healthcare operations specialist

AdaptHealth

<div>Description:

Position Summary:
The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required for the successful support of each region&rsquo;s individual needs. As needed, may need to deliver and set up medical equipment.
The lead specialist serves as a subject matter expert, conducts new hire training and mentor to the team.
Essential Functions and Job Responsibilities:<ul><li>
Supports operations team with discovery and training as necessary with AdaptHealth processes.</li><li>
Responsible for providing support during process improvement initiatives to assist with driving all areas of workflow, including verification, and data analysis.</li><li>
Develop and maintain working knowledge of current products and services offered by the company</li><li>
Must be familiar with payer guidelines and reading clinical documentation to determine qualification status and compliance for all equipment and services.</li><li>
Working knowledge in all areas of AdaptHealth customer service, intake, daily operations and revenue cycle processes and workflows from beginning to end, which may include</li></ul><ul><li>
Review all required documentation to ensure accuracy</li><li>
Accurately process, verify, and/or submit documentation</li><li>
Complete insurance verification to determine patient&rsquo;s eligibility, coverage, co-insurances, and deductibles</li><li>
Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required (if helping a region)</li><li>
Navigate through multiple online EMR systems to obtain applicable documentation</li><li>
Enter and review all pertinent information in EMR system including authorizations and expiration dates</li><li>
Meet quality assurance requirements and other key performance metrics</li></ul><ul><li>
Pays attention to detail and has great organizational skills</li><li>
Actively listens to teams, region leaders and handle stressful situations with compassion and empathy.</li><li>
Ability to analyze data and reports to identify execution errors in workflow, troubleshoot and fix the exceptions, advise staff on corrections.</li><li>
Collaborate with the Operations Team on exceptions and solutions within workflow processes</li><li>
Communicate with operations teams and leadership on an on-going basis regarding any noticed trends in process errors with insurance companies</li><li>
Assist with various projects and tasks as needed for various unique processes</li><li>
Participate in the effort to define, document, and refine processes, procedures and workflows for business operations based on industry and company best-practices.</li><li>
Participate in the effort to create training materials and train client engagement and service teams</li><li>
Must be able to navigate through multiple online EMR systems to obtain applicable documentation.</li><li>
Works with insurance verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure payments.</li><li>
As needed, perform patient assessment and re-assessment for patient care, deliver medical equipment.</li><li>
Safely drive as needed and maintain company vehicle.</li><li>
Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling.</li><li>
Assume on-call responsibilities during non-business hours in accordance with company policy.</li></ul><ul><li>
Lead Responsibilities:</li><li>
Supervise and provide guidance to team members in daily operations and complex case resolution</li><li>
Lead team meetings and facilitate training sessions for staff development</li><li>
Monitor team performance metrics and productivity standards, providing feedback and coaching as needed</li><li>
Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions</li><li>
Develop and implement process improvements and workflow optimization strategies</li><li>
Coordinate with management on staffing needs, scheduling, and resource allocation</li><li>
Conduct new employee onboarding and ongoing training programs</li><li>
Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes to guide team decisions</li><li>
Prepare reports and analysis on team performance, trends, and operational metrics for management review</li></ul><ul><li>
Maintains patient confidentiality and functions within the guidelines of HIPAA.</li><li>
Completes assigned compliance training and other education programs as required.</li><li>
Maintains compliance with AdaptHealth's Compliance Program.</li><li>
Performs other related duties as assigned.</li></ul>
Competency, Skills and Abilities:<ul><li>
Excellent ability to communicate both verbally and in writing</li><li>
Ability to prioritize and manage multiple tasks</li><li>
Proficient computer skills and knowledge of Microsoft Office</li><li>
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction</li><li>
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.</li><li>
Work well independently and as part of a group</li><li>
Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
High school diploma or equivalent required; Associate&rsquo;s degree in healthcare administration, Business Administration, or related field preferred</li><li>
Valid and unrestricted driver's license in the state of residence.</li><li>
Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.</li><li>
Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services</li><li>
Specialist Level: (Entry Level):</li></ul>
One (1) year of work-related experience<ul><li>
Senior Level:</li></ul>
One (1) year of work-related experience plus
Two (2) years exact job experience<ul><li>
Lead Level:</li></ul>
One (1) year of work-related experience plus
Four (4) years exact job experience
Physical Demands and Work Environment:<ul><li>
Must be able to regularly lift and/or move up to 50 pounds, frequently lift and/or move up to 100 pounds, and occasionally lift and/or move up to 160 pounds.</li><li>
Must be able to stretch, bend, stoop and crouch and perform moderate to heavy physical labor while moving equipment and supplies.</li><li>
Subject to long periods of sitting and/or driving.</li><li>
Work environment may be stressful at times, as overall work activities and work levels fluctuate.</li><li>
May be exposed to unsanitary conditions in some home settings.</li><li>
May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.</li><li>
May be exposed to high crime areas within the service community.</li><li>
Must be able to drive independently and travel as needed.</li><li>
May be exposed to angry or irate customers.</li><li>
Must be able to access the patient&rsquo;s residence without assistance.</li><li>
Ability to effectively communicate both verbally and written with customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy.</li></ul></div>

