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San Ysidro Health · 5 days ago

Chief Compliance Officer - FQHC - San Ysidro Corporate

San Diego, CA

Full-time

Onsite

Director/Executive

$69/hr - $93/hr

7+ years exp

San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The Chief Compliance Officer is responsible for establishing and overseeing the Corporate Compliance Program, ensuring compliance with regulatory entities and maintaining high ethical standards within the organization.

FitnessHealth Care

Responsibilities

Ensures all employees are in compliance with the rules and regulations of regulatory agencies, organizational policies and procedures and that behavior in the organization meets San Ysidro Health Center’s ethical standards

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

Acts as the principal point of contact when responding to government investigations and queries in regard to compliance activities. Inform the CEO, Executive VP of Operations and the Board Compliance Committee of any important issues

Oversees the implementation and maintenance of the organization’s HIPAA compliance program in accordance with the Health Insurance Portability and Accountability Act of 1996

Oversees compliance adherence for a variety of organizational programs, including PACE, HRSA, 340B Pharmacy, and others

Works with the appropriate departments and programs to ensure licensing and certification requirements are kept up to date

Performs ongoing compliance monitoring activities, including periodical reviews of departments

Conducts annual risk assessments to measure potential vulnerability and risk for all areas of the organization. Develops/implements corrective action plans for resolution of problematic issues resulting from the risk assessment and provides general guidance on how to avoid or resolve similar situations in the future

Develop a remediation plan to address any non-compliance areas and works with the appropriate departments to remediate issues

Ensures that the organization has and maintains appropriate privacy and confidentiality consent and authorization forms, information notices and materials reflecting current organization and legal practices and requirements

Oversee, direct, deliver, and/or ensure delivery of compliance training and orientation to all employees, volunteers, medical and professional staff and applicable business associates

Participates in the development, implementation, and ongoing compliance monitoring of all business associate agreements to ensure that all privacy concerns, requirements and responsibilities are addressed

Establishes and maintains a mechanism to track access to protected health information, within the purview of the organization and as required by law to allow qualified individuals to review or receive a report on such activity

Oversee and ensure the rights of the organization’s patients to inspect, amend and restrict access to protected health information, when appropriate

Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the practice/organization’s compliance policies and procedures in coordination and collaboration with other similar functions and, when necessary, legal counsel

Ensures compliance with privacy practices and consistent application of sanctions for failure to comply with privacy policies for all individuals in the practice/organization’s workforce, extended workforce, and for all business associates, in cooperation with his/her immediate supervisor, Human Resources, and legal counsel, as applicable

Initiates, facilitates and promotes activities to foster compliance program(s) awareness within the organization and related entities

Serves as a member of, or liaison to, the organization’s Policy Committee. Also serves as the information privacy liaison for users of clinical and administrative systems

Reviews all system-related information security plans throughout the organization’s network to ensure alignment between security and privacy practices as required by Federal, State and County regulations. Acts as a liaison to the IT department, as necessary

Works with all organization personnel involved with any aspect of release of protected health information, to ensure full coordination and cooperation under the organization’s policies and procedures and legal requirements

Maintains current knowledge of applicable federal, state and county compliance laws and accreditation standards, and monitors advancements in information privacy technologies to ensure organizational adaptation and compliance

Cooperates with the U.S. Department of Health and Human Service’s Office of Civil Rights, other legal entities, and organizations or officers in any compliance reviews or investigations

Establishes an internal audit program, working with the appropriate departments to perform coding, credentialing and billing audits

Coordinates external audit processes of business partners and drives specific audit preparation activities for HRSA audit and other audits as assigned

Periodically revises the compliance program and related documentation in light of changes in law, regulatory or company policy, and the ongoing quality improvements of the program

Maintains a clean, safe, and organized work area at all times

Adheres to and promotes all applicable SYH policies, protocols, procedures, and processes

Qualification

HIPAA complianceCompliance program developmentHealthcare regulations knowledgeRisk assessmentCompliance training developmentInvestigations oversightPolicy developmentProfessional demeanorCustomer serviceHealth care legal skillsTechnical proficiencyCollaborationProblem-solvingVerbal communicationWritten communicationAttention to detailOrganizational skillsTeamworkIntegrityConfidentiality

Required

Seven (7) years of experience in a compliance leadership role in a healthcare setting

In-depth working knowledge of current HIPAA Privacy regulations and other pertinent and applicable Federal and California state regulations related to protected health information and provisions of healthcare services is required, along with experience implementing such regulations

Experience in identifying compliance training needs and developing, designing and facilitating compliance training

Extensive experience in conducting and oversight of investigations

Team development experience

Experience deploying a compliance program in an organization

Bachelor's Degree or equivalent relevant experience

HIPAA Professional certification (CHC, CPCO) within 1 year of employment

Effective oral and written communication skills, excellent spelling and grammar and the ability to follow written and oral instructions

Attention to detail when composing typing and proofing materials

Ability to communicate effectively and work collaboratively on items of critical importance for managing employees and establishing rapport with employees and stakeholders

Must have a professional & personable demeanor to maintain excellent working relationships in a fast-paced work environment

Must have strong organizational skills that reflect ability to perform and prioritize multiple tasks seamlessly with excellent attention to detail

The ability to problem solve and identify both opportunities and potential challenges/roadblocks

Ability to work harmoniously with many different personalities and maintain confidentiality and discretion and deal effectively and tactfully with staff, patients, Board Members, Stakeholders and the public

Extensive knowledge of computer software (EPIC, Windows, Microsoft Office, Excel, Word, Power Point and other applicable technologies)

Preferred

Direct work experience in a non profit, FQHC Healthcare setting in CA

FQHC project management, including all aspects of process development and execution

Preferred MHA or MBA or other relevant graduate degree

Company

San Ysidro Health

San Ysidro Health is a non-profit organization fully committed to providing the highest quality, most compassionate, easily accessible and affordable health care services for the entire family across San Diego County.

Founded in 1969

San Diego, California, USA

1001-5000 employees