Compliance Manager

Compliance Manager

Full Time | Salary

Center for Learning and Innovation

We’re committed to compassionate care for all. Our patients. Our employees. You.

At La Clinica, we love our patients and enthusiastically treat them with the same care, respect, and dignity that we would our friends, family, and neighbors because that's who they are. If this appeals to you, La Clinica might be the right place to build your career. We’re looking for the right team members to treat our patients with this level of care.

We extend our commitment to compassionate care to our employees as well. We invest in our employees' lives through competitive pay, comprehensive benefits packages, easy access to wellness, personal and professional development workshops, and a focus on healthy work-life harmony. Check out our careers page to learn more about why our employees love working at La Clinica.

The compliance manager shall perform a variety of activities that support a strong culture aligned with the seven elements of organizational compliance, just culture, adherence to relevant laws, regulations, policies, and standards.  The work of the compliance manager supports continuous process improvement, sustainable standard work processes, enhanced patient and workforce safety, and support for legal and ethical behavioral standards defined by the organizational code of conduct.

Accountabilities Include:  
Performs Essential Job Duties

• Maintaining regular, consistent, and predictable punctuality and attendance, including being available, accessible, and able to complete all required essential functions and assigned job tasks onsite as directed during your regularly assigned schedule or your assigned site(s) normal business hours. 
• Coordinates the overall operations of La Clinica’s Organizational Compliance functions in alignment with strategic goals and regulatory obligations.
• Works closely with La Clinica’s assigned Compliance Officer and Privacy Officer. 
• Ensures and oversees standard work processes to ensure up to date policies and procedures that are in line with regulatory requirements and support the vision, mission, and operating principles of the organization.
• Facilitates development of effective training and education programs to ensure workforce members are aware and kept up to date on expectations of their job performance relative to regulatory requirements, laws and ethics, and the organizations code of conduct. 
• Ensures clear open lines of communication creating a culture of safety that encourages questions, clarifications and communicating concerns or issues related to compliance.
• Guides development and implementation of best practice assessments and security risk assessments for organizational processes to identify areas of strength, non-compliance, and vulnerabilities
• Supports and guides the development and implementation of sustainable corrective action plans incorporating just culture methodology and framing all recommendations within organizational or regulatory workflows.
• Collaborate with the Human Resources Department and others to support investigations and ensure written policies and procedures clearly define violations of organizational or regulatory standards are dealt with fairly and consistently.
• External Relationships: Serves as point of contact to regulatory agencies and external auditors, assisting in the coordination and preparation of audits. Maintains a positive relationship with external stake holders and responds promptly to inquiries for requests for information.
• Responsible for completion and timely submission of required certifications, licenses, organizational credentialing/recredentialing, reviews and approval of providers CMS-855-R reassignment of benefits applications, and annual FTCA application.
• Collaborates on identifying metrics/key performance indicators and reporting structures specific to areas of responsibility.
• Works collaboratively with the Performance Excellence Team, Performance Excellence Director and Chief Quality Officer to develop annual Privacy and Performance Excellence Plans that incorporate compliance priorities.
• Stays up to date with applicable laws, regulations, industry standards and interprets and assesses how they impact the organization’s operations.
• Continuously develops and supports Lean culture throughout La Clinica.
• Serves as delegated privacy and content expert to ensure systems are in place for compliance with privacy rules, while being able to provide recommendations on closing gaps based on regulatory requirements or best practices
• Other duties as assigned.

Customer Service: 

Develops and maintains professional, support-oriented working relationships with patients, employees, team members, and community partners. Demonstrates continuous improvement in achieving “developing” and “fully competent” levels of La Clinica’s Behavioral Standards.

Follow La Clinica’s SERVE standards, and they are the following:

• Service: I provide helpful service focused on the needs of others.
• Empathy: I welcome and connect with you on a personal level.
• Relationships: I create partnerships, working in a way that benefits everyone.
• Value: I recognize the importance of others and treat everyone with respect.
• Excellence: I go above and beyond to deliver an exceptional experience.

Qualifications:

A successful Compliance Manager must be able to interact with a variety of individuals at various levels under stressful circumstances while exercising sound judgement, tact, and diplomacy; work productively both independently and in a team setting; communicate with clarity, both verbally and in writing to groups of all sizes and levels; possess the confidence and ability to make effective and persuasive presentations on controversial or complex topics to workforce members, leadership, and the governing board.

Education and/or Experience:  
Required:

• Minimum: Three to five years of experience in the field of healthcare compliance
• Experience and working knowledge of quality improvement processes, just culture, and Lean methodology.
• Knowledge of statistics, data collection, analysis, and data presentation.
• Experience in providing training to workforce members, leaders, and governing board.
• Excellent interpersonal communication and problem-solving skills.
• Skills to intervene and promote reconciliation and positive outcomes in difficult patient/family/workforce interactions.

Preferred:

• Bachelor’s degree in healthcare-related field
• Organizational Compliance Certification
• Contract management experience(one year strongly preferred)