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ACO Compliance Specialist

Signify Health
Dallas, TX
  • Expired: September 26, 2022. Applications are no longer accepted.

ACO Compliance Specialist

Position Summary:  The ACO Compliance Specialist position will assist with daily operation of the ACO compliance program as well as ad hoc regulatory research and analysis. The role will work closely with the ACO practice transformation team and clients. This role is responsible for leading monitoring and auditing activities, responding to client questions, maintaining and developing guidance and policy documents, and preparing and presenting educational materials for staff and clients. The individual will possess a strong desire and proven ability to support customers and internal teams.

Diversity and Inclusion are core values at Signify Health and fostering a workplace culture reflective of that is critical to our continued success as an organization. 

Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Promotes a culture of ethics and compliance
  • Manages day-to-day operation of the ACO compliance program including responding to client and staff questions
  • Conducts collection and analysis of auditing and monitoring exercises
  • Under the direction of the ACO Compliance Officer, ensures ACO policies and procedures are accurate, current and in compliance with federal and state regulations. Reviews and updates policies as directed and as laws change.
  • Disseminates information on regulatory matters
  • Develops/modifies model forms and materials for client use
  • Provides reports on a regular basis to keep ACO Compliance Officer, senior leadership, ACO Boards, and ACO participants
  • Hosts quarterly compliance education
  • Other duties as assigned

Competencies: To perform the job successfully, an individual should demonstrate the following.

  • Ethical conduct
  • Strong oral and written communication skills
  • Critical thinking and creative problem-solving
  • Self-motivation and initiative in learning new programs, policies and skills
  • Self-directed independent performer, able to act independently and manage day to day objectives
  • Ability to work in a fast-paced environment with rapidly changing priorities, flexibility and a positive attitude
  • Ability to educate and guide clients in successfully implementing changes to current compliance program
  • Ability to resolve issues when escalated

 

Qualifications:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Education/Experience:

  • Bachelor's degree from an accredited university or college. Master's degree or equivalent is strongly desired (MPH, MHA, MBA, JD)
  • Two to four years compliance/regulatory coordination or assistance experience
  • Experience with and passion for health care quality improvement and transformation
  • A strong attention to detail
  • Effective time management, organizational skills, and ability to independently prioritize workload and meet deadlines
  • Excellent interpersonal, written and verbal communication and team skills
  • Excellent customer service skills and a strong willingness to take initiative
  • Ability and interest in assuming increasing responsibility over time
  • Familiarity with Accountable Care Organizations preferred

Language Ability:

  • Read, analyze and interpret business, professional, technical or governmental documents. Write reports, business correspondence and procedure manuals. Effectively present information and respond to questions from managers, customers and the public. 

Mathematical Ability:

  • Add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Compute rate, ratio and percent, and draw and interpret bar graphs. 

Reasoning Ability:

  • Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Interpret a variety of instructions furnished in written, oral, diagram, or schedule form. 

Computer Skills:

  • Proficient in Microsoft Suite and Learning Management Systems. Deep knowledge of presentation software.

Supervisory Responsibilities:  This position has no supervisory responsibilities. 

Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and talk or hear.  The employee is occasionally required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl and taste or smell. The employee must occasionally lift and/or move up to 10 pounds.  Specific vision abilities required by this job include close vision and ability to adjust focus.

We are committed to equal employment opportunities for employees and job applicants in compliance with applicable law and to an environment where employees are valued for their differences.

Signify Health

Address

Dallas, TX
USA

Industry

Business

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