Compliance Reviewer (Health Care)

StarCare Specialty Health System seeks to invite a self-motivated Compliance Reviewer to join the Quality Management/Compliance Department.
The ideal candidate for this position is extremely detail oriented with strong written, interpersonal, and verbal communication skills.
This position will appeal most to a person who is skilled at using critical thinking to interpret guidelines, who excels at time management, takes ownership of assigned tasks and delivers a quality product reflective of the work performed.
Primary Responsibilities: Conduct auditing and monitoring of program and administrative functions.
Develop and distribute audit and monitoring reports.
Monitor corrective action plans.
Review documentation, information systems, client records and other relevant information for compliance.
Investigate allegations of non-compliance.
Conduct regular review of state and federal websites for exclusions.
Maintain working knowledge of internal policies and procedures as well as applicable laws, rules and regulations; provide technical assistance to program areas.
The Compliance Reviewer position will work in a hybrid work environment (combination of remote and on-site) and must work on-site when job duties are required or requested by supervisor.
Some local travel may be involved using personal vehicle with mileage reimbursed at the company established rate.
Schedule: This is a full-time/non-exempt position scheduled Monday - Friday, 8am - 5pm with flexibility to meet the needs of the department.
Benefit Package: StarCare offers an expansive benefit package including, but not limited to: Company-paid medical coverage, fully funded employer contribution to HSA, company-paid life insurance, company paid hospital indemnity plan, 401k with up to 12% employer match, front loaded paid time off (PTO), thirteen (13) paid holidays, sabbatical leave, longevity augmentations, and employee referral augmentations.
Qualifications: Graduation from an accredited four (4) year college or university with major in a human services field, rehabilitation or business.
Must be detailed oriented and have the skills to review and understand complex material.
Knowledge and skills in the use of Microsoft Office 365 Suite products including Word, Outlook and Excel; Ability to communicate effectively, both orally and in writing.
Familiarity with Medicaid, Medicare, Community-based IDD, MH and SUD services is preferred.
Program/Service delivery monitoring experience is also preferred.
Additional Requirements: Must pass a pre-hire drug screen and criminal background check.
Must have a Texas driver's license and be insurable under the Agency's insurance.
Must reside in the local service area.
WHY CHOOSE STARCARE? Welcome to StarCare Specialty Health System, where your passion for making a difference thrives! At StarCare, we imagine a community where all people have hope and the opportunity to achieve their full potential for health and wellbeing.
Here's why you should choose StarCare: Impactful Purpose: Contribute to meaningful change as the state-designated Local Authority for mental health, intellectual disabilities, and substance use disorders.
Be a catalyst for positive empowerment.
Comprehensive Care: StarCare offers a diverse array of specialty healthcare services that support and empower people as valued members of the community.
Collaborative Environment: StarCare is proud to work with a network of community stakeholders to ensure all people have access to the healthcare they need.
Professional Growth: StarCare offers many different opportunities for growth in the fields of mental health, substance use disorders, aging, intellectual & developmental disabilities, veterans, and healthcare administration.
Come grow your career with us! Legacy of Service: Since 1967, StarCare has provided hope and health to Lubbock, Hockley, Lynn, Crosby, and Cochran counties.
At StarCare Specialty Health System, your work is not a job; it’s a fulfilling journey of providing hope and supporting and empowering people as valued members of the community.
Ready to get started? We’ve been waiting for you! EEO Statement: StarCare Specialty Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.