Chief Compliance Officer

One Community Health•Sacramento, CA

1d•Hybrid

About The Position

The Chief Compliance Officer ensures the organization functions within regulatory and legal parameters; identifies and mitigates risk exposure. Maintains an effective Compliance/Risk Management Program and annual Compliance/Risk Management Work Plan(s) to prevent illegal, unethical, or improper conduct. Provides guidance to the leadership team and staff on matters relating to compliance and risk management.

Requirements

Bachelor’s degree in a related field plus Five (5) years’ experience working in an FQHC compliance environment.
Education may be substituted for related experience healthcare settings.
Expertise in the following areas, typically gained from 5+ years in a supervision capacity
Developing department objectives and measurements to meet organizational goals
Staff selection and development
Management of department workload
Effective communication skills, including but not limited to: Ability to read and write effectively, in English, within the business context
Ability to compose correspondence
Ability to speak effectively before patients or employees of the organization
Ability to tactfully, confidentially, and professionally handle all manner of patient communications.
Personal composure and flexibility to successfully perform all functions of the position in a fast paced, multi-disciplinary setting.
Eligibility for certification in Health Care Compliance(CHC) and Privacy Compliance (CHPC) required.
Experience with data analysis tools and techniques.

Nice To Haves

Master’s or Doctorate in Public Health, Healthcare Administration, or law strongly preferred.
Research Compliance (CHRC), or Auditing certification preferred.
Ability to collaborate effectively across a broad spectrum of backgrounds and perspectives.
Candidates who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all.
Demonstrated person-centered approach and familiarity with trauma informed systems and restorative practices.

Responsibilities

Develop, and implement annual Compliance Work Plan, ensuring that the clinic operates legally and ethically while maintaining the highest quality of care for our patients
Develop and implement policies and procedures which support the program, modifying as needed due to changes in laws or operations
Develop, deliver, and/or assign required trainings which supports the program; monitoring adherence in partnership with leadership and HR
Manage external audits and conduct internal audits
Provide monitoring, coordination and support related to HRSA, Ryan White, Medicare, Medicaid, managed care, HIPAA, fraud, waste and abuse, federal grants, and other applicable healthcare compliance requirements.
Identify, implement, and maintain the organization's privacy policies and procedures with the leadership team and legal counsel when needed
Ensure the organization has up-to-date privacy consent forms, information notices, and materials that meet current organizational and legal standards
Oversee all aspects of organizational policies and procedures and Code of Conduct, including audits, maintenance, revision, communication, and managing the platform where they reside.
Manage the online policy and procedure library
Engage in the development, execution, and continuous compliance monitoring of contracts, agreements, insurance policies, and business associate agreements, coordinating with legal as needed
Evaluate incidents for severity, frequency, financial loss, and report to relevant parties
Triage, assign, track and escalate compliance concerns, deadlines, complaints, regulatory notices and external requests; and support timely resolution and follow-up.
Advise leadership on corrective actions, preventive controls and matters required legal, executive, or Board review.
Develop loss control measures for patient care complaints, including access to care and appropriate treatments
Liaise with legal counsel on lawsuits and related processes.
Understand risk management legal components.
Serve as a staff resource on risk management and patient safety.
Model behavior in patient satisfaction, conduct, confidentiality, complaint resolution, and problem-solving.
Follow up and act on regulatory/insurance survey recommendations to minimize risks.
Fulfill fiduciary duties in managing organizational risk.
Collaborate with Chief Health Officer regarding investigations involving patient safety, particularly when quality of care concerns or clinicians are involved.
Coordinate and lead all activities as it relates to the HRSA Compliance Manual and Site Visit Protocol and FTCA deeming
Other tasks and projects as assigned and appropriate.