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Compliance & Risk Management Specialist

E56c13c4 Abf5 474d A873 962cf9a38fe0 19000101 000001 · Corporate, Miami, FL, US, Miami, FL · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyE56c13c4 Abf5 474d A873 962cf9a38fe0 19000101 000001
TitleCompliance & Risk Management Specialist
Normalized title-
Department / team-
LocationCorporate, FL, United States
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2024-06-25 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from E56c13c4 Abf5 474d A873 962cf9a38fe0 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Corporate.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyE56c13c4 Abf5 474d A873 962cf9a38fe0 19000101 000001
Source0d4ca9d8-9322-4089-b8a3-87a8c7658767
ATS providerADP Workforce Now Recruiting

Description

The Compliance and Risk Management Specialist is responsible for assisting the Compliance Manager with the developing of Compliance and Risk Management Programs and monitors its implementation in compliance with applicable local, state, and federal regulations, and industry standards. The responsibilities also include employee training and education, the implementation of monitoring and auditing applicable to the medical centers and departments throughout the organization and conducting investigations of incidents, grievances, and non-compliance events. Duties and Responsibilities: Assist with developing, implementing, and evaluating the compliance program and promotes training activities to train the company staff about the corporate compliance plan, standards, and requirements. Conduct training and education for Compliance & Risk Management new hires. Participate in DeNovo/Acquisition meetings and assist with all compliance related tasks to ensure center is ready for opening or on-going business. Perform Center Assessment Surveillance, monitoring, and auditing throughout the organization. Prepare the report of findings to disseminate to the stakeholders. Identify risk areas and areas for improvements. Respond to stakeholders’ inquiries to ensure business operations with applicable regulations and contractual agreements. Support in the development/review and oversight of departments’ Policies and Procedures in accordance with federal, State, and industry standards. Assist in the development/review of programs and other materials needed to capture organizational processes such as marketing materials and patients’ notifications. Assist in the implementation and oversight of the Emergency Preparedness Management Plan. Identify and implement protocols to prevent incidents, grievances, and other non-compliant activities throughout the organization. Coordinate and provide input in relation to the Compliance & Risk Management Sub-committee meeting activities. Assess, investigate, and respond timely to health plan grievances. Assist with the daily workflow of the department. Managing and reporting HIPAA breaches and exposures and reports of possible fraud, waste, and abuse. Conduct root cause analysis, event and data reporting, and process improvement to eliminate/mitigate adverse events to patients, employees, and visitors. Maintains risk management information system database. Review all new products, systems, or processes to ensure compliance. Attend meetings on behalf of the Compliance Manager as needed. Assist with coordination of all aspects of the medical claims process. Performs other related duties as assigned. Education and Experience: Bachelor’s degree preferred or three (3) years of work experience with an emphasis in a health/regulatory environment. Knowledge of Medicare and Medicaid guidelines with emphasis in auditing, monitoring, anti-fraud laws and HIPAA Privacy Standards. Certification in health care compliance and risk management preferred Bilingual communications: English/ Spanish preferred. At Clinical Care Medical Centers, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and employees without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, military and veteran status, and any other characteristic protected by applicable law. Clinical Care Medical Centers believes that diversity and inclusion among our employees is critical to our success as a company. We support an inclusive workplace where employees excel based on personal merit, qualifications, experience, ability, and job performance.

