Compliance Director

Overview

Ensures regulatory compliance, audits billing, manages EDP waiver renewals and documentation.

Key Responsibilities

• billing audit
• epof upload
• pcsp monitoring
• provider form
• tickler tracker
• census audit

Tasks

-Ensure EPD Waiver Application is submitted. -Review the renewal process for beneficiaries after the Social Services Director follows up with Case Managers monthly to verify beneficiaries’ expiration dates. -Treat as confidential any information about the customers and personnel of Frontier Management, LLC, the communities, or their business, products, techniques, methods, systems, pricing, advertising, plans, and policies. Employees will not, during their employment, or at any time, thereafter, disclose such information, in whole or in part, to any person, firm, or corporation for any reason or purpose whatsoever. -Audit Billing Spreadsheet to ensure that the Business Office Manager is billing accordingly, accurately, and timely to the Daily Census and fee schedule rate. All materials, practices and methods are owned by the Company and shall not be used or shared with or by any competitor, now or at any time in the future. Nothing will be removed, used, or sold in any way. -Ensure the Electronic Prescription Order Forms (EPOF) is signed, submitted, and uploaded to the DC Care Connect system. -Monitor Provider Choice Form for each beneficiary within PCC to ensure accuracy and completion. Required to obtain missing information timely and accurately. -Attend Department of Health Care Finance (DHCF) trainings. -Monitor and update the “Employee Tickler” tracker to verify all required evaluation documentation has been obtained per the DOH requirements. Must notify department heads when reviews are due and obtain completed forms from managers for recordkeeping. -Conduct yourself at all times so as not to detract from, or to reflect adversely on the reputation of the communities or the company and after the termination of your employment, not to defame or disparage the communities, Frontier Senior Living, or its officers and employees, nor engage in any unfair trade practices toward the aforesaid companies. -Audit Billing Spreadsheet to ensure billing has been done appropriately. -Exercise professional judgment and carefully adhere to all written standards, and personnel administration policies and procedures. Accurately and completely document all matters related to personnel administration. -Monthly DOH Reportable & Serious Incident Reports. -Verify Department of Health (DOH) & DHCF Binders are up to date monthly. This should include: -Audit all staffing in-service trainings to ensure compliance is met. Report findings to the Executive Director and Health Services Director (HSD) to correct if necessary. -Will regularly be entrusted with sensitive information. Must treat information provided in the strictest confidence. -The DC Ombudsman meetings and trainings documentation. -Monitor the EDP Waiver renewal process accurately and timely: -Ensure that Liberty Assessments are scheduled timely by Case Managers/Social Services Director. -Monitor Person-Centered Service Plans (PCSP) to ensure they are up to date for every beneficiary within PointClickCare (PCC). -Audit daily census report to confirm billing is accurate. Settle any discrepancies discovered and work with the Business Office Manager to correct as necessary.

Requirements

• ms office
• relias
• dc care connect
• bachelor’s
• 2-3 years
• problem solving

What You Bring

-Ability to work as a positive team member. -Relias Transcripts. -Excellent interpersonal skills with all levels of staff, residents, families, and the public. -Physical Requirements: Will sit for extended periods of time. Push, pull, and lift at least 30 pounds regularly. Occasionally will crouch or kneel to access office equipment. -DC Care Connect & UHC Incident Reports. -Excellent verbal and written communication skills. -Minimum 2-3 years of experience in compliance and finance in a healthcare setting. -Must possess excellent organizational and proofreading skills. -Proficiency in MS Office Suite (Word, Excel, Outlook, etc.) along with software and web-based programs. -Strong analytical and problem-solving skills. -Exceptional written and verbal communication and conflict resolution skills. -Strong organizational and multitasking abilities. -High school diploma or equivalent. Bachelor’s Degree preferred.

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Benefits

-Persinak Centered Service plans (PCSP’s). o Individualized Services Plans (ISP’s). -Health & Physical (H&P) Forms. o Provider Forms.

About Gilbane Building

-Provides construction management and real estate development solutions across various sectors. -Excels in delivering complex projects in commercial, residential, healthcare, education, and government sectors. -Known for precision in managing both large and small-scale projects. -Earns recognition for quality, safety, and sustainability in the construction industry. -Shapes skylines and communities through impactful projects. -Collaborates with all stakeholders to ensure successful project completion.

Sector Specialisms

Security Clearance

-pre-employment substance abuse test required.