Program Compliance Specialist; Human Services

Overview

GOODWILL INDUSTRIES OF GREATER NEW YORK & NORTHERN NEW JERSEY INC.

JOB DESCRIPTION

Position Title:

Program Compliance Specialist (Human Services)

Location:

Astoria, NY

Benefit Classification:
Full-Time Benefitted

Position Type: FLSA - Non-Exempt

About the Role

The Program Compliance Specialist is responsible for reviewing and verifying all required documentation and quality checks prior to billing for services. This includes reviewing case notes, treatment plans, and supporting documentation such as paystubs, medical records, and release forms, as well as working directly with staff to obtain any missing information. The role also involves meeting one-on-one with staff to provide guidance and coaching to improve documentation practices, ensuring daily work with program participants is clearly, accurately, and consistently captured.

If you are looking to join our dedicated team as a Program Compliance Specialist (Human Services), we want to hear from you!

Goodwill Greater New York and Northern New Jersey (GWNYNJ) believes that the power of work and sustainable fashion is how we unlock the good in our communities. For over 100 years, we have helped people get jobs, stay employed, and progress in careers across New York and Northern New Jersey. We believe that diversity drives innovation and strengthens our workplace. We are committed to fostering our inclusive environment where all employees feel valued, respected, and empowered to contribute fully.

We welcome applicants of all backgrounds, identities, experiences, and abilities.

• Review regulations to develop an understanding of requirements of different funders/ regulators/ grants
• Responsible for assisting in compliance with all funding / regulator sources
• Assist with verifying daily hours clients attend program and # of services received
• Assist with reviewing daily checklists, monthly case notes, and / or other forms of service documentation
• Assist with tracking when Lifeplans and Lifeplans meetings are due
• Assist in reviewing Habilitation Plans prior to Lifeplan meetings and again before plan is submitted to Care Manager
• Review all Lifesplans to ensure they meet the funders/regulators requirements
• Assist with obtaining documents necessary for billing (i.e.
• LPs NOD, LCED, Evaluations, etc.) and tracking when they expire
• Enter data in software applications for client tracking and billing
• Review case records to determine compliance with different funders/regulators requirements
• Document results of review using software applications such as Excel, Precision Care, AWARDS, etc.
• Write reports summarizing QA findings
• Liaise with Goodwill’s Compliance division and outside funders
• Review Incident reports as needed
• Make client folders for new starts
• Staff training as necessary
• Filing documents

Activities are subject to change / be added to meet business needs with management approval.

• BA/ BS in relevant area preferred
• 2 years experience with Intellectual Disabilities / Developmental Disabilities or relevant population preferred
• Prior auditing/ compliance experience strongly preferred
• MUST be detailed oriented and accurate in highly consistent manner
• Ability to work as part of a team in a fast paced environment
• Working knowledge of MS Word, MS EXCEL, MS Outlook, and Internet

• Will oversee day to day operations of QA / Billing. Responsible for implementation & oversight of assigned projects / systems. QA Specialist works as part of a team and may be responsible for oversight of others work. Supervised by Director

• Generous Time off policy to use when you need it
• Health, wellness and financial resources to help you achieve our personal goals
• Robust health benefits including medical, dental, vision, parental leaves and company sponsored life insurance
• Retirement matching programs and contributions
• Transit and commuter benefits

You bring the Good in Goodwill

We believe in creating space for everyone to do their best work and have individual and collective impact. We believe in challenging the status quo and setting ambitious goals in the name of doing more good. We believe that being your best self and helping others do the same is how we bring our mission alive. Even if you don’t think you meet all the qualifications listed for the job, we would love to hear from you!

If you require a reasonable accommodation at any point in the application or interview process, or if you are unable to apply through our recruitment portal, please contact us  are happy to assist and ensure you have an equal opportunity to apply.