What are the responsibilities and job description for the Director of Compliance position at Swope Health?
As the Director of Compliance for Swope Health , you will play a crucial role in the managing of Swope Health's compliance program. The Director of Compliance provides strategic and operational leadership for the compliance functions of the FQHC. This role is responsible for ensuring the organization adheres to all federal, state, and local laws and regulations, including HRSA, HIPAA, OSHA, CMS, and 340B requirements. The Director develops and implements the corporate compliance program, oversees risk mitigation strategies, and ensures organizational policies and procedures promote ethical conduct, regulatory compliance, and quality improvement.
Primary Functions
- Design, implement, and monitor the Corporate Compliance Program and annual Compliance Work Plan in accordance with HRSA, FTCA, JCAHO and HHS OIG guidelines.
- Develop policies and procedures to ensure regulatory compliance and operational integrity.
- Coordinate internal audits and oversee external audit preparations and responses.
- Ensure compliance with federal and Missouri state healthcare regulations, including:
- Health Center Program Requirements (HRSA/330)
- HIPAA Privacy and Security Rules
- Medicare and Medicaid billing regulations
- 340B Drug Pricing Program requirements
- OSHA and environmental health standards
- Serve as the Privacy and/or Security Officer as needed.
- Investigate and respond to compliance concerns, incidents, and whistleblower reports.
- Maintain the organization's incident log, corrective action tracking, and ensure appropriate follow-up
- Lead the Compliance Committee and participate in Quality and Risk Management Committees
- Serve as a key liaison for compliance-related interactions with regulatory bodies and payers.
- Collaborate with departments such as Quality, Revenue Cycle, Pharmacy, and Health Information Management to improve organizational processes and reduce compliance risk.
- Monitor changes in laws and regulations and adapt organizational policies accordingly.
Education/Qualifications
- Bachelor’s degree in Healthcare Administration, Public Health, Business, or related field (Master’s preferred).
- Certified in Healthcare Compliance (CHC) or eligible within 1 year of hire.
- Minimum 5 years of experience in healthcare compliance or regulatory affairs, preferably in a FQHC or community health setting.
- Strong knowledge of HRSA, HIPAA, 340B, FTCA, and CMS regulations.
- Experience conducting audits and investigations and managing compliance reports.
- Excellent communication, analytical, and leadership skills
About Swope Health Services:
Each year, Swope Health serves over 55,000 patients, encompassing more than 200,000 visits in four counties on both sides of the state line. Our team members are proud of the work we do and the promise we have made delivering coordinated care that values the needs of the whole person and championing better health in our community.
Swope Health is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.
Swope Health Services supports its team members with:
1. Medical benefits (including a Health Savings Account option), dental and vision
2. 401(k) retirement plan with company match
3. Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short and Long Term Disability
4. Flexible Spending Account
5. Paid Days Off beginning at 20 days annually
6. Nine annual company-paid holidays; One annual paid personal day
*Swope Health is an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status, or disability.
