What are the responsibilities and job description for the Community Clinic Compliance Manager position at Kheir Clinic (FQHC)?
POSITION SUMMARY
The Compliance Manager will be responsible for supporting the organization’s Comprehensive Compliance Program, including the development and implementation of the Compliance and Regulatory Plans and supporting organizational response to contracted plan audits. This is a hands-on role requiring both strategic thought and direct attention to detail. Specific responsibilities include policy and process implementation, leading effective training programs, conducting internal monitoring, directing investigations and corrective actions as needed, and facilitating various risk management committees to help ensure organizational compliance with applicable laws, regulations, industry guidance and internal Policies. Reporting to the Director of Human Resources & Compliance, this individual will work closely and cross-functionally with management peers and functional units throughout our organization to lead and support compliance initiatives, and to raise the level of awareness of compliance within our organization. This is a key and highly visible position with the responsibility of developing and maintaining a strong organization compliance program with the talent, infrastructure, and culture.
ESSENTIAL RESPONSIBILITIES
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks and responsibilities. Employees may perform other duties as assigned.
COMPLIANCE
- Prepare & revise the Compliance Plan as dictated by changes in statutes, rules, regulations and requirements of Federal, state and health plans. Take responsibility for all reporting requirements contained within the plan.
- Prepare annual work plans addressing the priority compliance risk exposures for review by the Compliance Committee.
- Organize and lead efforts regarding all compliance audits.
- Develop, coordinate, and participate in educational and training programs that focus on the elements of the Compliance Program.
- Ensure that all appropriate employees and managers are knowledgeable of, and comply with, pertinent Federal, State and payer health care program requirements.
- Develop and implement methods and programs that encourage managers and employees to report possible noncompliance.
- Coordinate with other department heads to ensure seamless implementation of policies and procedures between Compliance and Operations.
- Provide quarterly updates to the leadership team regarding progress toward the Compliance plan and results of related audits and monitoring functions.
- Identify high risk areas to reduce agency’s vulnerability to fraud, waste and abuse.
- Support Human Resources in investigation and tracking of employee performance and conduct allegations and incidents.
- Exercise day to day responsibility in the oversight of HIPAA training and compliance; act as HIPAA Privacy Officer.
QUALIFICATIONS
OTHER SKILLS AND ABILITIES :
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is frequently required to talk or hear. The employee is frequently required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and / or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
SCHEDULE :
Job Type : Full-time
Pay : $68,000.00 - $82,000.00 per year
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Salary : $68,000 - $82,000
