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