Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Regulatory Compliance Clinical Auditing Clinical Documentation Contract Management Industry Trend Analysis Process Improvement Project Collaboration Operational Process Reviews Performance Analytics Good Documentation Practices Compliance Management Compliance Management Auditing Policy Development Integrated Reporting Total Quality Management CARF Compliance Online Communication

Other Skills

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Training And Development
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Quality Assurance
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Non-Verbal Communication
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Analytical Skills
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Ethical Standards And Conduct
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Time Management
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Teamwork
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Organizational Skills
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Detail Oriented
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Problem Solving

Roles & Responsibilities

High school diploma or equivalent required
Minimum of 2 years of auditing experience
Familiarity with state-specific regulations (GA, TX, LA, WV, NH, ME)
Experience with CARF and/or Joint Commission preferred

Requirements:

Develop and implement systems to ensure compliance with state regulations, accreditation standards (including CARF), and payer contracts
Monitor program documentation and operational practices impacting quality and compliance
Educate staff on audit processes, documentation standards, and chart performance
Assist with preparation for regulatory and accreditation audits

MedMark Treatment Centers

About MedMark Treatment Centers

Where Change Begins. MedMark Treatment Centers is committed to assisting individuals with their recovery from opioid addiction with dignity and respect. Our goal is to help each patient achieve a healthier lifestyle, free from drug addiction. Our outpatient treatment programs across the country offer medication-assisted treatment services including individual substance abuse counseling to address the issues of addiction and to improve the overall quality of life for those we serve. BayMark Health Services, a company dedicated to the treatment of opiate addiction, is the parent company of MedMark Treatment Centers. BayMark operates 399 opioid addiction and dependency treatment centers in 36 states.

Founded: 2018

Company size: 501 - 1000

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Job description

Description

Position at BayMark Health Services

Program Integrity Specialist

About the Role

BayMark Health Services is seeking a Program Integrity Specialist to support our Residential Treatment Centers by ensuring the accuracy, quality, and compliance of clinical and operational documentation. This role plays a critical part in maintaining regulatory compliance, accreditation standards, and payer requirements across multiple states.

Reporting to the RTC Director of Compliance, the Program Integrity Specialist partners closely with leadership and staff to strengthen documentation processes, prepare for audits, and promote high-quality program operations in a fast-paced behavioral healthcare environment.

Key Responsibilities

Develop and implement systems to ensure compliance with state regulations, accreditation standards (including CARF), and payer contracts
Monitor program documentation and operational practices impacting quality and compliance
Support leadership by providing compliance monitoring, reporting, and trend analysis
Educate staff on audit processes, documentation standards, and chart performance
Assist with preparation for regulatory and accreditation audits
Create, update, and refine procedures related to documentation review and program integrity
Track trends, maintain quality reports, and participate in Quality Management meetings
Provide staff support related to EMR usage (KIPU)
Collaborate on special projects and perform additional duties as assigned

Qualifications

High school diploma or equivalent required
Minimum of 2 years of auditing experience
Experience with CARF and/or Joint Commission preferred
Familiarity with state-specific regulations (GA, TX, LA, WV, NH, ME)
Strong analytical, organizational, and problem-solving skills
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment
Strong ethical standards and attention to detail
Valid driver’s license, reliable transportation, and acceptable driving record required

Work Environment

Remote position with required adherence to HIPAA-compliant home office standards
Occasional lifting (up to 25 lbs) and extended periods of sitting

Why BayMark

Be part of a mission-driven organization making a meaningful impact in addiction treatment and recovery
Collaborate with dedicated professionals committed to quality, compliance, and patient care
Opportunity to contribute to system improvements and organizational excellence

Equal Opportunity Employer

BayMark Health Services is an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, sexual orientation, or any other protected status under applicable laws.