Compliance Manager

Position Overview

The Manager of Compliance is responsible for planning, coordinating, and leading compliance staff and related activities and functions, ensuring that OCHIN’s compliance program is meeting the needs of the organization and its members. The Manager has leadership experience and advanced knowledge of health care compliance.

This individual collaborates and works closely with senior leaders and teams across the organization and is well-organized, flexible, adaptable, and resourceful. This position reports to the Vice President, Operational Excellence & Business Solutions.

Essential Duties

 Manager Functions:

• Team development including leading, motivating, developing skills, mentoring, and coaching
• Onboards new staff, ensuring the staff member is set up for success
• Develops and maintain departmental procedures and processes
• Tracks and measures team, project, and individual performance goals
• Continuously identifies opportunities for improvement
• Monitors responsiveness to customer service tickets
• Collaborates with leaders across the organization
• Intervenes and resolves compliance escalations

Internal Compliance:

• Oversees and assists with investigations related to compliance and privacy, internal audits and remediation, and data loss prevention reviews
• Assists with coaching/educating leaders and staff on compliance and privacy policies
• Reviews and provides input into contracts as it relates to compliance
• Supports and assists with annual compliance training for staff (e.g., code of conduct)
• Conducts regulatory research, input, and preparedness for launch of acute care

Member Compliance and Regulatory Support:

• Oversee the work of the Program Manager for Regulatory Compliance
• Oversees Security Risk Assessments, including scoping, conducting interviews, and preparing a final report with observations, risks, and recommended remediation steps
• Assists with addressing/triaging compliance-related customer service tickets
• Reviews and assists with compliance trainings for customers
• Assists with research on state/federal regulatory requirements for key programs that affect our members
• Provides supports to strategic OCHIN projects focused on ensuring member compliance with statutory and regulatory changes
• Presents to members updates on regulatory and compliance matters
• Oversees the coordination of the Business Continuity Access program, ensuring member compliance
• Coordinates changes to notices of patient privacy language
• Ability to travel 10-15% to perform audits at member facilities

Health Information Management:

• Oversee HIM functions (e.g., patient chart corrections to eliminate duplication, clinical data abstraction)

Research Compliance:

• Supports regulatory compliance, quality improvement/evaluation and public health surveillance projects
• Ensures projects align with federal, state, and institutional regulations that govern human subject research (conflict of interest, data use and transfer, record retention, research misconduct, data stewardship)
• Supports/ensures compliance with Federal Wise Assurance with Office of Human Research Protections as it relates to the US federal regulations for the protection of human subjects
• Oversees internal risk assessments/audits
• Monitors standardized training requirements for research staff

Other Functions: 

• Assists with projects and other work as assigned by the Vice President, Operational Excellence and Business Solutions.

Qualifications

• Five years of relevant experience in compliance, health care or business management required
• Bachelor’s degree in business or healthcare administration, applicable major or applicable experience required
• Extensive health care compliance, privacy/HIPAA, regulatory, and compliance research experience is required
• Certified in Healthcare Compliance (CHC) or Certified in Healthcare Privacy Compliance (CHPC) or Certified in Healthcare Research Compliance, or able to obtain within one year of hire
• Must have at least 2 years experience managing a team, with ideally some experience in a virtual environment
• Proven professional writing skills, the ability to create clear, concise content that resonates with a variety of audiences

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