Compliance Specialist – Wake Forest, NC (Office-Based)

Location: Wake Forest, NC
Schedule: Monday – Friday, 8:00 AM – 5:00 PM (in-office, not remote)
Employment Type: Full-Time, Salaried

About Us

Family Solutions is a community-based behavioral health organization dedicated to delivering high-quality services while maintaining full compliance with state, federal, and accreditation standards. We are seeking a mid-level Compliance Specialist to join our Wake Forest corporate office. This role ensures we meet all regulatory requirements in both HR and clinical operations while fostering a culture of accountability, transparency, and quality.

Position Summary

The Compliance Specialist is responsible for compliance activities across HR and clinical operations. This position requires a minimum of 3 years of compliance, auditing, or quality assurance experience within healthcare, human services, or behavioral health. A clinical license or provisional licensure is preferred, as the role involves oversight of medical necessity and treatment documentation.

The Compliance Specialist at Family Solutions: 

• Acts as the primary auditor and regulatory liaison across HR, clinical, and program operations.

• Ensures compliance with employment regulations, personnel standards, and HR policies in addition to clinical audits.

• Prepares for and participates in CARF and state surveys.

• Issues Corrective Action Plans and ensures implementation.

• Represents the agency with regulators, county boards, and external partners.

Key Responsibilities

• Clinical Compliance

  • Conduct weekly audits of client charts (assessments, treatment plans, documentation, medication management, etc).

  • Ensure documentation meets standards of medical necessity, ethics, and state/federal requirements.

  • Participate in CARF surveys, external audits, and inspections.

  • May provide limited therapy to a designated caseload to maintain clinical perspective (as needed based upon clinical licensure)

  • Oversee the management of audits and investigations conducted by third parties (including but not limited to CARF, MCOs, Medicaid, and State or Federal departments), including the development of corrective action plans and related project management.

  • Respond to medical records requests from clients and external agencies in accordance with HIPAA and organizational protocols.

• HR Compliance

  • Audit personnel files quarterly; ensure trainings, licensure, certifications, and background checks are current and complete.

  • Monitor compliance with federal, state, and agency HR regulations.

  • Prepare reports and corrective action plans for HR-related compliance issues.

  • Develop and deliver training on compliance-related policies, including confidentiality, workplace conduct, and mandatory regulatory requirements.

  • Design and lead trainings on clinical skills and continuing education (CEUs) to support the professional development of staff (based upon licensure).

  • Oversee the creation and execution of an annual training plan covering organizational, Medicaid, regulatory, and compliance requirements.

  • Manage the Learning Management Software (LMS) for compliance and clinical trainings, ensuring courses are created and updated annually, and collaborate with supervisory staff to enroll, track, and monitor staff completion.
    
    

• Organizational Oversight

  • Compile and present monthly and quarterly compliance reports to Program Directors, Clinical Directors, and corporate leadership.

  • Lead compliance-related trainings and presentations for staff across offices.

  • Represent Family Solutions at third-party meetings such as County Mental Health Board meetings, MCOs, Medicaid, and other identified compliance-related forums.

  • Safeguard all confidential HR and clinical records in compliance with HIPAA, employment law, and agency policies.

Minimum Qualifications

• Required: Bachelor’s degree in human services, social work, psychology, healthcare administration, or related field.

• Experience: 3 years in compliance, auditing, HR operations, or quality assurance in healthcare/behavioral health.

• Preferred: Current North Carolina, Ohio, Illinois, and/or Texas clinical licensure (LPC, LCSW, LMFT, LICSW, or equivalent).

Required Qualifications

• Strong knowledge of HR, clinical, and regulatory compliance requirements.

• Proven ability to manage projects, audits, and corrective action plans.

• Exceptional communication and presentation skills; comfortable leading staff trainings.

• Ability to lead teams and collaborate across HR, clinical, and administrative departments.

• High degree of integrity and ability to maintain confidentiality.

• Proficient in Microsoft Office Suite, Google Workspace, and electronic record systems, with a strong aptitude for learning new software tools efficiently.

• Valid driver’s license and ability to travel to site offices as needed in Ohio, Texas, and/or Illinois.

What We Offer

• Competitive salary and benefits package.

• Ongoing professional development and training.

• A collaborative, mission-driven environment.

• Career growth opportunities within compliance and leadership.