One of the Bay area’s best non-profit employers is seeking to add a Compliance Program Manager! Now is your chance to make a difference in your dream job! We are a mid-size company with less than 300 employees.

At Metro Inclusive Health, employees enjoy their mission to serve others in a truly inclusive workplace that values work and life balance and every individual. We offer:

• Vacation time - 14 days to start!
• Excellent pay, especially for a non-profit!
• Generous retirement plan with 5-7% company match
• Medical Insurance, vision and dental insurance
• Many company holidays
• Short and long term disability insurance
• Education benefits
• Pet benefits
• Casual dress code

Want to know more? Check out our website: www.metrotampabay.org

We will be happy to tell you more!

Complete Job Description

Statement of Purpose: This position is responsible for managing and continually improving METRO’s quality and risk management, and compliance program, monitoring compliance/risk activity and investigating allegations of compliance and/or policy infraction. This position reports to the Senior Director of Health Center Services and collaborates closely with the Medical Director and senior leadership.

Primary Tasks/Responsibilities:

• Maintains current knowledge of Federal, State and Accrediting regulations and standards pertaining to ongoing compliance and policy.
• Leads actions to maintain COA Accreditation, HRSA-FQHC Compliance, DCF Licensing and other applicable state and federal licensing and compliance related entities.
• Maintains records and manages all METRO’s contracts for compliance.
• Manages response for subpoenas and oversees Medical Records.
• Manages METRO’s Medical Records department and monitor Medical Record activities for areas of non-compliance
• Maintains and monitors the compliance and records for CLIA Waived testing permissions required by the State, local laws and regulations.
• Implement the onboarding and annual compliance program for staff.
• Interact with and report to senior management on the status of the compliance activities highlighting any areas of potential risk to the agency.
• Works closely with team to identify risk prone program and service activities, including but not limited to, patient confidentiality, health record security, health systems security and privacy.
• Manages Performance & Quality Improvement and Risk Management programs.
• Leads the PQI team and develops quality improvement reports for PQI committee, staff and Board of Directors.
• Researches and recommends strategies and best practices and oversees the implementation of programs to increase client/patient quality, operations and customer service.
• Aggregates annual data and conducts an overall evaluation of the PQI program for efficiency and effectiveness of performance throughout the year.
• Sets the annual PQI work plan and manages frequency of reporting.
• Manages data collection and reporting of HRSA Uniform Data System (UDS) required measures.
• Receives and investigates complaints, near misses, and incidents to resolution.
• Oversees ongoing competency with METRO’s Emergency Preparedness Plan and schedules regular desktop drills to assess current competence among staff.
• Plan communication and training programs to help employees understand their roles in risk management.
• Support Medical Director and Behavioral Health Department in oversight of the peer review process.
• Manages credentialing and privileging files for LIPs and non-LIPs in compliance with FQHC standards and METRO policies, including required competencies and training.
• Manage document management software housing METRO’s policies and procedures, credentialing and privileging items, all staff trainings and contracts, to include staff individual accounts and assignments.

Education/Professional:

• Minimum Bachelor’s degree in related area.
• At least 3 years of experience in the areas of quality management, risk management, accreditation and compliance.
• Experience working in an FQHC setting preferred.

Knowledge, Skills and Competencies Required:

• Exceptional planning, communication and organizational skills
• Strategic thinking abilities
• Stellar understanding of compliance, risk and quality management concepts and practices.
• Strong analytical skills and complex problem solving capabilities
• Ability to work effectively independently and motivate others in team oriented projects
• Ability to present complex information in simple concise terms

Requirements:

• Must possess and maintain valid Florida driver’s license and proof of insurance
• Must have reliable and accessible auto vehicle.
• Must pass necessary fingerprinting, Level II background checks and employment eligibility verification through the U. S. Department of Homeland Security’s E-Verify system, https://e-verify.uscis.gov/emp.

Job Type: Full-time

Pay: From $75,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Education:

• Bachelor's (Required)

Experience:

• FQHC setting work: 1 year (Preferred)
• quality and risk management, accreditation, compliance: 3 years (Preferred)

Work Location: In person