Do you have exceptional analytical skills? Experience in the Behavioral Health/Insurance industry? This role assists with quality control and ensures corporate compliance and adherence to regulatory requirements by monitoring internal policies and procedures and state and federal regulations.

At Behavior Frontiers you will find a professional, ethical, respectful, caring and fun work environment.

Behavior Frontiers is a well-established and rapidly growing behavioral health treatment provider serving individuals with autism and other special needs within the Healthcare Industry, Department of Education, and Department of Developmental Disabilities. Our company is dedicated to providing exceptional quality, research-based, applied behavior analysis (ABA) treatment to help our clients and their families live their very best lives.

Location: Based in El Segundo, CA

Hours: Full-time

Pay: $20-25/hour based on experience

Responsibilities:

The Compliance Specialist is responsible for:

• Ensures compliance with established internal control procedures by examining records, reports, operating practices, and documentation and providing analytical information to the Department leadership
• Ensures compliance with state and federal agencies by studying existing and new legislation related to the company’s service offerings
• Develop communications and status updates related to the corporate compliance program
• Provides guidance and information by interpreting policies and procedures: answering questions and requests, and interacting with stakeholders
• Maintains high level of confidentiality regarding company operations
• Prepares reports by collecting, analyzing, and summarizing information and trends related to the compliance program and internal audits
• Monitoring and tracking changes in payor requirements (i.e., billing codes, medical policies, prior authorizations, provider certification/license requirements, etc.) and disseminating to appropriate departments/personnel in a timely fashion
• Designing trainings and resources to assist departments in adopting necessary compliance contractual policies and procedures, as needed
• Monitoring, tracking, and reporting on upcoming/new/revised licensure requirements
• Attending payor meetings, as needed
• Special projects and other duties as assigned

Qualifications:

• Familiarity with the Behavior Health, Healthcare Compliance or Internal Audit
• Working knowledge of healthcare contracting and billing terminology preferred
• Expert proficiency in Microsoft Office Products, including Excel and Word
• Exceptional analytical and critical thinking skills
• Strong oral and written communication abilities
• Superior organizational and time management skills
• Detail-oriented and deadline-driven
• Motivated self-starter able to work independently
• Team-player able to work collaboratively across departments and roles
• Bachelor’s degree in healthcare management, business, marketing, or related field

In addition, the applicant must be able to:

• Provide negative TB test results
• Produce clear FBI & DOJ fingerprinting
• Produce valid driver’s license and auto insurance

Benefits for All Employees:

• Competitive pay
• Initial and ongoing paid training and supervision
• Opportunities for career advancement
• Performance and promotion raises
• Paid sick leave
• Paid mileage
• Paid drive time
• 401K Plan with company match after 6 months of employment
• Employee Assistance Program which includes 24/7 mental health coverage

Additional Benefits for Full-Time Employees:

• Medical, Dental and Vision insurance
• Paid Personal Time Off and Sick Leave
• Paid Holidays

Company Perks:

• Discounts off Verizon, Sprint and/or AT&T services
• Purchase program with discounts to rentals, moving services, and more!

Please visit our website at www.behaviorfrontiers.com to learn more about Behavior Frontiers and our programs. Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.