Job at a glance
Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day.
At Vynca, our mission is to provide comprehensive care for more quality days at home. About the job The Compliance Specialist supports the organization’s healthcare compliance and quality programs and ensures adherence to all applicable federal and state laws, regulations, and regulatory guidance. This role works closely with the Vice President of Compliance to operationalize the compliance program, monitor regulatory and quality-related risk, and promote a culture of ethical conduct and continuous improvement.
The Compliance Specialist must demonstrate strong knowledge of healthcare compliance requirements, including OIG and DOJ Compliance Program Guidance and enforcement activities, and remain current on evolving regulatory and quality expectations, while supporting both operational compliance activities, quality initiatives, and leadership decision-making. This is a critical role that we are looking to fill as soon as possible.
At this time we are only considering applicants in the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, Utah, and Washington, with a preference for applicants based in the Pacific Time Zone. What you’ll do Compliance Program Support Support the design, implementation, and ongoing maintenance of the organization’s healthcare compliance program in alignment with OIG and DOJ Compliance Program Guidance.
Assist in operationalizing the seven elements of an effective compliance program, including policies and procedures, training, monitoring, auditing, reporting, and enforcement. Serve as a key resource to internal stakeholders on compliance-related questions and issues, providing guidance to translate regulatory requirements into actionable organizational practices. Quality Program Support Support compliance and quality oversight for Enhanced Care Management (ECM) and Palliative Care programs in alignment with federal, state, and payer requirements.
Monitor regulatory and contractual requirements while tracking evolving guidance impacting program operations, care delivery, and documentation standards. Conduct audits, monitoring, and QAPI activities, including metric tracking, trend analysis, and support for corrective action plans. Collaborate cross-functionally to address compliance risks, support audit readiness, and integrate quality and compliance standards into program workflows.
Regulatory Monitoring & Risk Management Monitor federal and state healthcare laws and regulations, including but not limited to Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA, and applicable state healthcare regulations. Track DOJ and OIG enforcement actions, advisory opinions, special fraud alerts, and compliance guidance, and assess applicability to organizational operations. Conduct compliance risk assessments and help identify, document, and address compliance risks, including fraud, waste, and abuse (FWA), enforcement trends, government oversight, and internal audits.
Support regulatory change management by tracking new or updated laws, regulations, and enforcement trends, including monitoring requirements for potential new markets as the organization expands. Auditing, Monitoring & Investigations Assist with compliance audits, monitoring activities, and reviews to assess adherence to internal policies and regulatory requirements. Support internal investigations related to potential compliance concerns, including documentation, issue tracking, an