Compliance Manager

General Function:

This manager position is responsible for leading, educating, monitoring, and maintaining the corporate/internal data infrastructure, assigned quality programs/projects, and organization programming around regulation and participating grants. Assists in compliance with the Health Resources and Services Administration (HRSA), Patient Centered Medical Home (PCMH), The Joint Commission (TJC), and other required or assigned agencies and organizations. Develops and maintains a working knowledge of the best practice, statues and laws relating to credentialing, HRSA, and regulatory tracking and compliance. This position, in collaboration with the Director of Quality has oversight and direction of quality & population health specialist position and their duties.

Duties and Responsibilities:

  • In collaboration with department leadership tracks, organizes, and coordinates the progress, review, and approval of all organizational policies and procedures.
  • Lead in organizational reporting and data extraction as assigned
  • based on responsible programming and participating regulatory requirements.
  • Provides leadership of on-going readiness, staff training/education, publication, reporting, documentation, and policy formation of all health center reviews and accreditation programs including but not limited to HRSA, TJC, PCMH, and CPC.
  • Regular identification and reporting of organizational compliance deficiencies as related to assigned programs and accreditations to EMT and Leadership as it relates to their responsible programing and accreditation assignments.
  • In collaboration with the Director of Quality and other members of EMT they will purpose, lead, and monitor corrective action items identified out of compliance with the appropriate department leadership.
  • In collaboration with CMO and Quality will lead the peer-review process and documentation for all required departments in the organization.
  • Facilitates and leads the documentation and content monitoring of compliance systems demonstrating continuous compliance across all systems, databases, and regulatory tools per assigned programs.
  • Coordinate and facilitate the policy and procedure process prior to and following Board of Director approval as directed for all organizational policies and procedures.
  • Will be responsible for ownership and management of the NHA compliance software.
  • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.

Skills/Qualifications

  • Minimum of 2 years’ experience in an FQHC organization or setting; directly interacting with quality or compliance preferred.
  • Bachelor’s degree in Health Administration, Business, Public Administration, Public Health or a related field.
  • Prior experience in organizational data collection and sharing.
  • Prior experience in project management and grant management preferred.
  • Strong knowledge of basic computer operations and workflows around electronic data and validation around produced data.
  • Exceptional writing, problem solving and personal communication skills essential.
  • Must be task oriented, strong oral skills and must be comfortable with public speaking.
  • Discretion, a high level of professionalism, strong attention to detail, the ability to effectively multi-task is essential.
  • Demonstrated competence in Scheduling, informing others, Presentation Skills, Self-Confidence, Meeting Management, Client Relationships and Promoting Process Improvement
  • Typing ability 55 words per minute.
  • Preferred knowledge of federal, state and local laws and regulations relative to clinic organizations, operations, and credentialing.
  • Strong knowledge of, and the ability to effectively utilize the full suite of Microsoft Office applications (Word, Outlook, Excel, etc.)

DESIRABLE TRAITS:

  • Ability to work independently toward predetermined outcomes.
  • Ability to enforce corrections made in accordance with guidelines.
  • Familiarity with operational, financial, quality assurance, and human resource procedures and regulations.
  • Ability to communicate effectively with a broad cross-section of groups and individuals.
  • Should have leadership and teaching abilities.
  • Must have ability to establish and maintain effective working relationships with patients and health team members.

This position is salary exempt and is full-time Monday – Friday, no evenings, weekends or holidays.

We offer a competitive salary and benefits package, including PTO and 10 paid holidays.

 

Neighborhood Health Association (NHA), a Federally Qualified Health Center (FQHC), is the largest community health center system in Northwest Ohio with partnerships that include ProMedica, Mercy Health, and University of Toledo Medical Center. NHA has grown from a single location in 1969 to 12 medical and dental clinics throughout Lucas County. Today we operate multiple health centers including pediatrics, adult medicine, dental services, health care for the homeless, women’s health center, senior centers and a full-service pharmacy with lab services on site.

For more than 50 years, NHA has placed a strong focus on prevention and empowering individual responsibility in managing their health care and overall well-being. Our services are acutely responsive to the needs of everyone throughout the communities we serve, providing excellent care and the best health practices.

We are a drug free workplace, and an Equal Opportunity Employer.

Our Mission: Through our exceptional health care services, we empower and educate, aggressively working to eliminate health care inequities, while supporting personal responsibility for one’s own health regardless of the ability to pay.