REPORTS TO: Finance Director
Summary: The Compliance Manager ensures agency compliance with applicable federal and state, standards, laws, and regulations and that the organization consistently demonstrates all elements of an effective compliance program. This position is 40 hours per week, with full medical and dental benefits and 27 paid days off in the first year. The salary is $59,280. The position will be open until filled.
- Ensures compliance with federal and state standards, laws and regulations such as: HRSA, Mental Health and SUD certifications; HIPAA and 42 CFR Part 2; 340B regulations; provider licensing scope of services;
- Coordinates and provides support for site visits and regulatory audits, including those required for Mental Health and Alcohol & Drug certifications;
- Develops, initiates, maintains, and revises policies and procedures for the general operation of the Compliance Program and its related activities to prevent illegal, unethical, or improper conduct.
- Ensures execution of Business Associate Agreements (BAA) or Qualified Service Organization Agreements (QSOA) with applicable partner or contract entities;
- Reviews agency services and policies within HRSA scope; coordinates Change-In-Scope applications as needed, assures on-going compliance with Federal Tort Claims Acts, and annual certifications.
- Assures annual review of HRSA Policies and Procedures and approval by Board;
- Tracks and assures timely and compliant credentialing and privileging of all staff and volunteers to which credentialing applies;
- Maintains and assures compliance with Risk Management and QA/QI Plan as required by FTCA;
- Keeps current with and communicates relevant regulations, fraud alerts and advisory opinions as issued by the Office of the Inspector General (OIG), State of Oregon and Center for Medicare and Medicaid Services (CMS);
- Oversees the procedures for requests for information and subpoenas, including claims made against the agency following FTCA guidelines;
- Prepares reports to the Board of Directors & Management, detailing compliance initiatives throughout the year as well as making recommendations for improvement;
- Working knowledge of current compliance-related federal and state laws, regulations and standards, federal contractor requirements, and whistleblower laws and regulations.
- Working knowledge of federal and state Medicaid laws and regulations
- Experience in a QA or Compliance role, preferably in a health care and/or social services setting;
- Possess personal characteristics of integrity, initiative, dependability, tact, sound judgment, and adaptability
- Ability to review and translate rules, regulations, and contract language clear into policies and procedures;
- Ability to manage projects independently, lead multiple projects with minimal direct supervision;
- Ability to work with staff from diverse backgrounds and with diverse roles in the agency;
- Supports agency mission and goals.