Keystone Human Services is seeking a Compliance Specialist to join our Corporate Compliance and Integrity team. In this role, you will support documentation and billing reviews, licensing readiness, compliance monitoring, and corrective action follow-up to strengthen accountability and service quality. Our work is rooted in the belief that every person should have the opportunity to thrive, contribute, and fully participate in all that society has to offer.
The Compliance Specialist supports Keystone Human Services’ compliance program by promoting adherence to applicable laws, regulations, organizational policies, documentation standards, billing requirements, licensing expectations, and compliance-related processes. This position supports audit readiness, monitors corrective action follow-up, identifies trends and potential risk areas, and assists with coordinating cross-functional compliance activities.
Responsibilities Include:
- Promote Keystone’s mission, values, and culture through all aspects of the role.
- Assist with reviews of service documentation and supporting billing records to assess adherence to applicable requirements, identify discrepancies, document findings, and track corrective actions through completion.
- Assist programs in preparing for licensing inspections and regulatory reviews by reviewing and organizing required documentation, tracking citations and plans of correction, and monitoring supporting evidence of completion.
- Apply regulatory requirements, organizational policies, and documentation standards when reviewing compliance information and assisting programs with questions and follow-up.
- Maintain accurate, organized, and confidential compliance records, reports, tracking tools, and other department materials.
- Coordinate the review and follow-up of reported compliance concerns, privacy-related matters, conflict-of-interest disclosures, and corrective actions, tracking progress and escalating issues as appropriate.
- Analyze audit results, regulatory findings, and corrective action data to identify patterns, inconsistencies, recurring issues, and emerging risks affecting documentation accuracy, billing compliance, and licensing readiness.
- Communicate clearly and professionally with internal departments and external stakeholders to request information, clarify requirements, document findings, and promote timely completion of compliance-related tasks.
- Recommend improvements to compliance processes, monitoring tools, and internal controls to strengthen consistency, accuracy, timeliness, and corrective action accountability.
- Perform other compliance-related duties and projects as assigned.
Compensation & Benefits:
- Full-time, exempt position
- Starting annual salary: $60,000, may increase based on education and experience
- Actual compensation will be determined based on localized market data, skills, experience, and education
- Eligible employees will have access to our comprehensive benefits package, including medical, dental, and vision insurance; a 401(k)-retirement plan with company match; paid time off (PTO), tuition reimbursement, wellness programs, and more
Qualifications:
- High school diploma or equivalent and at least one year of relevant work experience in compliance, quality assurance, program operations, billing support, or related administrative work involving records review, discrepancy identification, information tracking, or follow-up coordination.
- An equivalent combination of education and relevant experience may be considered to meet the minimum requirements.
- Ability to interpret and apply regulatory requirements, organizational policies, and documentation standards when reviewing records and addressing program-related questions.
- Experience reviewing information for accuracy and completeness, with the ability to identify discrepancies, document concerns, and track related follow-up.
- Foundational knowledge of compliance and ethics principles, including confidentiality, objective fact-finding, reporting concerns, and appropriate escalation of potential compliance issues.
- Basic proficiency using spreadsheets and other tools to organize information, track deadlines, and maintain accurate records.
- Valid driver’s license and reliable daily access to a privately maintained and insured vehicle.
- Successful completion of the pre-employment process, including required background checks, clearances, and verifications.
Preferred Qualifications:
- Associate or bachelor’s degree in human services, healthcare administration, business administration, compliance, or a related field.
- Experience in human services or a related field, particularly supporting intellectual disability, autism, behavioral health, residential, or community-based service programs.
- Familiarity with Medicaid-funded services, including service documentation, billing requirements, and records supporting reimbursement.
- Experience preparing for licensing inspections or regulatory reviews, reviewing citations, developing or monitoring formal plans of correction, and evaluating evidence of corrective action completion.
- Experience using spreadsheets, audit tools, or tracking systems to analyze findings, summarize results, and identify recurring compliance issues or emerging risks.
- Experience supporting one or more corporate compliance functions, such as internal investigations, HIPAA and privacy, conflict-of-interest disclosures, compliance reporting, or exclusion screening.
- Experience maintaining confidential compliance records and coordinating policy updates, training activities, case tracking, or related follow-up.
This job description summarizes the position’s primary duties and responsibilities and is not intended to be exhaustive. Duties, responsibilities, and activities may change, or new ones may be assigned as business needs change, consistent with applicable law.
Keystone Human Services is an Equal Opportunity Employer and prohibits discrimination of any kind. We provide reasonable accommodations to applicants and employees with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable federal, state, or local laws. If you require an accommodation during the application or interview process, please contact a member of the Recruitment team at 717-775-1356 or Careers@khs.org.
