Compliance Officer

Compliance Officer

Lakewood, NJ / Brooklyn / Borough Park

$100,000

Responsibilities:

Ensure all activities and documentation meet state and federal Medicaid requirements.

Monitor and verify eligibility for Medicaid reimbursements and funding.

Maintain accurate records for audits and funding reviews.

Develop, implement, and enforce organizational policies and procedures that comply with Medicaid and healthcare regulations.

Stay up to date on changes in laws and regulations affecting Medicaid-funded programs

Conduct regular reviews of internal policies and procedures to ensure alignment with current regulatory standards.

Revise and distribute updated policies on a scheduled (e.g., quarterly) basis.

Receive and investigate compliance concerns, complaints, or reports of misconduct.

Coordinate appropriate corrective actions and follow-through to resolution.

Organize and lead quarterly compliance meetings to present progress, risks, and updates.

Prepare detailed reports tracking improvements, ongoing issues, and upcoming goals.

Provide compliance training to staff to promote understanding of Medicaid regulations and organizational policies.

Serve as the point of contact for compliance-related inquiries or guidance.

Regularly assess the effectiveness of the compliance program and identify opportunities for improvement.

Collaborate with leadership to implement strategic changes based on audit results or regulatory feedback.

Qualifications:

Experience with OMEG

Healthcare experience