Compliance Specialist
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Job Description
Compliance Specialist supporting audits, licensing, reporting, and quality improvement for Recover’s addiction and mental healthcare programs. Ensuring regulatory compliance and accurate data across California operations.
Responsibilities:
- Coordinate on-time licensing, certification, and regulatory submissions
- Prepare for and ensure timely submissions for audits and external quality reviews
- Manage state and county reporting requirements, including timeliness reporting
- Monitor EHR reports and ensure data accuracy, completeness, and compliance
- Reconcile county reports and analyze data to identify trends, risks, and improvement opportunities
- Prepare for and respond to county program audits, site reviews, chart reviews, and focus reviews
- Develop and implement Corrective Action Plans (CAPs) by required deadlines to address findings and concerns
- Monitor CAP implementation for sustained improvements
- Support process improvement and quality assurance initiatives across programs
- Monitor audit and submissions schedule and ensure timely responses
- Analyze data and reporting trends to identify risks, gaps, and opportunities for improvements
- Support quality assurance and compliance initiatives across programs for continuous improvement
- Work closely with program management, leadership, and the Quality Assurance/Management team
- Coordinate with local and/or state partners for successful program auditing and monitoring
- Handle external compliance audits, including writing responses and gathering materials
- Update policies and procedures and support internal peer review processes
- Report to Recover's Head of Administration
Requirements:
- 2+ years of experience in compliance, quality assurance, healthcare operations, behavioral health, or a related field
- Strong understanding of regulatory compliance, audits, corrective actions, facility licensing, and certification processes
- Experience analyzing data, validating information, and translating findings into actionable recommendations
- Proficiency with complex documentation and reports
- Experience with EHR systems, reporting tools, and data management processes
- Strong organizational, communication, and problem-solving skills with the ability to manage multiple priorities
- A proactive, detail-oriented approach and a commitment to quality and accountability
- Comfortable working independently
- Self-Starter
- Experience in a government or publicly funded substance use disorder (SUD), behavioral health, or community healthcare setting
- Familiarity with various substance use services related regulatory mandates
- Familiarity with SMHS, DMC-ODS, CalOMS, DATAR, timeliness, network adequacy and other Medicaid reporting requirements
- Familiarity with Medi-Cal and Drug Medi-Cal Certification, AOD Certification, DUI Program licensing and other behavioral health program administrative mandates
- Experience supporting telehealth services
- Background in quality improvement, process optimization, or performance management
- Understanding of data analysis, validation, and reporting methodologies
- Lived experience with substance use recovery and/or the criminal justice system
Benefits:
- Health Care Plan
- Paid Time Off (Vacation, Sick & Public Holidays)
- Training & Development
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