Risk Compliance Manager

Risk and compliance is a multi-level function that involves the awareness and understanding of applicable HRSA (Health Resource & Service Administration) standards and regulations, as well as an in depth understanding of FQHC (Federal Qualified Health Care) facilities, and the internal practices within itself. The objective of the position is to review, analyze, lower and mediate risk to the facility by executing compliance policies.

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

• Develops, initiates, maintains and revises policies and procedures for the general operation of the compliance program and its related activities.
• Manage day to day of the risk and compliance programs and its related activities to prevent or reduce risk for the company.
• Develop periodically review, at least annually, and update Standards of Operation of Procedures to ensure continuing relevance and significance in providing guidance to management and employees.
• Collaborates with other departments (for example, human resources, finance, information management director) to direct compliance issues to appropriate existing channels for investigation and resolution.
• Responds to alleged violations of rules, regulations, policies, procedures and standards by evaluating or recommending the initiation of investigative procedures.
• Ensuring that health centers comply with applicable statutory and regulatory requirements, as described in the policy and procedure.
• Acts as an independent review and evaluation body to ensure that compliance issues and concerns within the organization are being appropriately evaluated, investigated and resolved.
• Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
• Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
• Provides reports on a regular basis and as directed or requested, keeps supervisor, key management staff and board members informed of the operation and progress of compliance efforts.
• Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required.
• Maintains an effective compliance communication program for the organization, including promoting a) heightened awareness of standards of conduct, and b) understanding of new and existing risk/compliance issues and related policies and procedures.
• Works with all departments as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees and ongoing training for all employees and managers.
• Monitors the performance of the compliance program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness.
• Familiarity with HRSA, FTCA requirements & staying abreast of new Policy Information Notices (PINS) & Program Assistance Letters (PALS) and implementation of changes, as needed.
• Apply complex compliance and risk management concepts into everyday health center operations.
• Oversight and Regulatory Compliance, Quality Assurance; Legal interpretations & Risk Management
• Required continuing education to stay proficient in HRSA, HIPPA, FTCA, OSHA and HITECH regulations.
• Conducting Internal audits of all department
• Presenting and training of new and/or existing risk/compliance concerns policies and procedures and translate complex guidelines and collaborate with agency leaders to apply objectives into daily operations.

EDUCATION/EXPERIENCE:

• ECRA certified within six months.
• Bachelor’s degree in finance, Business, or Accounting OR 5 plus years related experience
• Clinical or medical designation – CMA, LPN, RN etc.
• Expert level in Microsoft Office software
• Developing Employment and implementation of new policies/ procedures, including analysis of practice.
• Knowledge of workplace safety
• OSHA
• HIPAA

QUALIFICATIONS/SKILLS:

• Knowledge of compliance and risks management programs.
• Excellent skills in oral and written communication.
• High level of initiative and Leadership.
• Ethical conduct.
• Time management.
• Good advocacy skills.
• Confidentiality