The Compliance and Ethics Coordinator I (CEC I) must maintain a comprehensive understanding of ethical principles, as well as the highest level of personal and professional conduct. The CEC I must remain objective and independent when completing assignments, and consistently demonstrate the ability to hold information in confidence.
The CEC I conducts investigations into reports and allegations of compliance violations and serves as a resource for individuals and offices seeking assistance with compliance-related concerns and questions.
Essential Duties and Responsibilities:
Monitors influx of compliance concerns daily; responds to urgent issues with the appropriate teams immediately
Coordinates and conducts investigations on complaints, concerns, and allegations to ensure proper, unbiased resolutions and action plans
Maintains database of complaints, concerns, and allegations, for use by upper management
Collaborates with Compliance Team members to develop processes and procedures for Compliance investigations
Ensures timely and consistent interpretation, follow through, and resolution of reported compliance concerns
Helps with identifying Compliance trends based on current and past investigations
May assist with training of new Compliance and Ethics Coordinators
May participate in Regional calls to discuss compliance trends and issues
Participates in the development of compliance education and training materials
Performs other duties as assigned
Investigation Responsibilities:
Conducts in-depth, independent research into reports of compliance violations and gathers necessary information related to Compliance investigations/resolutions
Coordinates and directs research and follow-up on complaints, concerns, and allegations to ensure proper, unbiased resolutions
Evaluates documentation and evidence to establish facts
Independently conducts telephonic and in-person interviews with employees and witnesses to obtain statements and information
Utilizes and interprets data obtained from a variety of sources to support the investigation process
Analyzes and reviews facts to ascertain whether violations of established policies and procedures have occurred
Independently evaluates evidence, data, witness statements, and documentation to formulate conclusions and recommend corrective and disciplinary action
Makes recommendations based on findings of compliance investigations
Maintains investigation files, documents evidence and case notes, and prepares investigation summaries
Confers and coordinates with Legal, Employee Relations, and Operations on a regular basis regarding investigations and recommendations
Assists with the resolution of repayment-related concerns that may arise from Compliance audits and reported issues and concerns.
Confers with Manager of Compliance Issues and Team Lead, as necessary
Minimum Requirements:
Bachelor's Degree; Healthcare Management/Law, Human Services/Psychology preferred
2 years of experience in healthcare compliance and policies/procedures
Ability to work independently with little direct supervision
Ability to maintain positive professional business relationships
Strong project management experience a plus
Strong organizational and interpersonal skills, along with attention to detail
Ability to professionally and confidentially handle personnel information
Ability to maintain HIPAA compliance
Adaptability to change and ability to prioritize competing duties
Computer proficiency, including Microsoft Office Suite (Outlook, Excel, Word, Teams, and Sharepoint)
Working knowledge of Federal and State healthcare regulations, including HIPAA
Knowledge of the Accreditation Commission for Health Care standards a plus
Excellent communication skills
Proficiency in the English language required
Pay Information:
55,000k - 60,000k + bonus
Benefit eligibility is dependent on employment status. *Specific Benefits: Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical), Health Advocate Employee Assistance Program, Health Savings Account, 401(k) + Company Match, Profit Sharing, Short Term Disability, Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death & Dismemberment Insurance, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance discounts, Pet Insurance, Transportation Benefits, Educational Assistance Program, College Partnership Program, Legal Benefits, Employee Discount Program, Paid Time Off/Company Holidays.
About Maxim Healthcare Services
Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
