[Hiring] Healthcare Regulatory Compliance Specialist @Cosan Group

Role Description

As a Compliance Specialist, you’ll play a critical role in supporting our healthcare regulatory compliance program through audits, investigations, risk assessments, and issue response activities.

What You’ll Do:

• Compliance Audits & Documentation Reviews:
  • Conduct compliance audits and documentation reviews across operational and clinical functions to assess adherence to regulatory and internal standards (Medicare, HIPAA, time tracking, etc.).
  • Perform root cause analyses of compliance concerns, including data gathering, interviews, trend identification, and development of actionable recommendations.
  • Validate corrective action effectiveness through follow-up audits, testing, trend review, and evidence-based closure documentation.
• Investigations & Issue Response:
  • Support the full lifecycle of internal investigations—from intake and triage through resolution and documentation of findings.
  • Support intake, triage, documentation, escalation, and tracking of compliance reports, privacy concerns, and potential regulatory issues.
  • Assist with HIPAA privacy incident reviews, breach-risk assessment documentation, and coordination of timely escalation and response activities.
• Corrective Action & Risk Management:
  • Collaborate with stakeholders to develop, monitor, and implement corrective action plans that address identified compliance risks.
  • Support fraud, waste, and abuse monitoring activities, including review of documentation, billing-related compliance risks, Medicare program requirements, and applicable OIG compliance guidance.
  • Monitor changes in healthcare regulations and payer requirements; proactively identify risks relevant to Cosán’s operations.
• Policy, Training & Reporting:
  • Contribute to the creation and annual review of compliance policies, SOPs, and regulatory reference materials.
  • Partner with Quality & Education team to develop or update compliance resources (policies, training, job aids) based on identified gaps or regulatory changes.
  • Assist with regulatory change management by assessing operational impact, communicating requirements, and supporting updates to policies, procedures, training, and controls.
• Documentation & Compliance Reporting:
  • Maintain detailed records and documentation of compliance incidents, audit results, risk assessments, and investigation outcomes in internal systems.
  • Contribute to the development of compliance monitoring tools, dashboards, and reporting mechanisms to enhance transparency and accountability.
  • Support compliance reporting, dashboards, committee materials, and trend summaries for leadership review.

Qualifications

• Bachelor’s degree in Healthcare Administration, Compliance, Public Health, or related field, or equivalent hands-on experience in compliance, regulatory operations, or healthcare services.
• Minimum 2+ years of healthcare compliance, auditing, or regulatory affairs experience.
• Strong knowledge of HIPAA, Medicare care management programs (CCM, PCM, RPM), and OIG compliance guidelines.
• Experience with healthcare investigations and root cause analysis.
• Excellent written communication and documentation skills.
• Ability to manage multiple priorities independently and maintain strong attention to detail.

Requirements

• Work Arrangement: Work from Home with flexibility.
• Must maintain reliable internet connectivity and professional workspace for remote collaboration.
• Occasional in-person meetings may be required for compliance reviews, audits, or strategic planning.
• Ability to sit for extended periods while managing documentation and compliance systems.
• Ability to focus on detail-oriented work and communicate findings clearly.
• Minimal travel required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Benefits

• Competitive salary commensurate with experience.
• Paid Time Off + Company Holidays.
• Medical, Dental, Vision Insurance.
• Complimentary Life Insurance.
• 401(k) Plan.
• Optional Short-Term, Long-Term Disability, Critical Illness & Accident coverage.
• Employee Assistance Program including mental health resources.
• Company-provided equipment (laptop, monitor, headset, etc.).