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Lucet Health logo
Lucet Health

Lucet Health is a behavioral health company working to change how health providers manage care pathways, how health plans manage their networks, and how members manage their health

Compliance Specialist

Location

United States

Posted

32 days ago

Salary

$65K - $74K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Compliance Specialist

Lucet Health

• The Compliance Specialist position involves being a liaison between various internal departments and stakeholders for compliance considerations in projects and business initiatives. • The role includes identifying risks and implementing controls to mitigate them, managing and maintaining written clinical communications, ensuring adherence to compliance, regulatory, and accreditation standards, leading cross-department communication process change initiatives, and creating and maintaining a mental health parity information repository and task delivery tracking system. • Compliance Program Oversight & Risk Management: Lead the annual compliance workplan, auditing and monitoring activities to ensure continuous alignment with regulatory, accreditation, and policy requirements. • Regulatory Execution & Business Integration: Represent compliance in business initiatives and new account implementations, ensuring adherence to UM standards, regulatory requirements, accreditation standards, and customer‑specific needs. • Stakeholder, Vendor & Systems Collaboration: Maintain SME‑level expertise in written communications systems, oversee vendors and delegate audits, and manage IT change requests and prioritization.

Job Requirements

  • Bachelor’s level degree or equivalent experience
  • 3-5 years’ experience in compliance, quality, legal, managed care, audit, project management, or as a business analyst
  • Proven business project management experience including independent project identification, planning, deployment, monitoring, and completion
  • Advanced skills with Microsoft Office (Word, Excel, Outlook, etc.) and Adobe Acrobat
  • Excellent written and verbal communication skills
  • Demonstration of strong organizational, analytical, and problem-solving skills
  • History of interaction with all levels of an organization and types of internal and external stakeholders
  • Must be flexible and able to manage multiple priorities and meet all applicable deadlines
  • Willingness to work non-traditional hours
  • Ability to work autonomously, independently managing and organizing necessary meetings and workplans to effectuate change
  • Demonstrated ownership and accountability for an entire organizational workstream or process, resulting in positive outcomes
  • Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.

Benefits

  • Comprehensive health benefit options: Medical, dental, and vision coverage
  • 401(k) with competitive employer match
  • Company-paid life and disability insurance
  • Paid parental leave and wellbeing incentives
  • Generous paid time off, including volunteer time
  • Flexible spending accounts for healthcare and dependent care
  • Professional development opportunities and tuition reimbursement
  • Remote work flexibility (role-dependent)

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