Compliance Manager - NOT REMOTE

Chapters Health System•Falls Church, VA

1d•$85,806 - $127,714•Onsite

About The Position

The Compliance Manager is accountable for implementing, evaluating, and monitoring accreditation and survey readiness for federal, state, and local agencies for a mid-size affiliate. The role works with affiliate leadership and clinical staff to meet regulatory requirements, manage risk situations, and maintain standards for applicable licensure. The position reports directly to Compliance and Risk. The role participates in surveys and accreditation activities, coordinates compliance audits, maintains policies and procedures, and analyzes patient incident data. It also supports root cause analyses and related action plans, keeps current with healthcare trends and regulatory requirements, and carries out other duties as assigned. This position is not remote. A conditional offer is subject to drug and/or alcohol testing; employees serving Florida affiliates are also screened for and must maintain ongoing eligibility through the Florida Care Provider Background Screening Clearinghouse.

Requirements

Bachelor’s degree in a related field, or an equivalent combination of work experience and education.
At least three years of related experience with knowledge of compliance and risk.
Strong business foundation and demonstrated analytical and problem-solving skills.
Demonstrated skills in fiscal management, use of analytical and statistical tools, data analysis, and outcomes management.
Knowledge of state and federal regulations and current updates.
Ability to communicate effectively in English, both verbally and in writing.
Excellent management of group dynamics and conflict resolution.
Knowledge of and ability to apply process improvement theory and process mapping.
Computer knowledge and competence with statistical applications and graphics.
Ability to work with minimal supervision and exercise discretion and independent judgment.
Ability to prioritize multiple responsibilities, apply critical thinking, and handle stress effectively.
Satisfactory completion of the competency requirements for the position.

Nice To Haves

At least one year of management or supervisory experience preferred.
Knowledge of Conditions of Participation for Hospice and the National Patient Safety Goals preferred.

Responsibilities

Participate in federal, state, and local surveys and accreditation activities for the assigned affiliate, including covering another affiliate as needed during vacations or time off.
Communicate with employees to promote use of the compliance hotline, awareness of the Standards of Conduct, and understanding of new and existing compliance issues related to policies and procedures.
Coordinate and facilitate auditing activities related to comprehensive Compliance Program initiatives.
Ensure policies and procedures are up to date.
Collect, analyze, and trend patient incident data using the event reporting system.
Facilitate root cause analyses of adverse events and participate in action plans; monitor implementation and outcomes of action plans related to findings from federal, state, or local accrediting or licensing agencies.
Identify needs or seek direction in identifying needs to maintain expertise, and stay current with healthcare trends and practices related to organizational policies and regulatory statutes.
Perform other duties as assigned.
Represent the Company professionally and provide or support services to clients.
Comply with applicable regulations and Company policies and practices, including those addressing fraud and abuse, health, safety, security, and confidentiality.
Use resources responsibly, participate in community and professional organizations, and contribute to organizational, departmental, and individual performance improvement.
Develop professional knowledge and skills, advance electronic media skills, support research and educational activities, and share expertise with coworkers.
Participate in Quality Assessment/Performance Improvement activities as appropriate for the position.