Compliance Officer

POSITION TITLE:

Compliance Officer

DEPARTMENT:

Compliance & Risk Management

REPORTS TO TITLE:

Chief Executive Officer

DLSE/FLSA STATUS: ()

__X__Exempt/Salaried position

____Nonexempt/Hourly position

SUPERVISORY RESPONSIBILITIES (does this position have direct reports):

YES

NO

LOCATION: West Sacramento, Fairfield or Napa, CA  

Salary Range: $157,705.60 - $192,753.60

About CommuniCare OLE

Established in 2023, CommuniCare OLE is the result of a union of two health centers with  deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. Building on a legacy established by both organizations in 1972, CommuniCare OLE is a network of federally-qualified health centers with 17 sites across Napa, Solano, and Yolo Counties. It offers comprehensive care, including medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance to more than 70,000 individuals, and no one is turned away due to lack of insurance, immigration status, or ability to pay. Many services are offered outside of its sites, including mobile health, home visiting, and community and school-based programs. 

BENEFITS

JOB SUMMARY/OVERVIEW: The Compliance Officer provides strategic direction and oversight of the organization’s compliance, risk management, and safety programs to ensure adherence to federal, state, and local regulations, as well as internal policies and procedures. This position is responsible for implementing and maintaining an effective compliance program consistent with FQHC requirements and ensuring organizational readiness for audits, investigations, and accreditations. The Compliance Officer also oversees contract review processes and facilitates organization-wide training to promote a culture of compliance, privacy, and safety.

Bachelor’s degree in Healthcare Administration, Law, Business, or related field required.

Leadership & Oversight

1.

Lead and mentor the compliance, risk management, safety, and facilities teams to ensure cohesive and proactive compliance operations.

2.

Develop, implement, and maintain an effective corporate compliance and ethics program in accordance with federal (HRSA), state requirements, 340b program requirements. 

3.

Lead the HRSA OSV process and ensure compliance with all HRSA program requirements for FQHC

4.

Track changes in legislation and compliance requirements and advise executive leadership team on any new policies, workflows or operational changes that are needed. 

5.

Develop compliance dashboard and report on key performance metrics.  Implement automated system for efficient data capture and reporting. 

6.

Chair the Risk Management Committee meetings and other compliance-related workgroups.

Regulatory Compliance & Risk Management

1.

Manage and oversee the organization’s annual FTCA application process and ensure continued coverage under the Federal Tort Claims Act program.

2.

Conduct and oversee organizational risk assessments to identify areas of potential vulnerability and implement corrective action plans.

3.

Oversee the creation, implementation, and management of the organization’s CLIA program.

4.

Manage incident reporting and review processes, ensuring timely documentation, investigation, and follow-up.  

5.

Create a centralized oversight of all audits across all sites, with standard processes and procedures. Supervise and support ongoing compliance audits, inspections, and regulatory reviews.

6.

Direct and support internal audits by department and partner closely with the Quality Improvement team on areas that impact safety and quality.  

Contract & Legal Review

1.

Review and interpret contracts to ensure compliance with legal, regulatory, and organizational standards.

2.

Coordinate subpoena reviews, provider deposition preparation, and related legal response management.

Policy & Training

1.

Oversee the creation, revision, and implementation of organization-wide policies and procedures.

2.

Develop and maintain systems for policy management and distribution.

3.

Lead and manage organization-wide compliance and risk training programs, including high-risk training initiatives that are role-specific as well as general staff compliance education.

4.

Review standard forms used for compliance, incident reporting, and operational processes and ensure that they are standardized across the organization. 

Privacy & HIPAA

1.

Conduct and oversee HIPAA investigations and ensure compliance with privacy and security regulations.

2.

Serve as the organization’s HIPAA Privacy Officer, collaborating closely with the HIPAA Security Officer to ensure compliance with all privacy and security regulations.

3.

Provide guidance to workforce members on privacy-related incidents and implement appropriate corrective actions.

Licensing

1.

Manage organizational license renewals to ensure continuous compliance with regulatory and payer requirements.

2.

Performs other duties as assigned.