Senior Compliance Specialist

Role Summary

The Senior Compliance Specialist, Conflicts and Provider Auditing will provide support to the Compliance Supervisor, and supports the development and implementation of compliance program, policies, reporting and practices for the Company.

Responsibilities

• At the direction of the Compliance Supervisor, supports the evolution of Caris' compliance program by assisting in assessing risk as well as developing and implementing compliance work plan initiatives;
• Understand, track, and document compliance to the Company's compliance program consistent with the 7 elements of an effective compliance program;
• Conduct thorough conflict of interest checks on new employees, client relationships, and other relevant situations;
• Assists with reviewing all protocols established for client testing;
• As assigned, receives, provides guidance, investigates and responds to organizational integrity and compliance questions and concerns;
• Ensures all employees follow all established Code of Conduct guidelines;
• Ensures all referring physician certifications and licenses remain up-to-date;
• Ensures sanction checks performed for all new hires, vendors and referring physicians;
• Provides any other departmental support as needed.

Qualifications

• Required: Minimum of three years direct or indirect compliance or applicable experience.
• Required: Bachelor's degree in a relevant field or equivalent work experience (e.g., Healthcare Administration, Legal Studies, Business, or related discipline).
• Required: Strong analytical and critical thinking skills with the ability to synthesize complex information and identify patterns or inconsistencies.
• Required: Demonstrated ability to handle sensitive and confidential information with discretion and professionalism.
• Required: Experience conducting interviews and documenting findings in a clear, concise, and objective manner.
• Required: Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law.
• Required: Strong writing skills, especially in drafting investigation reports and summaries.
• Required: Working knowledge of the seven elements of an effective Compliance Program
• Required: Experience reviewing and managing Conflicts of Interest disclosures
• Preferred: 5 years compliance experience in a Healthcare environment.
• Preferred: CHC Certification
• Preferred: Experience developing and delivering compliance training
• Preferred: Knowledge and/or direct experience with federal and state transparency reporting
• Preferred: Experience developing compliance policy and managing the policy lifecycle process

Education

• Bachelor's degree in a relevant field or equivalent work experience (e.g., Healthcare Administration, Legal Studies, Business, or related discipline).

Physical Demands

• Must possess ability to sit and/or stand for long periods of time.
• Must possess ability to perform repetitive motion.
• Ability to lift up to 25 pounds.
• Majority of work is performed in a desk/cubicle environment.

Additional Requirements

• This position requires periodic travel and some evenings, weekends and/or holidays.