Compliance Generalist at Ohio District 5 Agency On Aging

Ontario, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Sep, 26

Salary

23.56

Posted On

27 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Risk-Based Monitoring, Auditing, HIPAA Compliance, HITRUST Certification, Regulatory Compliance, Risk Assessment, Internal Controls, Data Analysis, Corrective Action Planning, Policy Review, Role-Based Access Control, Healthcare Administration, Medicaid Waiver Programs, Technical Writing, Cross-functional Collaboration, Program Integrity Reviews

Industry

Individual and Family Services

Description

Description SUMMARY: This position is established for the purpose of monitoring, auditing, and training activities across high-risk operational and regulatory areas to mitigate risk and to ensure adherence to requirements from funders including but not limited to managed care organizations (MCOs), the Ohio Department of Medicaid (ODM), the Ohio Department of Aging (AGE), and applicable federal regulations, including HIPAA. PRIMARY RESPONSIBILITIES: Conducts risk-based monitoring, audits, spot checks, and program integrity reviews across high-risk operational and regulatory areas, including service delivery, documentation accuracy, provider oversight, fleet management, communications compliance, marketing activities, and other identified risk areas. Tracks, reports, and supports corrective actions, mitigation strategies, and continuous improvement efforts resulting from monitoring and audit activities. Assists with organizational readiness for external audits, reviews, and certifications. Assists with obtaining and maintaining HITRUST certification, including control validation and audit coordination. Maintains documentation supporting compliance with programs (e.g., PASSPORT, MyCare). Responsible for assisting the VP of Compliance & IT with Agency risk assessments, including implementation of risk mitigation and closing compliance gaps as directed. Supports HIPAA Privacy and Security compliance activities through policy review incident response, training development, monitoring, investigations, and corrective action follow-up. Maintains Role-Based Access Control (RBAC) documentation and conducts periodic access reviews to confirm user permissions align with job responsibilities and least-privilege principles. Supports IT compliance by coordinating system access for new hires and ensuring timely termination of access in accordance with MCO-required timeframes. Monitors organizational purchasing activities for compliance by identifying anomalies, trends, and potential misuse, and escalating findings as needed. Verifies exclusion checks and background screening for compliance. Tracks and reports key performance indicators for Compliance Coordinators. Provides backup support for Compliance Coordinator responsibilities as needed. Assists with annual general liability and umbrella insurance renewal processes. Develops, coordinates, and evaluates compliance-related training programs, including tracking participation, completion rates, and training effectiveness. Requirements QUALIFICATIONS: Bachelor's degree in healthcare administration, Business, Compliance, or related field (or equivalent work experience) and 3+ years of experience in healthcare compliance, Medicaid programs, or regulated nonprofit environments required. Experience working with Medicaid waiver programs (e.g., PASSPORT, MyCare) and/or Managed Care Organizations (MCOs); familiarity with the Ohio regulatory environment, including Ohio Department of Medicaid (ODM) and Aging (AGE) requirements; and experience with compliance and security frameworks such as HITRUST, NIST, or similar standards preferred. Strong written and verbal communication skills, with the ability to convey information clearly and effectively. Proficiency in Microsoft Word and Excel, with the ability to create, analyze, and manage documents and data. Must have a valid State of Ohio driver’s license. Strong analytical skills with the ability to interpret data and produce clear, thorough documentation. Experience with auditing, monitoring activities, and/or internal control processes. Working knowledge of HIPAA Privacy and Security regulations and requirements. Ability to make sound decisions and demonstrate critical thinking skills. Ability to prioritize, organize and maintain accuracy in a flexible job environment. Ability to communicate professionally, respectfully, and effectively. Strong risk-based and audit-oriented mindset, with the ability to identify and mitigate compliance risks. Ability to interpret regulatory requirements and translate them into practical, operational controls. High attention to detail with strong follow-through to ensure completion and accuracy of work. Ability to collaborate cross-functionally and influence outcomes without direct authority. Demonstrated discretion in handling sensitive and confidential information. Ability to balance accountability with a supportive, non-threatening approach that promotes a positive compliance culture.

Responsibilities

The role focuses on monitoring, auditing, and training across high-risk operational areas to ensure adherence to Medicaid and federal regulations. Key duties include conducting risk assessments, managing HIPAA compliance, and coordinating HITRUST certification efforts.