Senior Compliance & Risk Specialist

Peak Vista Community Health Centers•Colorado Springs, CO

19h•Hybrid

About The Position

Under the direction of the Manager of Compliance & Risk (Manager), the Senior Compliance and Risk Specialist (Specialist) will support execution of Peak Vista Community Health Centers’ (PVCHC) Compliance and Risk Management Programs. The role performs day-to-day compliance and risk activities, including incident review, audits, and risk assessments, to evaluate adherence to internal policies, applicable laws, and regulatory and accreditation standards (Health Resources Services Administration - HRSA, Federal Tort Claims Act - FTCA, Accreditation Association of Ambulatory Health Care - AAAHC). This position operates with a high degree of accountability for assigned work, balancing independent execution with Compliance leadership priorities. The Specialist works in collaboration with the Manager, who provides direction on scope, prioritization, and final approval. Within this structure, the Specialist executes assigned workstreams and processes, maintaining accountability for deliverables while seeking guidance as appropriate.

Requirements

Bachelor’s degree in business, healthcare administration, or related field required.
Registered Nurse (RN) preferred but not required.
Minimum of 2-3 years of experience in one or more of the following: compliance, risk management, healthcare administration, auditing or legal.
Intermediate proficiency in Microsoft Office Suite (Word, Excel, Outlook, Power Point) and internet research skills required.

Nice To Haves

Registered Nurse (RN) preferred but not required.

Responsibilities

Support organizational compliance with applicable regulatory and accreditation requirements, including HRSA, FTCA, AAAHC, Americans with Disabilities Act.
Identify, assess, and support mitigation of organizational risks through incident reporting, investigations, root cause analysis, risk assessments, audits, and trend analysis, with a focus on patient safety and risk reduction.
Execute assigned audits, risk assessments, and related activities within defined scope, ensuring appropriate documentation and alignment with organizational and regulatory standards.
Evaluate and investigate incident reports, ensuring accurate documentation, timely follow-up, and coordination with appropriate stakeholders.
Provide recommendations to enhance policies, processes, and controls to strengthen compliance and mitigate risk.
Collaborate with clinical staff and the Patient Advocate to support review and follow-up of serious patient events, medical errors, and related incidents.
Monitor corrective action plans to ensure timely completion, effectiveness, and appropriate documentation of remediation efforts.
Support implementation and execution of the Compliance and Risk Management Programs, including the annual work and training plans.
Support development and delivery of compliance and risk management training plan based on regulatory requirements, identified risks, and organizational trends.
Escalate risks, delays, or barriers to the Manager to ensure timely resolution and alignment with program priorities.
Prepare reports and analyses for leadership, committees, and the Board of Directors, including required regulatory and committee reporting.
Support accreditation activities, including site visit coordination, preparation of findings, and follow-up on corrective action.
Gather and analyze data to support compliance reporting, dashboards, and performance monitoring.
Review policies and procedures and provide recommendations to address regulatory requirements, operational gaps, and risk exposure.
Support development of systems, processes, and reporting tools to improve program efficiency and visibility.
Support responses to legal and regulatory matters, including subpoenas, depositions, FTCA claims, and state inquiries.
Conduct regulatory research and provide summaries to support program activities and decision-making.
Apply strong critical thinking, analytical, organizational, and documentation skills.
Interpret and apply regulatory requirements, policies, and procedures.
Communicate effectively, both written and verbal, with the ability to present information clearly and concisely.
Demonstrate a commitment to diversity, equity, inclusion, quality improvement, patient safety, and organizational integrity.
Participate in ongoing professional development, as directed by Compliance leadership, to maintain current knowledge of compliance and risk management practices and support effective job performance.
Embraces cultural diversity amongst ourselves and our community.
Responsible for the human, financial, and material resources as well as data and information entrusted to us.
Develops and maintains good working relationships with all departments, the management team, medical staff, and leadership.
Strives to deliver the best outcomes and highest quality service.
Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements.
Enhances the effectiveness, efficiency, and productivity of the department by contributing to and participating in departmental performance improvement goals.