Essen Health Care
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Healthcare Compliance Specialist
role at
Essen Health Care
As the largest privately held multispecialty medical group in the Bronx, Essen Health Care provides high‑quality, compassionate, and accessible medical care to some of the most vulnerable and under‑served residents of New York State. Guided by a Population Health model of care, Essen offers urgent care, primary care, and specialty services across five integrated clinical divisions. Founded in 1999, the organization has expanded from a single primary care office to a umbrella of specialties, with all services delivered via telehealth, in‑person at over 35 medical offices, and through the Essen House Calls program.
Job Summary The Healthcare Compliance Specialist supports Essen Healthcare’s commitment to delivering high‑quality, compliant patient care by ensuring adherence to federal, state, and payer regulations. This role conducts audits, monitors operational processes, identifies compliance risks, and collaborates across divisions to implement corrective action plans. The ideal candidate brings clinical experience, strong analytical skills, and a deep understanding of patient‑care workflows within medical office settings.
Responsibilities
Conduct routine and targeted compliance audits across clinical and administrative areas (documentation, coding, billing, regulatory processes, policy adherence, etc.).
Review patient‑care workflows in medical offices and identify gaps or opportunities for improvement.
Monitor regulatory updates and ensure organizational policies and procedures are aligned with federal, state, and payer requirements.
Work collaboratively with clinical leadership, operations, quality, and IT to support corrective actions, training, and process‑improvement initiatives.
Utilize EMR systems and BI reporting tools to analyze data, measure compliance trends, and prepare reports for leadership.
Investigate potential compliance issues, support incident follow‑up, and maintain documentation on outcomes and resolutions.
Serve as a resource to staff and leadership on compliance‑related issues and best practices.
Assist with development and delivery of compliance education and training programs.
Maintain confidentiality and handle sensitive information in line with regulatory standards.
Education
Bachelor’s degree required.
Master’s degree preferred.
RN strongly preferred.
RN‑BSN preferred.
RN Associate Degree acceptable.
Experience
Minimum 2 years of direct patient care experience required.
Demonstrated understanding of medical office patient‑care workflows.
Experience with EMR systems and/or business intelligence (BI) reporting tools.
Prior experience in Healthcare Compliance and/or audit functions strongly preferred.
Experience communicating with clinical, operational, and executive leadership.
Skills & Competencies
Strong analytical and problem‑solving skills.
Ability to function independently with minimal supervision.
Excellent verbal and written communication skills.
Ability to collaborate across diverse teams and departments.
High attention to detail and strong organizational skills.
Working knowledge of HIPAA, CMS regulations, state regulations, and payer compliance requirements.
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
Seniority Level Entry level
Employment Type Full‑time
Job Function Finance and Sales
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Healthcare Compliance Specialist
role at
Essen Health Care
As the largest privately held multispecialty medical group in the Bronx, Essen Health Care provides high‑quality, compassionate, and accessible medical care to some of the most vulnerable and under‑served residents of New York State. Guided by a Population Health model of care, Essen offers urgent care, primary care, and specialty services across five integrated clinical divisions. Founded in 1999, the organization has expanded from a single primary care office to a umbrella of specialties, with all services delivered via telehealth, in‑person at over 35 medical offices, and through the Essen House Calls program.
Job Summary The Healthcare Compliance Specialist supports Essen Healthcare’s commitment to delivering high‑quality, compliant patient care by ensuring adherence to federal, state, and payer regulations. This role conducts audits, monitors operational processes, identifies compliance risks, and collaborates across divisions to implement corrective action plans. The ideal candidate brings clinical experience, strong analytical skills, and a deep understanding of patient‑care workflows within medical office settings.
Responsibilities
Conduct routine and targeted compliance audits across clinical and administrative areas (documentation, coding, billing, regulatory processes, policy adherence, etc.).
Review patient‑care workflows in medical offices and identify gaps or opportunities for improvement.
Monitor regulatory updates and ensure organizational policies and procedures are aligned with federal, state, and payer requirements.
Work collaboratively with clinical leadership, operations, quality, and IT to support corrective actions, training, and process‑improvement initiatives.
Utilize EMR systems and BI reporting tools to analyze data, measure compliance trends, and prepare reports for leadership.
Investigate potential compliance issues, support incident follow‑up, and maintain documentation on outcomes and resolutions.
Serve as a resource to staff and leadership on compliance‑related issues and best practices.
Assist with development and delivery of compliance education and training programs.
Maintain confidentiality and handle sensitive information in line with regulatory standards.
Education
Bachelor’s degree required.
Master’s degree preferred.
RN strongly preferred.
RN‑BSN preferred.
RN Associate Degree acceptable.
Experience
Minimum 2 years of direct patient care experience required.
Demonstrated understanding of medical office patient‑care workflows.
Experience with EMR systems and/or business intelligence (BI) reporting tools.
Prior experience in Healthcare Compliance and/or audit functions strongly preferred.
Experience communicating with clinical, operational, and executive leadership.
Skills & Competencies
Strong analytical and problem‑solving skills.
Ability to function independently with minimal supervision.
Excellent verbal and written communication skills.
Ability to collaborate across diverse teams and departments.
High attention to detail and strong organizational skills.
Working knowledge of HIPAA, CMS regulations, state regulations, and payer compliance requirements.
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
Seniority Level Entry level
Employment Type Full‑time
Job Function Finance and Sales
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