Operations Specialist

Gainwell Technologies LLC

<div>It takes great medical minds to create powerful solutions that solve some of healthcare&rsquo;s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you&rsquo;ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you&rsquo;ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.<div><div><div><h2 class="jobSectionHeader"> 
Summary</h2></div><div><div>
The DAPO Specialist supports Gainwell Technologies&rsquo; healthcare program operations by reviewing, validating, and updating pharmacy and provider-related records to ensure accuracy, compliance, and high-quality service delivery. This role is detail-oriented and process-driven, requiring strong attention to accuracy, adherence to structured workflows, and the ability to manage high volumes of operational tasks in a fast-paced remote environment.</div></div></div><div><div><h2 class="jobSectionHeader">
Your role in our mission</h2></div><div><ul><li>
Process DAPO work items including pharmacy and provider data updates accurately and within required timelines.</li><li>
Review provider and pharmacy records to ensure completeness, accuracy, and compliance with regulatory guidelines.</li><li>
Follow defined operational workflows to resolve discrepancies and escalate complex cases when appropriate.</li><li>
Document updates and actions clearly in accordance with audit, contract, and policy requirements.</li><li>
Collaborate with internal teams to support accurate provider and pharmacy information across operational systems.</li></ul></div></div><div><div><h2 class="jobSectionHeader">
What we're looking for</h2></div><div><ul><li>
Active Certified Pharmacy Technician (CPhT) certification (PTCB or ExCPT) required.</li><li>
1&ndash;4 years of experience in healthcare operations, pharmacy environments, provider data management, claims processing, or similar roles.</li><li>
Strong attention to detail and experience performing data entry or record updates with high accuracy.</li><li>
Proficiency using Microsoft Office applications including Excel, Word, Outlook, and Teams.</li><li>
Ability to work independently, manage multiple tasks, and meet deadlines in a structured remote environment.</li></ul></div></div><div><div><h2 class="jobSectionHeader">
What you should expect in this role</h2></div><div><ul><li>
Fully remote position available anywhere within the United States.</li><li>
Standard schedule between 7:00 a.m. &ndash; 6:00 p.m. CST, with an assigned 8-hour shift based on business needs.</li><li>
Reliable high-speed internet required (minimum 24 Mbps download / 8 Mbps upload).</li><li>
Video camera required during interviews and the first week of orientation.</li><li>
Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, and employee assistance programs.</li></ul><div></div><div> 
#LI-REMOTE</div><div>
#LI-JT1</div></div></div></div> 
The pay range for this position is $35,000.00 - $50,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. 
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</div>

DAPO Specialist (Pharmacy) - Remote US

Gainwell Technologies

<div>
 It takes great medical minds to create powerful solutions that solve some of healthcare&rsquo;s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you&rsquo;ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you&rsquo;ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
 
 
 
 Summary
 
 
 
 The DAPO Specialist supports Gainwell Technologies&rsquo; healthcare program operations by reviewing, validating, and updating pharmacy and provider-related records to ensure accuracy, compliance, and high-quality service delivery. This role is detail-oriented and process-driven, requiring strong attention to accuracy, adherence to structured workflows, and the ability to manage high volumes of operational tasks in a fast-paced remote environment.
 
 
 
 Your role in our mission
 
 
 
 <ul>
 <li>
 Process DAPO work items including pharmacy and provider data updates accurately and within required timelines.
 </li>
 <li>
 Review provider and pharmacy records to ensure completeness, accuracy, and compliance with regulatory guidelines.
 </li>
 <li>
 Follow defined operational workflows to resolve discrepancies and escalate complex cases when appropriate.
 </li>
 <li>
 Document updates and actions clearly in accordance with audit, contract, and policy requirements.
 </li>
 <li>
 Collaborate with internal teams to support accurate provider and pharmacy information across operational systems.
 
