Chief Compliance Officer

Outside In•Portland, OR

67d

About The Position

The Chief Compliance Officer (CCO) serves as a key member of Outside In's executive leadership team, reporting directly to the Chief Executive Officer. The CCO is responsible for ensuring that the organization maintains compliance with federal, state, and local regulations as a Federally Qualified Health Center (FQHC) and that all programs meet the standards established by HRSA, FTCA, OHA, and other governing agencies. This position provides strategic oversight and leadership for the areas of compliance, credentialing, medical records, electronic health record support, quality management, and information security. The CCO works collaboratively with staff to foster a culture of compliance, risk awareness, data integrity, and continuous quality improvement. The CCO also oversees the development and implementation of systems that ensure operational compliance, organizational integrity, and patient confidentiality.

Requirements

Advanced knowledge of FQHC operations, HRSA compliance, FTCA, HIPAA, and CARF accreditation requirements.
Working knowledge of current compliance-related federal and state laws, Medicaid and Medicare laws, regulations, and standards; federal contractor requirements, and whistleblower laws and regulations.
Understanding of clinical and operational compliance standards for primary care, behavioral health, and support services.
Expertise in risk management, credentialing, medical records administration, and quality improvement methodologies.
Strong working knowledge of health information systems, cybersecurity, and IT compliance practices.
Knowledge of federal and state laws governing nonprofit and healthcare entities.
Familiarity with OCHIN Epic and healthcare data systems.
Exceptional leadership and organizational skills.
Strong ability to analyze and interpret complex regulatory requirements and implement compliance systems.
Whole-person leadership, fostering integrity, collaboration, and accountability across teams.
Excellent written and verbal communication skills, with the ability to present complex information clearly.
Skilled in audit planning, policy development, and corrective action implementation.
Strong problem-solving and conflict resolution skills.
Ability to work collaboratively across departments and lead through influence.
Must have excellent interpersonal skills, including communication skills, critical thinking skills, the ability to handle stressful situations, and the capacity to function independently.
Must be detail-oriented and able to document meticulously.
Willingness to work flexible hours to meet organizational needs.
Experience in a QA or Compliance role, preferably in a health care and/or social services setting;
Possess personal characteristics of integrity, initiative, dependability, tact, sound judgment, and adaptability
Ability to review and translate rules, regulations, and contract language clear into policies and procedures;
Ability to manage projects independently, lead multiple projects with minimal direct supervision;
Ability to work with staff from diverse backgrounds and with diverse roles in the agency;
Supports agency mission and goals.
Microsoft Office, Excel
Windows Server
OCHIN Epic
Credible
PowerDMS
Tableau
Minimum 7 years of progressive compliance, risk management, or quality leadership experience, including 3 years at an executive or senior management level in a healthcare or community health organization.
Proven success in managing compliance, risk, and quality programs in a regulated healthcare environment.
Demonstrated experience supervising multidisciplinary teams and implementing cross-departmental compliance systems.

Nice To Haves

Clinical degree (RN, QMHP, MD, FNP, or equivalent) preferred.
Experience in a Federally Qualified Health Center (FQHC).
Experience working with CARF accreditation processes.
Prior experience serving as a HIPAA Privacy or Compliance Officer.
Familiarity with OCHIN Epic or similar EHR systems.
Union environment leadership experience.

Responsibilities

Provides strategic leadership and direction for the organization's compliance, credentialing, medical records, quality management, and information security functions.
Develops, implements, and oversees Outside In's compliance and risk management programs to ensure adherence to federal, state, and local laws and regulations, including HRSA, FTCA, HIPAA, 42 CFR Part 2, OSHA, OARs, CARF, and 340B requirements including provider licensing scope of services.
Oversees medical records operations, including documentation integrity, release of information, data retention, and adherence to patient privacy regulations.
Oversees or serves as the organizations HIPAA Privacy Officer and leads privacy investigations, breach response, and corrective action planning.
Ensures that all required licenses, certifications, and credentials for staff are current and properly maintained.
Provides oversight and guidance to the Information Security Officer to ensure data protection, cybersecurity, and IT compliance with HIPAA and other regulatory frameworks.
Supervises the Quality Manager and oversees the development and implementation of the organization's Quality Improvement and Quality Assurance (QI/QA) programs, ensuring alignment with HRSA, and accreditation requirements.
Coordinates compliance audits, internal reviews, and monitoring activities; prepares reports and presentations for the CEO and Board of Directors.
Collaborates with department leaders to develop, implement, and maintain policies and procedures that promote compliance and risk mitigation throughout the organization.
Provides training and education to staff and leadership on compliance-related matters, including HIPAA, risk management, credentialing, and QI/QA processes.
Investigates and resolves compliance concerns, develops corrective action plans, and ensures appropriate follow-up and documentation.
Partners with HR and program leadership to ensure compliance with labor laws, safety requirements, and employee credentialing policies.
Ensures effective communication and coordination between IT, Quality, and Compliance teams to promote system efficiency and data integrity.
Supports the CEO and Board of Directors by preparing compliance and risk management reports, audit findings, and improvement plans.
Fosters a culture of accountability, transparency, and continuous quality improvement across all departments.
Coordinates and provides support for site visits and regulatory audits.
Develops, initiates, maintains, and revises policies and procedures for the general operation of the Compliance Program and its related activities to prevent illegal, unethical, or improper conduct
Ensures execution of Business Associate Agreements (BAA) or Qualified Service Organization Agreements (QSOA) with applicable partner or contract entities
Oversees support to the agency Leadership Team in agency-wide day-to-day monitoring of client and staff safety, risk assessment, and risk management including areas of potentially compensable events, grievances, and adverse events such as medical errors and near misses.
Performs other duties as assigned.