Compliance Officer

Indian Health Services
Kotzebue, AK Full Time
POSTED ON 5/28/2024
Location: Kotzebue, AK Exit Disclaimer: You Are Leaving www.ihs.gov
Type: Tribal Salary Range: $70,000 to $120,000 / Per Year Open Period: 5/3/2016 to 7/31/2016 Summary: Join a COMPASSIONATE and ADVENTUROUS team that delivers health and social services to communities above the ARCTIC CIRCLE from modern facilities in Kotzebue, Alaska and 11 surrounding villages! EXCELLENT SALARY/BENEFITS! Relocation, free medical, dental, vision, life insurance, short-term disability and retirement for employee, furnished hospital housing for rent, 30 days accrued leave in first year, 11 paid holidays, leave cash out option, no State Income Tax, Alaska’s Permanent Fund Dividend, employee gym and saunas, close knit community, 5 minute commute/walk to work, endless year-round outdoor activities and ways to enjoy the beauty of Alaska, and more! AMAZING CULTURE COMMUNITY READY TO WELCOME YOU AND YOUR FAMILY: • Beautiful 88,000 sq ft hospital decorated throughout with stunning Alaska Native artifacts • See the Northern Lights in the winter • Experience the land of the midnight sun in the summer where the sun doesnt ever set • Watch dog sledding and snowmobile races • Eat Native Alaskan food • Buy Native Alaskan art made by the Iñupiat • Watch the seals and caribou crossing the ice in the winter and spring • Pick the sweetest blueberries, cranberries and salmon berries in the fall • Attend festivals and parades in the summertime • A tremendous opportunity to assist amazing communities in self-governance, preservation of culture and subsistence lifestyle and to provide medical, social and Tribal services for a healthy future!

Responsible for the oversight of the development, implementation and daily operations of the Maniilaq Health Services [MHS] Clinical Risk Management and Compliance programs to maintain an environment conducive to patient and staff safety, prevent or minimize losses associated with identified risks, and to minimize claims against the Association. The position will create, develop and nurture culturally appropriate interactions and connections with staff, patients and the community. This position reports directly to the Health Services Administrator. Duties: Compliance Duties Develops, maintains, and coordinates the MHS Compliance Program. Chairs the MHS Compliance Committee. Develops, administers and monitors implementation of a MHS-wide plan to comply with state, federal and accreditation requirements, including but not limited to requirements of Medicaid, Medicare, Joint Commission, HIPAA, CLIA and OSHA. Works with MHS programs in the preparation, development, and implementation of written policies and procedures to achieve compliance with state, federal and accreditation standards. Develops and implements a compliance training program for all MHS employees, including orientation and ongoing education, to ensure compliance with state and federal laws and regulations. Ensures compliance with revenue generation and reimbursement rules and regulations from CMS and other federal or state funded health care programs. Determines the degree to which MHS meets/exceeds compliance standards through audits and other surveillance tools. Ensures that the medical staff appointees and independent contractors are in compliance with applicable standards, especially with regard to credentialing, coding and billing practices. Coordinates the processing of internal and external compliance complaints with the Association Compliance Officer. Recommends and implements resolution strategies for identified compliance issues. Risk Management Duties Develops, maintains, and coordinates the MHS Clinical Risk Management Program. Chairs the MHS Risk Management Committee. Develops, administers and monitors a MHS-wide plan for risk identification, investigation and reduction. Performs risk assessments in clinical settings and inspects patient care areas. Collaborates with quality and safety personnel to develop performance goals, and to investigate potential or actual occurrences/incidents participates in root cause analysis investigation and reporting. Coordinates with the corporate Risk Manager as needed to meet corporate and MHS requirements and goals. Collects, evaluates and presents relevant data on risk management claims and issues to various levels of management. Recommends and implements resolution strategies for identified risk management issues. General Duties Provides guidance and interpretation to the Health Services Administrator, Medical Director, and the Executive Leadership Team on matters related to clinical risk management and compliance. Prepares and submits reports to the Health Services Administrator, Executive Leadership Team and the Board of Directors. Keeps up-to-date on laws and standards governing health services compliance and risk management, and maintains professional credentials through continuing education. Participates as member of the MHS Executive Leadership Team. Coordinates with the General Counsel as needed. Other duties as assigned. Qualifications: Must have a Bachelors Degree in an applicable field from an accredited college/university. Must have Healthcare Compliance certification [CHC] or obtain within one [1] year of hire. Must have at least two [2] years’ experience in the health care field with a focus on program management, performance improvement, clinical risk management, compliance, regulations and accreditation. Knowledge necessary to complete the above duties, including a comprehensive knowledge of Joint Commission, CLIA, CMS, and other state and federal laws governing healthcare. Ability to design and present instructional materials for varied audiences and to communicate with staff, agency representatives and the public. Proficiency with RPMS gained within the first year on the job. Must have successful experience interacting with a diverse employee population. Must have strong communication, interpersonal, analytical, organizational, and time management skills. Work Type: Permanent, Full Announcement #: 2016:OTZ-029 Who May Apply? Public Get Details & Apply: http://www.maniilaq.org/careers/ Exit Disclaimer: You Are Leaving www.ihs.gov

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