Compliance Specialist II

Martin's Point Health Care | Portland, ME

Posted Date 9/10/2019
Description

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.

The Compliance Specialist II provides HIPAA privacy and security and health care compliance assistance across the organization. The Compliance Specialist II will function as a case reporter and investigator of incidents and potential privacy violations. This position works with the C&LA team to maintain the compliance program across the organization.

Key Outcomes:

  • Subject matter knowledge – Possesses a working knowledge of HIPAA and health care related privacy and confidentiality rules.
  • Investigations--Investigates allegations received via incident reporting and conducts outreach calls to applicable parties (employees, enrollees, providers, etc.) to obtain additional information and/or provide resolution. Conducts root cause analysis to identify opportunities for improvements and work with cross-functional teams as applicable to implement.
  • Assists Compliance & Legal team in writing and implementing policies and compliance documents.
  • Supports internal and external audits.
  • Complete and maintain documentation of complaint investigations by source, root cause and resolution.
  • Attends education and training sessions to establish and maintain professional competencies.
  • Performs other duties as assigned

Education/Experience:

  • Bachelor’s degree required or equivalent combination of education and work experience in relevant field accepted.
  • Delivery System and/or Health Plan experience involving HIPAA and privacy preferred.
  • 4+ years of significant work experience with demonstrable outcomes of customer satisfaction.
  • Excellent verbal and written skills required. Must be able to write and present highly complex regulatory information in a professional, clear, concise manner and communicate effectively both verbally and in writing.
  • Demonstrated ability to establish relationships of trust and respect with staff at all levels throughout the company as well as external customers.
  • Microsoft Office Applications (e.g., Access, Excel, Work, PowerPoint, Visio) experience and proficiency.

Skills/Knowledge/Competencies (Behaviors):

  • Demonstrates an understanding of and alignment with Martin’s Point Values.
  • High aptitude for learning
  • Ability to independently and effectively research inquiries from employees, enrollees, patients, and/or regulatory entities.
  • Exceptional customer service and attention to detail.
  • Ability to establish and maintain exceptional relationships of trust with Martin’s Point business partners and various regulatory entities.
  • Ability to interpret and support company policies and procedures.
  • Strategic thinking and planning, process development and performance measurement skills.
  • Maintains high level of professionalism, integrity and confidentiality at all times.
  • Ability to be flexible with changing priorities and to work in a fast-paced environment.
  • Approaches challenges in a solution-oriented manner.
  • Takes the initiative to educate self about new requirements and guidance.
  • Excellent writing skills required.
  • Self-motivated with ability to manage, prioritize and complete multiple projects in a timely fashion with limited supervision.

We are an equal opportunity/affirmative action employer.

Do you have a question about careers at Martin’s Point Health Care? Contact us at: jobinquiries@martinspoint.org

Geographic Region
Greater Portland/Casco Bay
Industry
Healthcare

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