CMS Compliance Specialist
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- 25140193 Requisition #
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- Jan 22, 2025 Post Date
The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within Montana State Hospital.
The CMS Compliance Specialist investigates all-level patient-related complaints, grievances, and allegations of abuse and neglect. This position is a member of the Quality Improvement Department. This position reviews federal and state regulations specifically related to health care services to evaluate the nature of violations, organizational-wide state of compliance, and actions to be taken for improvements. This position conducts root cause analysis and facilitates the department managers and directors with the plan of corrections to address timely resolutions, violation preventions, and improvement efforts.
Why Join DPHHS
Our mission at DPHHS is serving Montanans in their communities to improve health, safety, well-being, and empower independence. By joining our department, you will have the opportunity to perform meaningful work in public service to our state and its residents.
The State of Montana's comprehensive benefits package includes healthcare coverage, retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program. In addition, DPHHS is the largest state agency with a wide range of advancement opportunities whether you are joining the workforce or have several years of experience.
Qualifications for this Career Opportunity
- Extensive knowledge of CMS and Joint Commission regulations, specifically portions applicable to patient rights and grievances.
- Strong understanding of healthcare regulatory requirements and industry practices.
- Strong working knowledge and understanding of state and federal requirements affecting acute psychiatric facilities.
- Ability to manage patient complaint grievance program consistent with established regulations and policies.
- Strong working knowledge with developing and implementing improvement activities.
- Strong skills in active listening, communicating both verbally and in writing, investigative techniques, reading comprehension, public speaking, report writing, and critical thinking/inductive reasoning.
- Detail-oriented with the ability to manage multiple tasks and projects.
- Strong computer knowledge and ability to utilize typical office programs such as Excel, Word, Outlook, and PowerPoint.
Minimum Qualifications (Education and Experience):
- Bachelor degree in Healthcare, Public Health, or Community Services related field.
- Recent relevant (within 3 years) experience may substitute for education on a year-for-year basis.
- 3 years work experience within healthcare regulations/implementation, compliance and patient satisfaction/grievances required.
- Patient Safety certificate or credential from nationally accredited organization preferred.
- Experience working directly with patient advocacy issues within the past 2 years preferred.
- Experience with developing and conducting training related to grievances or investigations preferred.
- Other combinations of education, experience, or credentials may be considered on a case by case basis.
How to Apply
To be considered for a DPHHS position, submit the following required documents with your application on the State of Montana Careers website. When submitting the required documents, you must check the "relevant document" box to ensure your attachments are uploaded correctly to your application for this position.
- Cover Letter
- Resume
Successful applicants will be subject to background checks relevant to the position and must pass reference checks before an offer will be extended. DPHHS is an equal opportunity employer. Women, minorities, and people with disabilities are encouraged to apply. For a copy of the full job description or if you need a reasonable accommodation in the application or hiring process, contact DPHHS Human Resources listed below.
Additional Information
This position is open until filled with frequent screening of applicants.
