Compliance Officer

Operation Samahan Mission

Building healthier, happier communities together      

The Organization

Operation Samahan Inc. (OSI) is a multimillion-dollar and multi-site Federally Qualified Health Center (FQHC) that was founded in 1973. Built on a foundation of social justice, the agency serves the medically indigent population of San Diego County through clinics in areas with a high-density population of diverse families and individuals that live at poverty levels that are 200% to 400% below the Federal Poverty Line.

The Compliance Director reports to the CEO with broad responsibility through Operation Samahan, Inc. (OSI) for the day-to-day management of the compliance, assisting the health center enhancement, system reengineering, and execution of strategic processes to reduce and manage the risk of violating laws and regulations applicable to the health center. 

The Compliance Officer will be responsible for the development, implementation, and monitoring of all FQHC related compliance and risk management program. This role will be responsible for assuring compliance to all applicable regulations and audits and handle patient and workplace safety oversight. The officer will report directly to the Chief Executive Officer.

Responsibilities

Compliance

• Develops, implements, and reinforces relevant policies, procedures, training, and compliance plans to all units/sites.
• Ensures that Samahan policies and procedures comply with all federal and state laws/regulations, including HIPAA, Accreditation, CMS, FTCA, OSHA, HRSA Compliance Manuals
• Directly manages and presents an annual compliance calendar, including timetables and accountability measures, to the executive team
• Assists with identification, implementation, and maintenance of entity privacy policies.
• Partners with teams and staff to identify areas where compliance input and guidance are required.
• Communicates updates and changes on regulatory and legal changes relevant to FQHC operations and other healthcare policies
• Work with Operations and Medical Directors on operational audits ensuring organization compliance with internal and external policies and requirements
• Monitors CMS compliance and sanction adherence.
• Participates in PCMH recognition maintenance
• Oversees False Claim reporting.
• Manages all compliance investigations and plans, implements and monitors corrective action plans, together with senior leadership. Responds to alleged violations of rules, regulations, policies, procedures, and the Code of Ethics by evaluating, recommending, and conducting investigative procedures.

Qualifications

• Bachelors degree required, with at least three years of experience in health care and FQHC compliance.
• Knowledge and experience with Federal rules, regulations, and standards associated with Federal funding and Federal requirements applicable to health care organizations and non‐profit organizations.
• Knowledge of regulations specific to Federally Qualified Health Centers, including Federal Torts Claims Act, Section 330 regulations, HIPAA, and the 340B program preferred.
• Experience developing and disseminating policies and procedures, required
• Experience conducting and managing internal/external compliance audits, required.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit, stand, walk, stoop, kneel, or crouch. The employee frequently is required to reach with hands and arms; use hands to handle or feel; and talk or hear. The employee may be required to lift and/or move up to 15 lbs. and occasionally lift and/or move up to 25 lbs. Specific vision abilities required by this job include close vision, peripheral vision, and ability to adjust focus.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. 

Reports to: Chief Executive Officer

FLSA Status: Exempt

EMPLOYEE: I certify that the foregoing information is correct and complete and describes my job as I understand it. I also certify that I have received a copy of this job description.