 
 </li>
 </ul>
 
 What We're Looking For
 
 
 
 <ul>
 <li>
 Active Certified Pharmacy Technician (CPhT) certification (PTCB or ExCPT) required.
 </li>
 <li>
 1&ndash;4 years of experience in healthcare operations, pharmacy environments, provider data management, claims processing, or similar roles.
 </li>
 <li>
 Strong attention to detail and experience performing data entry or record updates with high accuracy.
 </li>
 <li>
 Proficiency using Microsoft Office applications including Excel, Word, Outlook, and Teams.
 </li>
 <li>
 Ability to work independently, manage multiple tasks, and meet deadlines in a structured remote environment.
 
 
 </li>
 </ul>
 
 What You Should Expect In This Role
 
 
 
 <ul>
 <li>
 Fully remote position available anywhere within the United States.
 </li>
 <li>
 Standard schedule between 7:00 a.m. &ndash; 6:00 p.m. CST, with an assigned 8-hour shift based on business needs.
 </li>
 <li>
 Reliable high-speed internet required (minimum 24 Mbps download / 8 Mbps upload).
 </li>
 <li>
 Video camera required during interviews and the first week of orientation.
 </li>
 <li>
 Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, and employee assistance programs.
 
 
 </li>
 </ul>
 The pay range for this position is $35,000.00 - $50,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
 
 
 We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
 
 
 
 Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
 
 
 
</div>

Solace Health

<div><h2 class="jobSectionHeader">About Solace</h2>
Healthcare in the U.S. is fundamentally broken. The system is so complex that 88% of U.S. adults do not have the health literacy necessary to navigate it without help. Solace cuts through the red tape of healthcare by pairing patients with expert advocates and giving them the tools to make better decisions&mdash;and get better outcomes.
We're a Series C startup, founded in 2022 and backed by Inspired Capital, Craft Ventures, Torch Capital, Menlo Ventures, Signalfire, and IVP. Our U.S. based team is lean, mission-driven, and growing quickly.
Solace isn't a place to coast. We're here to redefine healthcare&mdash;and that demands urgency, precision, and heart. If you're looking to stretch yourself, sharpen your edge, and do the best work of your life alongside a team that cares deeply, you're in the right place. We&rsquo;re intense, and we like it that way.
Read more in our Bloomberg funding announcement here.<h2 class="jobSectionHeader">
About The Role</h2>
As a Clinical Operations Coordinator, you will play a critical role in ensuring seamless day-to-day operations for our growing telehealth provider workforce. You will provide real-time operational support to physicians, proactively manage schedules across 1099 and W2 providers, and serve as a key liaison between providers, patients, and internal teams when unexpected issues arise.
This role is highly dynamic and requires someone who thrives in fast-paced, real-time problem solving. From responding immediately when a visit runs long, to coordinating coverage during physician call-outs or technical disruptions, you will help ensure continuity of care, fairness in scheduling, and a positive experience for both patients and physicians.
You will also help track and evaluate provider utilization, no-show rates, and pilot scheduling initiatives (including evenings and weekends), providing insight that supports operational excellence and sustainable growth.
This position requires availability for a 7:00 AM &ndash; 4:00 PM PT shift.<h2 class="jobSectionHeader">
About Solace</h2>
Healthcare in the U.S. is fundamentally broken. The system is so complex that 88% of U.S. adults do not have the health literacy necessary to navigate it without help. Solace cuts through the red tape of healthcare by pairing patients with expert advocates and giving them the tools to make better decisions&mdash;and get better outcomes.
We're a Series B startup, founded in 2022 and backed by Inspired Capital, Craft Ventures, Torch Capital, Menlo Ventures, and Signalfire. Our fully remote U.S. team is lean, mission-driven, and growing quickly.
Solace isn't a place to coast. We're here to redefine healthcare&mdash;and that demands urgency, precision, and heart. If you're looking to stretch yourself, sharpen your edge, and do the best work of your life alongside a team that cares deeply, you're in the right place. We&rsquo;re intense, and we like it that way.
Read more in our Wall Street Journal funding announcement here.<h2 class="jobSectionHeader">
What You&rsquo;ll Do</h2><ul><li>
Provide real-time operational support to providers when immediate outreach is needed (i.e., rescheduling visits, contacting patients or family members)</li><li>
Act as a central point of coordination with the Medical Director during provider call-outs, technical issues, or when visits extend beyond scheduled time</li><li>
Manage and optimize schedules for a mixed workforce of 1099 and W2 physicians to ensure consistent staffing during peak demand</li><li>
Proactively contact and support impacted patients when scheduling changes or delays occur</li><li>
Monitor and help ensure fairness and consistency in leave usage, flagging outliers or concerns to leadership</li><li>
Ensure provider calendars accurately reflect approved availability, identifying and escalating unapproved or anomalous blocks</li><li>
Support pilot scheduling initiatives (evenings, weekends, extended hours) by tracking utilization, no-show rates, and provider participation</li><li>
Maintain clear documentation and communicate operational issues, trends, and recommendations to leadership</li><li>
Collaborate closely with clinical, operations, and technical teams to resolve issues quickly and effectively</li><li>
Take on other operational duties as assigned in support of a growing telehealth organization</li></ul><h2 class="jobSectionHeader">
What You Bring To The Table</h2><ul><li>
Strong organizational skills and the ability to manage multiple real-time priorities without losing attention to detail</li><li>
Comfort working in a fast-paced, provider-facing environment where quick decisions matter</li><li>
Excellent communication skills, especially in high-pressure or time-sensitive situations</li><li>
Experience with scheduling, staffing coordination, or workforce management (healthcare or telehealth experience strongly preferred)</li><li>
Ability to work confidently with both providers and patients, maintaining professionalism and empathy</li><li>
Data-aware mindset: comfortable tracking metrics such as utilization, no-shows, and coverage gaps</li><li>
Proactive problem solver who anticipates issues and takes ownership of solutions</li><li>
High degree of reliability, discretion, and sound judgment</li><li>
Flexibility to support coverage during extended hours or weekends as pilots are launched</li><li>
A team-first attitude with a &ldquo;get it done&rdquo; mentality</li></ul>
Applicants must be based in the United States.
Up for the Challenge?
We look forward to meeting you.
Fraudulent Recruitment Advisory: Solace Health will NEVER request bank details or offer employment without an interview. All legitimate communications come from official solace.health emails only or ashbyhq.com. Report suspicious activity to recruiting@solace.health or advocate@solace.health.</div>

