Compliance and Regulatory Training Specialist

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond.  As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community.  Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day.  Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.
 

Position Summary
 

The Compliance and Regulatory Specialist supports the Compliance & Legal Affairs department as a knowledge leader responsible for developing, implementing, and delivering comprehensive compliance and regulatory training programs for all levels of staff. This role ensures employees receive training regarding federal and state regulations, regulations, health plan policies, and ethical standards, pertinent to their specific roles. The role partners closely with Compliance, Legal, Human Resources, and Operational teams to promote a culture of compliance, promote continuous learning and professional development, and reduce organizational risk.

The incumbent will serve as the Facility Security Officer (FSO) for the Organization, ensuring MPHC employees in roles requiring a Common Access Card (CAC) have the proper sponsorship, background, and authorization to obtain and maintain a CAC., The incumbent must qualify for, obtain, and maintain a Position Level of Trustworthiness from the U.S. Government Office of Personnel Management as well as verify their US citizenship and complete the required employment eligibility verification upon hire.

Job Description

PRIMARY DUTIES AND RESPONSIBILITIES

Training Development & Delivery

• Design, develop, revise and deliver effective and engaging compliance training programs (e.g., HIPAA, CMS regulations, Defense Health Agency regulations, NCQA requirements, fraud, waste & abuse, code of conduct, privacy, etc.).
• Support development of the company-wide compliance training plan, including consultation with business segments, ensuring alignment with risk profiles and regulatory expectations.
• Create training materials, e-learning modules, and job aids tailored to various employee groups and learning styles. Develop visually compelling and easy-to-understand materials to simplify compliance topics.
• Participate in new hire orientation sessions focusing on compliance and regulatory requirements and conduct annual training.
• Design and implement quizzes, knowledge checks, and other evaluation tools to measure comprehension; analyze results to identify gaps and drive improvements.
• Conduct ongoing refresher and specialized training as regulations or company policies evolve.

Regulatory Compliance

• Stay current on relevant regulations and industry standards, including CMS, Medicare, HIPAA, NCQA and any regulatory or procedural requirements.
• Translate complex regulatory language into practical, understandable training content.
• Support compliance monitoring efforts by identifying training gaps and recommending corrective actions.

Facility Security Officer (FSO)

• Sponsorship: Works with Mission Partner Affiliation Sponsors (MPAS) to initiate the CAC application process.
• Enrollment: Enrolls appropriate roles in the Mission Partner Identity Credentialing and Access Management (MP ICAM) system.
• Application Management: Guides CAC applicants to log in and complete their applications within MP ICAM.
• Liaison: Acts as the primary contact for the Defense Counterintelligence and Security Agency (DCSA) and other government security agencies, as applicable.
• Compliance: Ensures CAC holders meet and maintain requirements for access. 

Program Evaluation & Reporting

• Assess training effectiveness through evaluations, metrics, and feedback.
• Maintain detailed training records to ensure regulatory compliance and audit readiness.
• Prepare and present reports on compliance training completion and outcomes to leadership.

Collaboration & Support<