Program Compliance Manager

Job Summary: The Program Compliance Manager is responsible for devising strategies to ensure the organization's overall compliance with policies and regulations. This role involves developing program guidelines and documentation, ensuring adherence to federal and state regulations, and managing compliance investigations and records.

General Accountabilities:

• Draft and implement a new privacy policy governing data handling and notice to consumers.
• Manage supervisors and individual contributors conduct confidential occupational fraud, ethics, and compliance investigations across multiple lines of business.
• Ensure compliance with federal and state statutes, rules, and regulations regarding protected health information, including HIPAA.
• Investigate non-compliance and HIPAA concerns, resolving case matters appropriately.
• Develop records management program for EHR systems and Department of Mental Health documentation requirements.
• Review the work of colleagues when necessary to identify compliance issues and provide advice or training.
• Keep abreast of regulatory developments within or outside of the company as well as evolving best practices in compliance control.
• Develop and oversee program guidelines to prevent or address violations of legal guidelines and internal policies.
• Advocate for adequate budget and funding for necessary compliance activities.
• Maintain effective lines of communication that allow employees to report compliance concerns without retaliation.
• Continuously improve the quality of the program and implement actions for substance use disorder (SUD) performance monitors.
• Follow all Department of Health standards.
• *The company reserves the right to add or change duties at any time.

Minimum Qualifications:

• Bachelor’s degree in a related field or or 5 years of experience in compliance management.
• Knowledge of CARF accreditation procedures and standards.
• Knowledge of CSTAR accreditation procedures and standards.
• Knowledge of Recovery Support Services programming and funding.
• Strong knowledge of relevant laws and regulations.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaboratively within a team environment.

Preferred Qualifications:

• Master’s degree in a related field.
• Certification in compliance management (e.g., Certified Compliance & Ethics Professional (CCEP)).
• Experience in the Health Care and Social Assistance industry.
• Experience working with regulatory agencies.
• Experience in project management.

Skills:

• Analytical Thinking: Ability to analyze complex regulations and ensure organizational compliance.
• Attention to Detail: Meticulous in managing documentation, records, and reports.
• Problem-Solving: Capable of quickly identifying issues and implementing solutions.
• Leadership: Ability to guide and train staff effectively on compliance matters.
• Communication: Strong written and verbal communication skills, with the ability to convey complex information clearly.
• Project Management: Experience in managing projects related to compliance initiatives.
• Collaboration: Ability to work effectively with different departments and external entities.

Physical Demands•

• Physical Stamina: The role may require prolonged periods of sitting, standing, walking, and being actively engaged with patients and employees during work and employee interactions.
• Lifting and Carrying: There may be occasional requirements to lift or carry lightweight equipment or materials, such as tools or paperwork.
• Manual Dexterity: The position may involve tasks that require the use of hands and fingers, such as typing, writing, and handling materials.
• Visual and Auditory Acuity: The may need to closely observe patients and accurately interpret verbal and non-verbal cues during calls or interviews
• Mobility: The role may involve the ability to move freely within the facility to conduct interviews, attend meetings, and other office duties.
• Sensory Abilities: This position may require the ability to perceive and respond to environmental and situational factors that are relevant to patient interactions.