Clinical Risk Compliance Manager

Job Description

JOB OVERVIEW:

Risk and compliance is a multi-level function that involves the awareness and understanding of applicable

HRSA (Health Resource & Service Administration) standards and regulations, as well as an in depth

understanding of FQHC (Federal Qualified Health Care) facilities, and the internal practices within itself. The

objective of the position is to review, analyze, lower and mediate risk to the facility by executing compliance

policies.

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

Develops, initiates, maintains, and revises policies and procedures for the general operation of the

compliance program and its related activities.

Manage day to day risk and compliance programs and its related activities to prevent or reduce risk

for the company.

Develop periodically review, at least annually, and update Standards of Operation of Procedures to

ensure continuing relevance and significance in providing guidance to management and employees.

Collaborates with other departments (for example, human resources, finance, information

management director) to direct compliance issues to appropriate existing channels for investigation

and resolution.

Responds to alleged violations of rules, regulations, policies, procedures, and standards by evaluating

or recommending the initiation of investigative procedures.

Ensuring that health centers comply with applicable statutory and regulatory requirements, as

described in the policy and procedure.

Acts as an independent review and evaluation body to ensure that compliance issues and concerns

within the organization are being appropriately evaluated, investigated, and resolved.

Monitors, and as necessary, coordinates compliance activities of other departments to remain

abreast of the status of all compliance activities and to identify trends.

Identifies potential areas of compliance vulnerability and risk, develops, and implements corrective

action plans for resolution of problematic issues, and provides general guidance on how to avoid or

deal with similar situations in the future.

Provides reports on a regular basis and as directed or requested, keeps supervisor, key management

staff and board members informed of the operation and progress of compliance efforts.

Ensures proper reporting of violations or potential violations to duly authorized enforcement

agencies as appropriate or required.

Maintains an effective compliance communication program for the organization, including

promoting a) heightened awareness of standards of conduct, and b) understanding of new and

existing risk/compliance issues and related policies and procedures.

Works with all departments as appropriate to develop an effective compliance training program,

including appropriate introductory training for new employees and ongoing training for all

employees and managers.

2

Monitors the performance of the compliance program and related activities on a continuing basis,

taking appropriate steps to improve its effectiveness.

Familiarity with HRSA, FTCA requirements & staying abreast of new Policy Information Notices (PINS)

& Program Assistance Letters (PALS) and implementation of changes, as needed.

Apply complex compliance and risk management concepts into everyday health center operations.

Oversight and Regulatory Compliance, Quality Assurance; Legal interpretations & Risk Management

Required continuing education to stay proficient in HRSA, HIPPA, FTCA, OSHA and HITECH

regulations.

Conducting Internal audits of all department

Presenting and training of new and/or existing risk/compliance concerning policies and procedures

and translate complex guidelines and collaborate with agency leaders to apply objectives into daily

operations.

EDUCATION/EXPERIENCE:

ECRA certified within six months -

Bachelor’s degree in finance, Business, or Accounting OR 5 plus years related experience.

Clinical or medical designation – CMA, LPN, RN etc.

Expert level in Microsoft Office software

Developing Employment and implementation of new policies/ procedures, including analysis of

practice.

Knowledge of workplace safety

OSHA

HIPAA

QUALIFICATIONS/SKILLS:

Knowledge of compliance and risks management programs.

Excellent skills in oral and written communication.

High level of initiative and Leadership.

Ethical conduct.

Time management.

Good advocacy skills.

Confidentiality

ENVIRONMENTAL/WORKING CONDITIONS:

Work is performed in a standard office environment.

PHYSICAL REQUIREMENTS:

Ability to sit or stand for long periods.

Ability to bend and stoop to perform job.

Hand-eye coordination.

Ability to meet additional demands and lifting requirements as defined by the department.

Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office

equipment.

Normal range of hearing and eyesight to record, prepare, and communicate appropriate reports.

Must be able to manage high levels of stress and handle day to day stressful situations.