Chief Compliance Officer (CCO)

Immediate Supervisor: President and Chief Executive Officer(CEO)

 Programs and Positions Supervised: Agency Quality Assurance/Quality Improvement program, Agency Compliance and Risk Management programs, Agency Access Services (Health Information, Central Intake, Customer Experience), Utilization Manager, Staff Development Coordinator

Supervision Schedule: weekly 

Exempt/40 hours a week minimum

Minimum Qualifications:

 Education: Master’s degree required in human services or related field

Licensure: Licensure as LCSW, LMHC, or LMFT

 Experience: Three to five years’ experience with quality improvement processes. 5 years of experience supervising groups and department.  Knowledge in compliance, conformance, and safety practices. Firm knowledge and experience with the DCF, AHCA, Medicaid, Medicare, Commercial, and grant-funded contracts and requirements. DOH practices as they relate to child welfare, behavioral health service delivery. Experience and knowledge with local partnerships preferred. Experience in behavioral health/mental health and substance abuse counseling, quality and accreditation standards, contract monitoring, and supervisory skills. Working knowledge of state and federal laws, regulations, and standards (OSHA, FDOH, HHS, BBB) related to compliance, risk management, and client PHI.   Extensive knowledge of both the clinical and administrative work stations and data management reports of the electronic medical records platform. Strong demonstrated verbal communication and writing skills. Experience in public speaking, with ability to engage multi-disciplinary internal and external audiences. Strong verbal and written communication skills. Ability to communicate effectively with board of trustees, funders, clients, and other internal and external stakeholders. Experience and knowledge of local partnerships preferred. Experience in analyzing sensitive/proprietary data and trends for purposes of both quality improvement and internal/external compliance/policy breaches. Serve as Corporate Compliance Officer, Risk Manager, agency Single-Point-of-Contact for ADA/504 Auxiliary Aids/Services, and Privacy Officer with the support of the HIM Manager.

 Must be 21 years of age.

Negative Drug Screening prior to hire and throughout employment.

Clear Criminal Background Check throughout employment with Suncoast Center and local checks prior to hire and annually along with DCF Level II prior to hire and as required by DCF, and Must have valid Florida Driver’s License Motor Vehicle checks prior to hire and annually with acceptable driving record maintained throughout employment along with reliable vehicle, valid registration, and valid vehicle insurance. (must be in compliance with Florida Laws and Administrative Codes with fingerprinting and determined to be of good moral character).

Working Conditions: At least 40 hours per week. Multi-demands. Face to face contact with clients, clinical, medical and support staff. Some evening hours are required, some confined spaces as well. Must be able to manage in a busy, high stress office. Ability to adjust schedule to meet agency demands.

Computer Literate: proficient in MS Office-Word, Outlook, Excel, PowerPoint; and EMR functions. Expected to use electronic systems including but not limited to SVDR, JWB and CFBHN Funder SharePoint sites, CARISK, and DCF PLADs, and other assigned funder database sites to ensure the conformance to mandated processes and reporting.

Job Duties:

• Serve as Corporate Compliance Officer and Risk Manager
• Serve as Privacy Officer with the support of the HIM Manager     
• Serve as agency Single-Point-of-Contact for ADA/504 Auxiliary Aids/Services.
• Responsible for Agency Quality Improvement Program; Chair the QIC Committee, coordinate with agency management team on QIC Report requirements and Quality Improvement activities.
• Review service and administrative contracts, MOUs, partnership and business associate agreements for areas of agency and partner compliance, required standards of service delivery, monitoring requirements, and QA/QI requirements.
  • Responsible for facilitating all agency site visits and contract monitoring requirements including follow-up to monitoring reports and resulting required improvement plans.
• Supervise the Access & support Teams to insure efficient and timely community access to agency programs and services.
• Responsible for Suncoast Center Contracts, Accreditations, Certifications, and Licensure renewals
  • Development and maintenance of agency site visit standards and procedures.
  • Monitor the development and completion of internal and external quality improvement plans and corrective action plans.
• Represent Suncoast Center on funder/contract Quality Assurance committees.
• Participate in program cost-benefit analysis meetings and clinical administrative alignment.
• Ensures the required updates and maintenance of Agency Policy, Procedures, and Forms.
• Chair the Client Input Committee and review client grievances to insure opportunity for client input into the quality of programs/services.
• Conducts timely internal and external confidential complaint investigations.   Able to back up written recommendations based on agency policy, interviews data results analysis.  
• Member of the Executive Leadership Team.
• Ensure New Employee Orientation meets the agency standards
• Facilitate Agency Strategic Planning process.
• Submit monthly funder/contract reports when required.
• Participate in Board committees, external community and funder committees as assigned.
• Provides immediate resolution to formal client complaints.
• Answers inquiries of PFSS Supervisors as related to patient care.
• Work with Billing & Coding staff to ensure best practices are used at each site location.
• Ensures that decisions are in compliance with Suncoast Center Policies.
• Audit and oversight of Frond Desk Operations at each site location.
• Audit and oversight of inbound patient calls to Suncoast Center Access numbers.
• Audit and oversight of employee patient charges.
• Audit and oversight of patient unapplied funds(billing)
• Audit and oversight of patient wait time process.(front desk operations)
• Audit and oversight of Insurance Verification process.(front desk operations)
• Audit and oversight of provider appointment and credentialing needs.
• Audit and oversight of internal referral process.
• Audit and oversight of assigned and preferred PCPs.
• Allocation of personnel to cover staff shortages.
• Responsible for internal investigations, whistleblower, and grievances.
• Serves as the Privacy Officer
• Other duties as assigned.

 Core Competencies

• The ability to function and operate as a team player, showing dignity and respect for all.
• The ability to comply with all equal employment opportunity and ethical standards and regulations.
• The ability to take direction in a respectful and productive manner from supervisors and managers.
• The ability to work, as scheduled, in a timely fashion, and with an attitude oriented to service.
• The ability to have cordial and professional relationships both within the organization and with vendors, clients and third parties.
• If appropriate, the ability to produce all appropriate paperwork and reports consistent with contractual, state or federal standard, and to prepare and submit such paperwork on a timely basis.
• The ability to understand and comply with Suncoast Center, Inc. policies and procedures.
• The ability to render compassionate care and equal commitment to serve clients in need of healthcare assistance.