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Regulatory Affairs Compliance Specialist 2

On Lok
San Francisco, CA
  • Posted: February 23, 2022
  • Full-Time
On Lok PACE

We are a non-profit committed to our participants.

Dedicated to The Care of Elders:

PACE (Program of All-Inclusive Care for the Elderly) was developed to answer the many problems around caring for frail seniors. The PACE model is centered on the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in their community whenever possible.

Seniors, their family members, and caregivers face many issues, including transportation to appointments, management of medications, coordination of medical care from different specialists, lack of social interaction, and ability to stay alone at home. On Lok PACE participants receive in home care services and transportation to a On Lok PACE center for primary medical care, social and recreational activities, and other senior care services.

We understand the importance of a system that works together. Your expertise, drive and passion can help us carry out our mission to improve lives and advance healthcare.

Join our team of leaders to begin a rewarding career!

POSITION SUMMARY: The Regulatory Affairs and Compliance Specialist 2 helps to ensure On Lok Senior Health Services remains compliant with the regulatory, licensing, and contractual requirements set forth by the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), and other regulatory agencies. The Regulatory Affairs and Compliance Specialist 2 performs regulatory compliance activities and implements monitoring initiatives related to Program of All-Inclusive Care for the Elderly (PACE).

DUTIES / RESPONSIBILITIES:
  • Monitor regulatory communications from CMS, DHCS, and other regulatory agencies.
  • Participate in conference calls and training webinars from regulators and/or associations.
  • Review and analyze changes and/or updates to regulatory requirements to assess the impact to PACE programming and reporting.
  • Communicate and disseminate guidance to internal departments and track implementation and appropriate training.
  • Coordinate and collaborate with internal departments to develop, review, and revise policies and procedures.
  • Provide expertise and guidance to internal partners to ensure that policies and procedures are compliant with regulatory, licensing, and contractual requirements.
  • Assist with the coordination, tracking, and filing of routine and ad-hoc reports and filings to regulatory agencies as appropriate.
  • Provide guidance to internal departments regarding reporting requirements.
  • Review and quality check data and information presented in reports prior to submission to regulatory agencies.
  • In coordination with the supervisor, facilitate site visits from federal and state regulators.
  • Develop cross-departmental work plans for external regulatory audits.
  • Collect, review, and quality check deliverables and liaise with internal departments during audit preparation.
  • Conduct mock audits and staff interviews.
  • Assist internal partners to develop corrective action plans in response to audit deficiencies and monitor progress with internal departments.
  • Monitor internal and external processes and functions to facilitate compliance with regulatory requirements, including but not limited to:
    •Assessing risks
    •Developing monitoring tools and templates
    •Identifying trends
    •Drafting reports
    •Presenting results and recommendations for improvements to management
  • Monitor and track recommendations as necessary.
  • Research and analyze regulatory issues as they arise. In consultation with supervisor, provides appropriate guidance to internal departments.
  • Perform other regulatory compliance activities and monitoring initiatives as assigned by supervisor.


QUALIFICATIONS (knowledge, skills, abilities):
  1. Bachelor's degree in health care administration, business administration, or related field from an accredited college.
  2. Excellent judgment with high integrity, flexibility, initiative, and willingness to participate in various regulatory activities and monitoring efforts.
  3. Excellent organizational, analytical, critical thinking, problem-solving, verbal, and writing skills.
  4. Excellent time management and attention to detail.
  5. Ability to work well both independently and cross-departmentally in a matrix environment.
  6. Knowledge of pertinent regulatory requirements and/or guidelines from CMS, DHCS, and DPH.
  7. Ability to read, analyze, and provide sound interpretation of rules, regulations, and guidelines.
  8. Ability to write clear, concise reports, summaries, business correspondence, and policies and procedures.
  9. Ability to effectively present and represent On Lok's interest externally with auditors.
  10. Ability to effectively present information and respond to inquiries from On Lok employees, regulatory agencies, and others, as necessary.
  11. Proficient with MS Office (Word, Excel, and PowerPoint) and Adobe Acrobat Professional.


On Lok's Employee Benefits include (eligible for any regular position for 20 hr/wk or more):
  • Medical, Dental, and Vision coverage
  • Retirement Savings Plan 403(b) and Term Life/AD&D Insurance
  • Flexible Spending Account, Commuter Checks, MLA scholarships, Employee Assistance Program (EAP)
  • Pet Insurance and additional discounts
  • Holidays (10 per year), vacation time, sick leave, and long-term disability insurance

Pursuant to the San Francisco Fair Chance Ordinance, and state and federal laws (including federal PACE requirements at 42 CFR 460.64(a); 460.68(a), we will consider for employment qualified applicants with arrest and conviction records.

On Lok is an equal opportunity employer committed to a diverse and inclusive workforce. All applicants will receive consideration for employment without regard to sex (including pregnancy), race, religion, color, gender, gender identity, gender expression, sexual orientation, national origin, ancestry, disability, medical condition, genetic information, marital status, age, military or veteran status, or any other legally protected status.

If you require reasonable accommodation to participate in the job application or interview process, to perform essential job functions and/or to receive other terms, privileges or benefits of employment please contact Recruitment ( ).

On Lok

Address

San Francisco, CA
94109 USA

Industry

Finance and Insurance

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