Compliance, Quality and Risk Manager

This role offers a hybrid work arrangement, with two days per week

required on-site. Reporting to the Chief Operating Officer, the

Compliance, Quality and Risk (CQR) Manager is responsible for

implementing compliance and quality processes across sites and

supporting organizational adherence to regulatory requirements. This

role ensures adherence to federal, state, and local regulatory

requirements, maintains organizational policies and procedures

consistent with FQHC standards, and promotes a culture of ethical

conduct, patient safety, and continuous improvement. The CQR Manager

works collaboratively with leadership, clinical teams, and operational

departments to coordinate quality improvement activities and assist with

mitigation under established policies. This person will support CHP\'s

mission, vision, and values and will adhere to compliance protocols as

well as CHP\'s policies and procedures.

## Position Requirements

Essential Duties and Responsibilities **Compliance** - Implement and

monitor the organization\'s Compliance Program in alignment with HRSA,

CMS, OIG, HIPAA, ACO and UDS requirements under established program

guidelines and COO direction. - Maintain current knowledge of regulatory

requirements and assist with updating policies as directed by

leadership. - Conduct medical record audits following established

processes as prioritized by the annual work plan, quality related

initiatives, or payer requests. - Manage the anonymous reporting hotline

and perform investigations, ensuring timely documentation and follow-up,

under the oversight of the COO. - Support corrective action plans and

escalate findings to leadership for review and approval. **Quality** -

Coordinates QA/PI activities including patient experience surveys and

reviews, clinical quality measure satisfaction (UDS measures, HEDIS

measures, Annual Wellness Visits), pursuant to HRSA and PCMH

Requirements, Value-based Care Agreements, Pay For Performance And Other

population health initiatives. - Analyzes and audits quality data to

present to leadership to determine action plans to enhance

organizational performance in relation to quality measures and

value-based/pay-for-performance initiatives. - Provides education to

departments on quality standards and initiatives. **Risk Management** -

Supports risk management activities by tracking incidents and assisting

with mitigation steps under established plans. - Monitor incident

reports, patient safety events, and trends to reduce organizational

risk. - Collaborate with clinical leadership to enhance patient safety

and quality improvement initiatives. **Survey Readiness** - Coordinates

documentation and assists with readiness activities for audits and

surveys as directed by leadership. - Monitor changes in federal and

state regulations and communicate impacts to leadership. **Education and

Training:** - Associates degree, Bachelors preferred in business,

healthcare, or related field. - LPN or RN - Knowledge of FQHC programs

and other grant funded programs. [To learn more and apply, please click

here.](https://recruiting.myapps.paychex.com/appone/MainInfoReq.asp?R_ID=7022520){target="blank"

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