Compliance Specialist - State, Federal, and Medicare Regulatory Compliance - Benson Tower

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.

We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters.

Come make a difference at Ochsner Health and discover your future today!

This job assumes responsibility for and assists with completing assignments and managing projects in the areas of state licensing regulations, Medicare certification, Medicaid enrollment, and Medicare required time studies.

Work closely with stakeholders, both internally (facility project and operational managers) and externally (architects and regulatory) to ensure deadlines are met.

Performs analytical reviews, conducts and documents meetings, completes action items associated with projects, presents compliance reports to stakeholders and organization management either by email or conference calls.

Train staff and physicians in completion of Medicare time studies as needed.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required.

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities.

Contents are subject to change at the company's discretion.

Education

Required Bachelor’s degree.

Preferred Advanced degree in healthcare or related field.

Work Experience

Required 2 years of experience in healthcare compliance, operations, regulatory compliance, risk management, audit, law, or related field.

Preferred Experience with healthcare corporate compliance issues.

Knowledge Skills and Abilities (KSAs)

Strong analytical and attention to detail skills a must.

Effective verbal and written communication skills and ability to present information clearly and professionally.

Strong organizational and prioritization skills and ability to regularly perform work under minimal supervision.

Ability to gather information, understand problems and seek out cause-and-effect relationships that identify underlying issues or problems.

Strong interpersonal and team building skills and ability to interact with individuals of diverse cultural backgrounds, of all ages, and at all levels within and outside the organization in a positive, effective manner.

Proficiency in using computers, software, and web-based applications. Training provided in applications such as, but not limited to : (PECOS - Medicare enrollment information), Medicaid Provider Enrollment Portal, custom-built Salesforce database.

Ability to travel regionally to various sites.

Job Duties

Assists in maintaining effective regulatory processes by ensuring that all performance, documentation, follow-up and organization is conducted in accordance with department standards.

Participates in projects and resolving potential regulatory issues collaboratively with other departments as appropriate.

Effectively and timely communicates with key stakeholders about projects to resolve issues in order to meet required deadlines.

Maintains technical knowledge of state licensing, Medicare certification, and Medicare time study regulations and acts as a resource for the organization, management, and employees.

Supports in-services and other educational services to organization, management, and employees regarding regulatory matters.

Pursues self-development, which is comprised of internal, external and self-administered curriculum, as well as regular reading of applicable journals, periodicals and publications.

Performs other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills.

Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct;

patient / employee safety, patient privacy, and / or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Medium Work - Exerting 20 to 50 pounds of force occasionally, and / or 10 to 25 pounds of force frequently, and / or greater than negligible up to 10 pounds of force constantly to move objects.

Constantly : activity or condition exists 2 / 3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work.

Even though the weight lifted may be only a negligible amount, a job should be rated Light Work : (1) when it requires walking or standing to a significant degree;

or (2) when it requires sitting most of the time but entails pushing and / or pulling of arm or leg controls; and / or (3) when the job requires working at a production rate pace entailing the constant pushing and / or pulling of materials even though the weight of those materials is negligible.

NOTE : The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

The incumbent has no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and / or disposal of contaminated waste.

The risk level of exposure may increase depending on the essential job duties of the role.

Employee Core Benefits Package Includes : Medical coverage Dental coverage Vision coverage Life insurance & Accidental Death and Dismemberment (AD&D) Short-term and long-term disability Retirement plan Paid-time off (vacation / sick / personal days) / paid holidays Paid parental leave *Benefits are subject to change at any time