As a Compliance Manager at St. John's Community Health (SJCH), you will coordinate the Health Center’s Compliance Program, functioning as an independent and objective body reporting to the Chief Compliance Officer (CCO) that reviews and evaluates compliance issues/concerns within the organization. Works collaboratively to ensure staff are in compliance with the rules and regulations of regulatory agencies; that company policies and procedures are being followed, and that behavior in the organization meets the company’s Standards of Conduct. The Compliance Manager manages the system used by the Health Center for incident reporting and the official documents required for ongoing operation of the health center including organizational policies and procedures and organizational licenses and certificates.

BENEFITS

• Free Medical, Dental & Vision
• 13 Paid Holidays PTO
• 403 (B) retirement match
• Life Insurance, EAP
• Tuition Reimbursement
• Flexible Spending Account
• Continued workforce development & training
• Succession plans & growth within

QUALIFICATIONS

Education, Experience & Knowledge

• 3-5 years’ experience in compliance regulatory in a healthcare organization
• Strong interpersonal skills with a proven ability to work well with individuals at all levels of an organization.
• Excellent oral and written communication skills.
• Strong attention to detail.
• Excellent organizational skills with a proven ability to multi-task and work well under deadline pressure.
• Advanced knowledge of Microsoft Office applications.
• A Bachelor’s degree or 5 years of relevant experience in compliance in healthcare.
• Certification in healthcare compliance is preferred (CHC).

ESSENTIAL DUTIES AND RESPONSIBILITIES

Performs a combination, but not necessarily all, of the following duties:

• Oversee and monitor the development and implementation of SJCH’s Compliance Program annual work plans.
• Institutes and maintains an effective compliance communication program for the organization, including promoting (a) use of the Compliance Hotline; (b) heightened awareness of Standards of Conduct, and (c) understanding of new and existing compliance issues and related policies and procedures.
• Monitors the performance of the Compliance Programs and related activities on a continuing basis, taking appropriate steps to improve its effectiveness.
• Develops, initiates, maintains, and revises policies and procedures for the general operation of the Compliance and its related activities to prevent illegal, unethical, or improper conduct. This includes the drafting and adoption of the Compliance Plan documents.
• Collaborates with subject matter experts to develop or improve effective policies.
• Manages the Policies & Procedures Document Center in Share Point for SJCH to ensure that all current policies and procedures are readily available to all staff.
• Obtains and documents required approvals from C-suite Team and CEO prior to publishing changes to policies and procedures.
• Maintains record of changes and archived copies for potential compliance and/or risk inquiries.
• Manage and monitor regulatory audits from HRSA and any third-party audits.
• Conducts on-site spot audits and coordinates with the Quality team.
• Develops and periodically reviews and updates Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees.
• Acts as an independent review to ensure that compliance issues/concerns within the organization across all departments 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 develops/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.
• Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
• Maintain strict confidentiality about individual health center findings and proprietary information.
• Integrate department/workgroup improvement initiatives with GLFHC system-wide projects and strategic aims.
• Responsible for all risk management matters for SJCH.
• Travel between sites will be required.
• Performs all and any additional duties as assigned.