

• Validate that functional policies and procedures align with company compliance requirements and regulatory expectations.

• Coordinate periodic policy attestations and maintain documentation of employee acknowledgments.

• Support development and delivery of compliance training content, including annual training, role-specific education, and targeted refreshers.

• Administer compliance training assignments within the learning management system (LMS), track completion rates, and follow up on outstanding items.

• Curate training files, attendance logs, and materials for audit readiness.

• Assist in preparing compliance communications, alerts, and guidance documents to reinforce compliance expectations across the organization.

• Maintain centralized compliance program documentation, evidence repositories, and audit binders.

• Prepare recurring compliance reports, dashboards, and summaries for leadership and committees (e.g., Compliance Committee).

• Prepare materials for internal audits, external auditors, regulators, and accreditation surveys.

• Ensure documentation is retained in accordance with regulatory and organizational record-retention requirements.

• Conduct routine privacy monitoring such as access log reviews, minimum necessary checks, and breach-risk assessments.
• Track and document privacy incidents, mitigation steps, and notifications.

• Support HIPAA Security Rule activities including user access validation, device inventory verification, and documentation updates.

• Confirm Business Associate Agreements are in place, as required, and assist with vendor management.

• Contribute to the annual compliance risk assessment by compiling data, validating controls, and documenting risk scores.

• Assist with operation, reporting, and analytics for the Compliance Helpline, Conflict of Interest Program, and Exclusion and Sanction Screening Program.

• Support implementation of annual compliance work plan activities.

• Assist with program evaluations and maturity assessments by coordinating data collection and documenting outcomes.

• Collaborate cross-functionally to advance initiatives that strengthen a culture of compliance across the organization. 

• Serve as a point of contact for departments needing compliance guidance; escalate regulatory questions appropriately.

• Manage projects or compliance components of larger cross-functional projects by identifying and managing stakeholder contacts; assemble teams based on project needs and team member strengths; develop, analyze, and manage project plans; negotiate and manage project schedules and resource forecasts; and manage project financials and deliverables.

• Coordinate with Operations, HR, IT Security, and Finance to gather data, validate controls, and close compliance gaps.

• Participate in compliance meetings by preparing materials, documenting minutes, and tracking action items.

• Bachelor’s degree in healthcare administration, compliance, business, or related field; equivalent experience considered.

• Minimum 2–4 years of healthcare compliance, auditing, privacy, or regulatory operations experience.

• Working knowledge of HIPAA, Medicare/Medicaid regulations, fraud and abuse laws, and accreditation standards.

• Strong analytical skills, including the ability to interpret regulatory requirements and evaluate operational controls.

• Proficiency with Excel, audit tools, case-management systems, LMS platforms, and document management systems.

• Ability to manage multiple concurrent tasks with a high level of detail orientation and follow-through.

• Certification in healthcare compliance (e.g., CHC, CHPC, CPCO) or related credential.

• Experience with compliance software (e.g., NAVEX One, Ethico, Vanta, Drata etc.) and data analytics tools.

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