Customer Experience Clinical Coordinator (7AM - 4PM PT)

Global Mission Support Services LLC

Job Title: Procurement Specialist Industry: Healthcare Location: Dubai, UAERole Overview:We are seeking a Procurement Specialist with 3&ndash;5 years of experience in medical procurement within a multi-specialty healthcare environment. The role is responsible for managing the end-to-end procurement lifecycle for medical consumables, equipment, and clinical services while ensuring compliance with regulatory, financial, and operational standards.The successful candidate will support procurement strategy through vendor management, tendering processes, contract administration, and supply chain coordination to ensure continuity of clinical operations.Key ResponsibilitiesProcurement Operations<ul><li>Manage the end-to-end procurement cycle from requisition to purchase order, delivery, and invoice reconciliation.</li><li>Source medical consumables, pharmaceuticals, and clinical equipment in line with hospital demand and regulatory requirements.</li><li>Ensure procurement activities comply with internal governance, financial controls, and relevant healthcare regulations.</li></ul>Vendor Management<ul><li>Identify, evaluate, and onboard new vendors.</li><li>Maintain relationships with local and international suppliers to ensure pricing competitiveness and supply reliability.</li><li>Monitor supplier performance including delivery timelines, quality standards, and service levels.</li></ul>Tendering and Negotiation<ul><li>Manage RFQ, RFP, and tender processes for clinical and operational procurement.</li><li>Conduct commercial negotiations to secure favorable pricing, service agreements, and supply terms.</li><li>Support framework agreements and long-term supplier partnerships.</li></ul>Contract and Compliance Management<ul><li>Review and administer procurement contracts including pricing schedules, service agreements, and delivery terms.</li><li>Ensure compliance with shipping terms (Incoterms), import regulations, and medical device registration requirements where relevant.</li><li>Maintain procurement documentation and audit trails.</li></ul>Logistics and Supply Coordination<ul><li>Coordinate with logistics teams on international shipments, customs clearance, and inventory planning.</li><li>Monitor stock levels and support demand forecasting with clinical and operational departments.</li></ul>Requirments:<ul><li>3&ndash;5 years of procurement experience in healthcare, ideally within a hospital or multi-specialty clinical environment.</li><li>Degree in Supply Chain Management, Business Administration, Healthcare Management, or related field.</li><li>Professional certification such as CIPS, CPSM, or equivalent procurement accreditation is advantageous.</li><li>Demonstrated experience managing medical suppliers, tender processes, and procurement systems</li><li>Strong understanding of procurement lifecycle management.</li><li>Experience with vendor onboarding, contract negotiation, and supplier performance management.</li><li>Familiarity with international shipping terms (Incoterms) and import logistics.</li><li>Ability to manage procurement documentation and financial approvals.</li><li>Experience working with international healthcare organisations or multinational operations.</li><li>Exposure to procurement systems such as SAP, Oracle, Coupa, or similar ERP platforms.</li></ul>How to Apply: Interested candidates may send their CV to talent@GMSS.ltd or recruitment@GMSS.ltd with the subject line: &ldquo;Application &ndash; Procurement Specialist (Dubai)&rdquo;.Job Type: Full-timeApplication Question(s):<ul><li>Can you join immediately?</li><li>Do you have experience into healthcare procurement?</li></ul>

