Community Clinic Compliance Manager - Kheir Clinic (FQHC)
Los Angeles, CA 90020
About the Job
POSITION SUMMARY
The Compliance Manager will be responsible for supporting the organization’s Comprehensive Compliance Program, including the development and implementation of the Compliance and Regulatory Plans and supporting organizational response to contracted plan audits. This is a hands-on role requiring both strategic thought and direct attention to detail. Specific responsibilities include policy and process implementation, leading effective training programs, conducting internal monitoring, directing investigations and corrective actions as needed, and facilitating various risk management committees to help ensure organizational compliance with applicable laws, regulations, industry guidance and internal Policies. Reporting to the Director of Human Resources & Compliance, this individual will work closely and cross-functionally with management peers and functional units throughout our organization to lead and support compliance initiatives, and to raise the level of awareness of compliance within our organization. This is a key and highly visible position with the responsibility of developing and maintaining a strong organization compliance program with the talent, infrastructure, and culture.
ESSENTIAL RESPONSIBILITIES
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks and responsibilities. Employees may perform other duties as assigned.
BENEFITS:
- 100% employer-sponsored medical, dental and vision benefits
- Paid time off/vacation
- Paid holidays
- Paid sick time
- 403(b) vested retirement plan
- 403(b) matching
COMPLIANCE
- Prepare & revise the Compliance Plan as dictated by changes in statutes, rules, regulations and requirements of Federal, state and health plans. Take responsibility for all reporting requirements contained within the plan.
- Prepare annual work plans addressing the priority compliance risk exposures for review by the Compliance Committee.
- Organize and lead efforts regarding all compliance audits.
- Develop, coordinate, and participate in educational and training programs that focus on the elements of the Compliance Program.
- Ensure that all appropriate employees and managers are knowledgeable of, and comply with, pertinent Federal, State and payer health care program requirements.
- Develop and implement methods and programs that encourage managers and employees to report possible noncompliance.
- Coordinate with other department heads to ensure seamless implementation of policies and procedures between Compliance and Operations.
- Provide quarterly updates to the leadership team regarding progress toward the Compliance plan and results of related audits and monitoring functions.
- Identify high risk areas to reduce agency’s vulnerability to fraud, waste and abuse.
- Support Human Resources in investigation and tracking of employee performance and conduct allegations and incidents.
- Exercise day to day responsibility in the oversight of HIPAA training and compliance; act as HIPAA Privacy Officer.
QUALIFICATIONS
- Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
- Knowledge of auditing and monitoring procedures.
- Working knowledge of California patient and individual privacy laws and regulations.
- Clear, concise and persuasive writing and presentation skills using information systems, databases, Excel, PowerPoint and Microsoft Word.
- Enjoy working as a member of a cohesive team, and is effective at doing so.
- Ability to make meaningful observations and write comprehensive and accurate reports.
- Self-starter who is comfortable making key decisions and holding others accountable for compliance standards.
- Ability to translate/provide cogent advice to senior management regarding the impact of emerging industry trends in compliance enforcement, legislation and regulations on affiliate business strategies.
- Must understand and lead by communicating vision, exhibiting decisiveness, sponsoring change and supporting the larger organization success.
- Must exhibit a credible leadership presence, with the ability to respond to questions with logic, clarity, calmness and authority, leading to desired support of/actions by others.
- Proven leadership skills in a healthcare compliance environment.
- Ability to work well with others to ensure the highest ethical standards.
OTHER SKILLS AND ABILITIES:
- Ability to respond well under pressure.
- Ability to deal with issues in its most difficult phases.
- Effective communication and consensus building skills
- Ability to deal with a variety of abstract and concrete variables.
- Effective organizational skills and an orientation to deadlines and detail.
- Ability to work with little or no supervision.
- Gather, analyze, and evaluate facts and prepare and present concise oral and written reports.
EDUCATION/LICENSES/REGISTRATIONS:
- Minimum Bachelor’s degree required with relevant experience in healthcare compliance program development.
- Seven (7) years’ experience which must include a minimum of two (2) years’ experience in healthcare compliance with demonstrated leadership, and a minimum of two (2) years’ experience of supervisory capacity with participation in cross-departmental committees. Exposure to managed care with FQHC knowledge highly desirable.
- Familiarity with operational, financial, quality improvement, and human resources procedures and regulations is required.
- Excellent interpersonal skills; ability to develop important relationships with key stakeholders.
- Good conflict management and negotiation skills.
- Ability to analyze complex issues to develop relevant and realistic plans, programs and recommendations.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is frequently required to talk or hear. The employee is frequently required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
SCHEDULE:
- 8 hour shift
- Monday to Friday
WORK SETTING:
- Clinic
- In-person
About Kheir Clinic (FQHC):
The Kheir Clinic is a primary provider of critical in-language healthcare and human services support to the residents of Metro Los Angeles and its neighboring communities. We strive to accommodate underserved residents in the greater Los Angeles area regardless of race, ethnicity, gender, sexual orientation or income.
Source : Kheir Clinic (FQHC)