Compliance Specialist
Description About the company Recover is working to make drug and alcohol treatment and mental healthcare more effective and accessible. We work with governments to improve outcomes for people who need care. Our program is an outpatient and intensive outpatient treatment program for people with substance use or mental challenges. We use a harm reduction approach to treatment, and are focused on serving marginalized and underserved communities. We are a small team growing quickly, and looking for people to grow with us. Our team includes people from Yale Law, UCLA School of Medicine, Harvard Medical School, and White House alums. The opportunity As a member of our Quality Assurance and Improvement team, you’ll be responsible for supporting regulatory compliance, audit readiness, licensing, reporting, and quality improvement efforts to ensure our programs meet the highest possible standards for adherence to regulations and program requirements. As part of your role, you will work closely with program management, leadership, and the Quality Assurance/Management team, to ensure compliance with state and local requirements, maintain accurate reporting, and drive process improvements to support high-quality care. You will be responsible for internal monitoring, continuous improvements, and coordination with local and/or state partners to ensure successful program auditing/monitoring. Part of your role includes responsibility for external compliance audits (including writing responses and gathering materials), policy and procedure updates, and internal peer review processes. You will report to Recover's Head of Administration. You’ll have the opportunity to grow with us, and work with team members across the state. This role is full time, 40 hours per week, Monday – Friday. You will work fully remotely, or at one of our sites at your option. Key responsibilities Program Administration 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 Quality & Compliance Prepare for and respond to county program audits, site reviews, chart reviews, and focus reviews Develop and implement Corrective Action Plans (CAPs) quickly, thoroughly and proactively 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
Requirements
Need to have: 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 Nice to have: 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. Familiarity with various substance use services related regulatory mandates
Benefits
Health Care Plan Paid Time Off (Vacation, Sick & Public Holidays) Training & Development