What are the responsibilities and job description for the Compliance Officer position at Other?
Compliance Officer SCN/HRSN Programs
Location: Park Ridge, NJ
Reports to: General Counsel/Compliance Leadership | Full time
About us: We deliver HRSN services (screening, navigation, care management and meal delivery for NY Medicaid members under the SCN initiative, working with MCOs and community partners.
Responsibilities
- Build and lead the SCN/HRSN compliance program
- Audit billing, documentation, eligibility, and claims accuracy
- Ensure data privacy/security compliance for member and referral data
- Run risk assessments on fraud/waste/abuse, eligibility, and contracts
- Oversee compliance in Lead Entity and MCO partnerships
- Train internal teams and partners on requirements
- Monitor Medicaid/1115 waiver regulations; update policies accordingly
- Manage complaint/incident resolution and reporting
- Partner cross functionally with ops, IT, finance, and legal
- Support audit readiness and respond to state/MCO inquiries
Qualifications
- Bachelor’s degree required (JD/MHA/MPH/MBA or CHC/CCEP/CHPC preferred)
- 5 years healthcare compliance experience, with Medicaid focus
- Track record building compliance programs, audits, and corrective actions
- Strong knowledge of Medicaid billing, eligibility, FWA, and HIPAA
- Ability to translate complex regulations into practice across stakeholders
- Strong analytical, communication, and cross functional influence skills
Nice to Have
- NY Medicaid, HCBS, behavioral health, or SDOH experience
- Auditing background in screening/navigation/care coordination
- Exposure to 1115 waivers or demonstration programs
Direct SCN experience not required transferable Medicaid compliance expertise is welcome.
Offer: Competitive pay, direct access to senior leadership/legal and a chance to build compliance infrastructure for a mission driven program.
Send your resume justing@livetomorrow.com
Pay: From $80,000.00 per year
Work Location: In person
Salary : $80,000