Procurement Generalist –Healthcare experienced

Spartanburg Regional Healthcare System

<div>Job Requirements 
 
Strengthen the ethical foundation that supports every patient and join Spartanburg Regional Healthcare System as our Sr Compliance Specialist!
Location: 100 % remote. Applicants must live in one of the following states: AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, or WI.
About Spartanburg Regional Healthcare System
Spartanburg Regional Healthcare System is a community focused healthcare organization that has served the Upstate of South Carolina for more than 100 years. The system includes hospitals, physician practices, urgent care centers, and specialty services dedicated to improving the health of local communities. With a long-standing commitment to service, innovation, and teamwork, Spartanburg Regional Healthcare System empowers its teams to create meaningful impact through compassionate care and responsible operations.
What This Role Is All About
The Sr Compliance Specialist plays an important part in supporting a strong culture of integrity across Spartanburg Regional Healthcare System. This role helps guide the development, monitoring, and ongoing improvement of a comprehensive compliance program that supports safe and ethical operations throughout the organization.
This position partners closely with the Director of Corporate Integrity to develop auditing and monitoring activities that reduce risk, detect concerns, and promote responsible conduct. Work includes supporting risk assessments, reviewing policies, analyzing outcomes, and helping lead system wide initiatives that support compliance with state and federal laws. The role involves developing training materials, leading education sessions, and reviewing processes to ensure they meet regulatory expectations.
The Sr Compliance Specialist also researches complex issues, supports the resolution of compliance concerns, assists in annual planning activities, and maintains clear documentation that reflects the organization&rsquo;s commitment to accountability. This is a meaningful role for someone who enjoys detail oriented work, ongoing learning, and the opportunity to influence organizational trust, performance, and culture.
What You Bring on Day One
Education<ul><li>
Bachelor&rsquo;s degree in healthcare or related field required</li></ul>
Experience<ul><li>
3 to 5 years of experience in healthcare compliance or similar work</li><li>
5 to 7 years of experience in acute care hospital operations, physician office management, business office leadership, or related areas</li><li>
Experience implementing healthcare compliance requirements</li><li>
General knowledge of state and federal agencies</li><li>
General knowledge of healthcare compliance and privacy laws and standards</li><li>
Demonstrated ability to problem solve, prioritize work, and support strategic decision making</li><li>
Strong analytical skills and attention to detail</li><li>
Familiarity with Microsoft Office applications including Word, Excel, PowerPoint, and Outlook</li></ul>
Great to Have
Experience<ul><li>
Experience in physician compliance, health system compliance, medical office management, or a nursing background</li><li>
Knowledge of EPIC and commonly used healthcare software applications</li></ul>
Licenses and Certifications<ul><li>
Certified Healthcare Compliance (CHC)</li><li>
Certified Healthcare Privacy Compliance (CHPC)</li><li>
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)</li></ul>
What This Job Looks Like<ul><li>
Guide auditing and monitoring activities to detect potential compliance risks</li><li>
Support development and review of compliance tools, assessments, and documentation</li><li>
Review, update, and maintain system wide compliance policies</li><li>
Participate in risk assessment activities and support annual compliance planning</li><li>
Research and resolve compliance issues independently when needed</li><li>
Develop training content and deliver education related to compliance topics</li><li>
Identify opportunities to improve monitoring processes and reporting tools</li><li>
Analyze audit outcomes, summarize results, and communicate findings</li><li>
Maintain detailed documentation of activities to support organizational readiness</li><li>
Collaborate closely with the Corporate Integrity Department on ongoing compliance needs</li></ul>
Why You Will Love Working Here<ul><li>
Work that strengthens trust and accountability across a respected healthcare system</li><li>
A collaborative team that values transparency, learning, and ethical leadership</li><li>
Opportunities to grow in a dynamic environment with diverse compliance challenges</li><li>
A mission driven organization with more than 100 years of service to its community</li><li>
A chance to influence meaningful improvements that support both patients and caregivers</li></ul></div>

