Compliance & Risk Director

Job Details

Franklinton Central - Columbus, OH

Health Center - Columbus, OH

Full Time

4 Year Degree

Negligible

Day

Health Care

Job Posting Date(s)

04/17/2025

Description

ABOUT LLCHC

Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central Ohio, serving one individual at a time. We are focused on whole-person wellness, available to ALL in Central Ohio who need it, regardless of ability to pay! We served over 15,000 patients - with 40% being uninsured - and totaled 50,000+ medical encounters!

Operating out of seven locations, we offer medical care (primary care, dental, vision, OB/GYN, telehealth), behavioral health care, 340B pharmacy, nutritional assistance programs, and more. Working hours are Monday - Friday with occasional Saturday morning coverage.

JOB SUMMARY

Contributes to the fulfillment of LLCHC’s compliance mission by planning, designing, implementing, and maintaining a practice compliance program. This involves coordinating compliance training and education, conducting or arranging internal audits, identifying compliance issues and trends, investigating and resolving compliance complaints, and promoting an awareness and understanding of the positive ethical and moral principles consistent with the mission, vision, and values of LLCHC and those required by federal and state laws. Ensures that LLCHC is compliant with all appropriate local, state and federal laws. Must provide leadership, direction and guidance to the medical record staff for which he/she is responsible.

DUTIES

Responsibility 1. General Duties

Support the Chief Quality Officer in strategic compliance planning and implementation.

Represent LLCHC’s mission, values, and compliance program to external stakeholders.

Maintain and oversee LLCHC provider credentialing and privileging processes.

Ensure compliance with all applicable laws and regulatory standards.

Provide leadership, supervision, and guidance to Medical records department.

Oversee the maintenance and security of medical records in accordance with legal, ethical, and institutional standards.

Responsibility 2. Policy Management

Policies and Procedures: Collaborate with the CQO to make recommendations after reviewing and revising organizational policies and procedures. including policies related to risk management and corporate compliance.

Ensure compliance policies are implemented, monitored, and evaluated for effectiveness.

Information Systems: Assist the Senior Leadership and IT with systems development related to billing, accounts management, inventory, and payroll.

Corporate Culture Foster a culture of excellence, high ethical standards, and open communication across departments. Maintains open communication with hospital departments, referring physicians and staff physicians, as well as all internal LLCHC departments.

Address patient complaints and employee conflicts in a timely, professional manner.

Responsibility 3. Compliance Oversight

Compliance Program/Policies: Lead the development and management of LLCHC’s compliance program. program and its related activities to prevent illegal, unethical or improper conduct.

Work with CQO to periodically review and update standards of conduct and manuals (OSHA, CLIA, HIPAA). to ensure continuing currency and relevance in providing guidance to management and employees Keep abreast of regulatory requirements, professional standards, and industry practices that potentially impact the Agency’s practices. Assure the organization’s compliance with HRSA standards and federal, state and other governmental guidelines, CQI activities, HIPPA policies, and HRSA regulations ensuring they are uniformly communicated and modeled throughout all operations within the organization.

Conflict Resolution: Collaborate across departments (e.g. Human Resource) a to direct compliance issues to appropriate existing channels for investigation and resolution. Consult with general counsel as needed to resolve difficult legal compliance issues. Act as an independent review and evaluation body to ensure that compliance issues and concerns within the organization are being appropriately evaluated, investigated, and resolved.

Monitoring and Reporting: Monitor, and as necessary, coordinate compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends. Keep the CQO and Risk Management Committee informed of the operation and progress of compliance efforts. Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required.

Regularly reports of compliance status and trends as directed, or as needed, to the Chief Quality Officer, Risk Management Committee, Quality Improvement Committee and the LLCHC Board of Directors.

Communication: Maintain an effective compliance communication program for the organization, including promoting a) use of compliance hotline, b) heightened awareness of standards of conduct, and c) understanding Manage the compliance hotline and suggestion boxes to support a culture of transparency and accountability.

Assist in oversight of 340B Program documentation.

Lead LLCHC’s Emergency Preparedness Plan

Responsibility 4. Systems and Training

Implement systems and internal controls to support LLCHC’s Standards of conduct, policies and procedures and lT compliance goals.

Develop and deliver training programs to staff and contractors on compliance policies and practices.

Coordinate internal audits; recommend corrective actions when necessary and ensure resolution.

Maintain anonymous reporting systems to encourage reporting of compliance concerns without retaliation. Ensure that the system is adequately publicized and that allegations of noncompliance are investigated and responded to promptly.

Training: In conjunction with the CQO work with the human resource department and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees and ongoing training for all employees and managers.

Ensure ethical hiring practices, including background and reference checks.

Continuously improve the compliance program in response to internal and external developments to maintain prevention/detection of any noncompliance.

Prepare and present compliance reports to Senior Leadership and Board of Directors.

Responsibility 5. Risk Management

Oversee incident tracking, investigations, and reporting processes.

Identify organizational risks and develop action plans to prevent and address them.

Provide risk assessments and guidance to Senior Leadership to promote a safe and compliant environment.

Compile and Present Risk reports to Senior Leadership and Board of Directors

BENEFITS AND PERKS

Health benefits including medical, vision, dental, life, disability

Generous Paid Time Off

10 Paid Holidays

Student loan forgiveness opportunities

Employee Assistance Program (EAP) with access to various consultants

3% match toward retirement fund

And more!

LIVING OUR VALUES

You are mission-oriented and passionate about living out your purpose. You play an active role in responding to the needs of the community and organization. You work well alongside your teammates and use your time and resources effectively. You challenge yourself to grow personally and professionally. You embrace diversity and enjoy providing your customers with excellent treatment and compassion.

Qualifications

REQUIRED QUALIFICATIONS

Bachelor’s degree in health business administration, Business Administration, or related field required.

Master’s degree in business management or health care administration preferred.

5–7 years of progressively responsible experience in healthcare compliance, preferably within a Federally Qualified Health Center (FQHC) or underserved setting.

Certification in Healthcare Compliance or Risk Management preferred.

In-depth knowledge of local, state, and federal regulations, including HRSA, HIPAA, OSHA, CLIA.

Strong familiarity with medical office operations, including IT, billing, documentation, and data systems.

Demonstrated ability to lead, develop, and maintain policies and procedures.

Financial acumen with focus on cost containment, reimbursement, and collections.

Demonstrates a high degree of integrity, confidentiality, discretion, and professional judgment.

Ability to manage multiple priorities and meet critical deadlines.

Strong problem-solving, organizational, and relationship-building skills.