Full job record

Job ID9bbdad39dc1e5261a707b4a9ef45565cd7252b84
Org ID2ae5d7c6-19bf-4a86-b3a4-243dc5785200
Source ID0d4ca9d8-9322-4089-b8a3-87a8c7658767
Board ID0d4ca9d8-9322-4089-b8a3-87a8c7658767
Provideradp_workforcenow
Provider Job Key537042
TitleCompliance & Risk Management Specialist
Normalized Title—
Statusactive
Activeyes
Location TextCorporate, Miami, FL, US, Miami, FL
Department—
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionFL
CityCorporate
Salary Raw—
Salary Min—
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Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=e56c13c4-abf5-474d-a873-962cf9a38fe0&ccId=19000101_000001&lang=en_US&type=JS&jobId=537042&jwId=9200786348441_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=e56c13c4-abf5-474d-a873-962cf9a38fe0&ccId=19000101_000001&lang=en_US&type=JS&jobId=537042&jwId=9200786348441_1
First Seen At2026-05-31 18:15:03Z
Last Seen At2026-06-06 13:00:15Z
Last Checked At2026-06-06 13:00:15Z
Last Changed At2026-06-06 13:00:15Z
Inactive At—
Source Posted At2024-06-25 15:24:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=e56c13c4-abf5-474d-a873-962cf9a38fe0|19000101_000001/date=2026-06-06/2026-06-06T13-00-14-005Z-402b063de4a85894bb81204309f250e85a2d6540c39b674b98bb6f682b659187.json
Event Fields
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Parsed Structured
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Extensions
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    "requisitionDescription": "<div><div><div>\n    <link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.23.14/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\" />\n    <link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.23.14/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\" />\n\n    <div class=\"fr-view\">\n      <p style='margin-top:0in;margin-right:0in;margin-bottom:7.5pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:normal;background:white;' id=\"isPasted\"><span style=\"color:black;\">The <strong>Compliance and Risk Management Specialist</strong> is responsible for assisting the Compliance Manager with the developing of Compliance and Risk Management Programs and monitors its implementation in compliance with applicable local, state, and federal regulations, and industry standards. The responsibilities also include employee training and education, the implementation of monitoring and auditing applicable to the medical centers and departments throughout the organization and conducting investigations of incidents, grievances, and non-compliance events. &nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:7.5pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:normal;background:white;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:7.5pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:normal;background:white;'><span style=\"color:black;\"><strong id=\"isPasted\"><span style='font-size:15px;font-family:\"Calibri\",sans-serif;'>Duties and Responsibilities:</span></strong></span></p><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\" id=\"isPasted\"><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Assist with developing, implementing, and evaluating the compliance program and promotes training activities to train the company staff about the corporate compliance plan, standards, and requirements.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Conduct training and education for Compliance &amp; Risk Management new hires.&nbsp;</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Participate in DeNovo/Acquisition meetings and assist with all compliance related tasks to ensure center is ready for opening or on-going business.&nbsp;</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Perform Center Assessment Surveillance, monitoring, and auditing throughout the organization.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Prepare the report of findings to disseminate to the stakeholders.&nbsp;</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Identify risk areas and areas for improvements.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Respond to stakeholders&rsquo; inquiries to ensure business operations with applicable regulations and contractual agreements.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Support in the development/review and oversight of departments&rsquo; Policies and Procedures in accordance with federal, State, and industry standards.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Assist in the development/review of programs and other materials needed to capture organizational processes such as marketing materials and patients&rsquo; notifications.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Assist in the implementation and oversight of the Emergency Preparedness Management Plan.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Identify and implement protocols to prevent incidents, grievances, and other non-compliant activities throughout the organization.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Coordinate and provide input in relation to the Compliance &amp; Risk Management Sub-committee meeting activities.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Assess, investigate, and respond timely to health plan grievances.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Assist with the daily workflow of the department.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Managing and reporting HIPAA breaches and exposures and reports of possible fraud, waste, and abuse.&nbsp;</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Conduct root cause analysis, event and data reporting, and process improvement to eliminate/mitigate adverse events to patients, employees, and visitors.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Maintains risk management information system database.&nbsp;</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Review all new products, systems, or processes to ensure compliance.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Attend meetings on behalf of the Compliance Manager as needed.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Assist with coordination of all aspects of the medical claims process.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Performs other related duties as assigned.&nbsp;</li></ul><p><strong id=\"isPasted\"><span style='font-size:15px;font-family:\"Calibri\",sans-serif;'>Education and Experience:</span></strong></p><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\" id=\"isPasted\"><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Bachelor&rsquo;s degree preferred or three (3) years of work experience with an emphasis in a health/regulatory environment.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;'>Knowledge of Medicare and Medicaid guidelines with emphasis in auditing, monitoring, anti-fraud laws and HIPAA Privacy Standards.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;' id=\"isPasted\">Certification in health care compliance and risk management preferred</li><li style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;text-align:justify;line-height:     normal;border:none;' id=\"isPasted\">Bilingual communications: English/ Spanish preferred.</li></ul><p><br></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;' id=\"isPasted\"><span style=\"color:#767171;\">At Clinical Care Medical Centers, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and employees without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, military and veteran status, and any other characteristic protected by applicable law. Clinical Care Medical Centers believes that diversity and inclusion among our employees is critical to our success as a company. We support an inclusive workplace where employees excel based on personal merit, qualifications, experience, ability, and job performance.</span></p>\n    </div>\n  </div></div></div>\n",
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