Remote Sr Compliance Specialist

SOL Mental Health

<div>
 
 
 About SOL Mental Health
 
 
 
 &nbsp;
 
 
 
 At
 
 
 
 &nbsp;SOL Mental Health
 
 
 
 ,&nbsp;we&rsquo;re&nbsp;redefining&nbsp;what&rsquo;s&nbsp;possible in mental health care&mdash;starting with&nbsp;
 
 
 
 you
 
 
 
 .
 
 
 As an early-phase organization with ambitious goals, we offer something rare: the chance to truly own your function and make a lasting impact on an industry that desperately needs innovation.
 
 
 &nbsp;
 
 
 
 
 
 Your Contributions Matter Here.
 
 
 
 We understand that exceptional mental healthcare requires more than just talented clinicians. It demands a foundation of
 
 
 operational excellence, innovative thinking, and robust support systems
 
 
 &mdash;areas where your expertise becomes invaluable.
 
 
 &nbsp;
 
 
 
 
 At SOL, you'll find:
 
 
 <ul>
 <li>
 
 
 True ownership opportunities
 
 
 
 in a growing organization where your ideas can become organizational standards
 
 
 &nbsp;
 
 </li>
 <li>
 
 
 Direct access to passionate executive leadership
 
 
 
 committed to building both an exceptional service and an exceptional workplace
 
 </li>
 <li>
 
 
 Career development pathways
 
 
 
 that evolve as we grow, with opportunities emerging faster than in established organizations
 
 </li>
 <li>
 
 
 Cross-functional collaboration
 
 
 
 that exposes you to multiple aspects of healthcare innovation and practice management
 
 
 &nbsp;
 
 </li>
 </ul>
 
 
 Why Building Something New Matters
 
 
 
 &nbsp;
 
 
 
 Building a leading mental health practice is challenging&mdash;we don't pretend otherwise. But when passionate professionals unite under a common mission, exceptional things happen. Your contributions at SOL won't disappear into the machinery of a large organization; they'll visibly shape our practices, culture, and success.
 
 
 &nbsp;
 
 
 
 
 Our Culture: How We Show Up Every Day
 
 
 
 
 Our values guide every interaction&mdash;with each other, with our patients, and with our communities.
 
 
 
 
 
 ❤️
 
 
 &nbsp;
 
 
 
 We Lead with Heart
 
 
 &nbsp;
 
 
 💡
 
 
 &nbsp;
 
 
 
 We Look for the Good
 
 
 &nbsp;
 
 
 💪
 
 
 &nbsp;
 
 
 
 We Strengthen Each Other
 
 
 &nbsp;
 
 
 🏆
 
 
 &nbsp;
 
 
 
 We Strive for Excellence
 
 
 &nbsp;
 
 
 🚀
 
 
 &nbsp;
 
 
 
 We Break New Ground
 
 
 
 
 
 Care Team Members at SOL...
 
 
 <ul>
 <li>
 Provide a warm, professional experience for all patients by greeting visitors, answering phones, and managing daily scheduling needs across calls, emails, and logistics.
 </li>
 <li>
 Complete patient intake and check‑in processes, ensuring all forms, insurance verifications, copays, and balances are collected and documented accurately.
 </li>
 <li>
 Manage schedules for patients and clinicians, including adjustments, follow‑ups, discharge workflows, reactivation, and end‑of‑day processes, while maintaining accurate information in the EHR.
 </li>
 <li>
 Support clinical teams by triaging patient concerns, escalating issues appropriately, and coordinating necessary services.
 </li>
 <li>
 Communicate clearly and promptly with patients, families, referral partners, and vendors to support the full patient journey and enhance engagement.
 </li>
 <li>
 Ensure accurate charge capture, billing‑related documentation, and timely submission of required data.
 </li>
 <li>
 Maintain compliance with all policies and regulatory standards (HIPAA, CMS, OSHA, etc.) and uphold a high standard of customer service.
 </li>
 <li>
 Represent Sol Mental Health with professionalism and contribute positively to team culture by demonstrating empathy, collaboration, and reliability.
 </li>
 <li>
 Meet productivity goals and perform additional duties as assigned.
 </li>
 </ul>
 
 
 
 Job Requirements &amp; Skills
 
 
 
 <ul>
 <li>
 
 Clinical exposure or Medical Assistant experience including reading medical records, supporting medication workflows, coordinating with pharmacies, and&nbsp;assisting&nbsp;with prior authorizations.
 
 
 &nbsp;
 
 </li>
 <li>
 
 MA Certification is a plus
 
 </li>
 <li>
 Able to effectively manage difficult situations and de-escalate issues that arise.
 </li>
 <li>
 Ability to interact and work professionally and effectively with a diverse population.
 </li>
 <li>
 Highly organized and able to juggle many tasks at once.
 </li>
 <li>
 Strong working knowledge of Microsoft office products and ability to learn clinic operations technology systems.
 </li>
 <li>
 Ability to interpret, adapt and apply guidelines and procedures.
 </li>
 <li>
 Strong work ethic, passionate and enthusiastic personality with a high degree of integrity, humility, and a positive attitude
 
 &nbsp;
 
 </li>
 </ul>
 
 
 
 Physical Requirements
 
 
 &nbsp;
 
 
 
 <ul>
 <li>
 
 Prolonged periods of sitting at a desk and working on a computer.
 
 </li>
 <li>
 Must be able effectively communicate over the phone, computer, and face to face.
 </li>
 <li>
 Must be able to lift up to 15 pounds at times.
 
 &nbsp;
 
 </li>
 <li>
 
 This is a Full Time, in-person role based out of our NYC locations.&nbsp;
 
 </li>
 </ul>
 
 
 Benefits
 
 
 <ul>
 <li>
 
 Medical, dental, and vision insurance
 
 </li>
 <li>
 
 Flexible Spending Accounts (FSA) &amp; Health Savings Accounts (HSA)
 
 </li>
 <li>
 Paid Time Off &amp; 10 Paid Holidays
 </li>
 <li>
 401(k) with employer match
 </li>
 <li>
 Short &amp; long-term disability
 </li>
 <li>
 Life insurance
 </li>
 <li>
 Employee Assistance Program (EAP)
 
 &nbsp;
 
 </li>
 </ul>
 
 
 
 Compensation |
 
 
 
 The estimated hourly compensation for this role is&nbsp;
 
 
 $25.00&ndash;$27.00 per hour
 
 
 , depending on experience. This role is also eligible for a monthly bonus based upon&nbsp;metrics set for the role.&nbsp;
 
 
 
 
 Diversity, Equity &amp; Inclusion
 
 
 
 &nbsp;
 
 
 
 At&nbsp;
 
 
 
 SOL Mental Health
 
 
 
 , we believe that diversity and inclusion are essential to fulfilling our mission. We are committed to creating a workplace where everyone feels valued, respected, and empowered to contribute. We actively seek candidates from diverse backgrounds and experiences, and we ensure&nbsp;equitable&nbsp;hiring practices throughout our recruitment process. SOL Mental Health is proud to be an equal opportunity employer and encourages applicants from all&nbsp;walks of life&nbsp;to apply.&nbsp;&nbsp;
 
 
 &nbsp;
 
 
 
 
 Join Us
 
 
 
 &nbsp;
 
 
 
 
 If you&rsquo;re looking for a team that
 
 
 
 values your expertise, supports your growth, and empowers you to make an impact,
 
 
 we&rsquo;d love to connect!
 
 
 &nbsp;
 
 
 
 
 
 
 Apply today&nbsp;
 
 
 and help
 
 
 &nbsp;us shape the future of mental health care.
 
 
 
 
 &nbsp;
 
 
</div>

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