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Greater Lawrence Family Health Center

Compliance Officer

Greater Lawrence Family Health Center, Methuen, Massachusetts, us, 01844

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Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi‑site mission‑driven non‑profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.

Job Overview GLFHC is currently seeking a Compliance Officer to join our team. The Compliance Officer is responsible for overseeing the development, implementation, and daily operations of the Health Center’s Corporate Compliance Program, promoting compliance with applicable federal, state, and local regulations; ensuring adherence to internal policies and Standards of Conduct; managing the incident reporting process; and serving as the organization’s HIPAA Privacy Official. The Compliance Officer works collaboratively across departments to monitor compliance risks, support staff education, and maintain regulatory readiness.

Responsibilities

Compliance Program Leadership

Oversee implementation and maintenance of the Corporate Compliance Program and annual Compliance Work Plan.

Ensure organizational adherence to compliance policies, procedures, and Standards of Conduct.

Promote awareness of compliance obligations through communication and education initiatives, including education on the Compliance Hotline.

Serve as primary liaison for Compliance for staff and leadership.

Provide regular reports to the CEO and quarterly reports to the Board/Board Committee.

Policy & Procedure Governance

Coordinate development, annual review, revision, approval, and retirement of policies and procedures.

Ensure policies are regulatory compliant, consistent, and properly formatted.

Maintain a centralized, accessible Policy & Procedure repository and MOU/MOA/contract repository.

Track policy lifecycle timelines and maintain historical and archived versions.

Incident Reporting & Internal Monitoring

Administer the electronic incident reporting system, ensuring it is functional and accessible.

Provide user training and support.Assign incidents to appropriate managers and ensure timely follow‑up.

Monitor incident trends, prepare reports, and support corrective action planning.

HIPAA Privacy Official

Serve as the HIPAA Privacy Official for the Health Center.

Investigate privacy complaints, potential breaches, and unauthorized disclosures.

Ensure documentation of investigations and compliance with breach notification requirements.

Oversee Business Associate Agreement (BAA) process in collaboration with contracting staff.

Regulatory Readiness & Audit Support

Coordinate regulatory audit readiness (e.g., HRSA OSV, DPH, CMS, OCR).

Prepare required documentation and ensure departments are aware of compliance responsibilities.

Assist in maintaining HRSA‑required documents (e.g., Form 5A/B/C updates).

Serve as a resource to departments during audits and regulatory reviews.

Maintain ongoing official communication with the Board of Registration in Medicine and report PCA Annual and Semi‑Annual reports to the GLFHC Board of Directors.

Responsible for FTCA and annual FTCA deeming process as well as any FTCA claims from DOJ and requests from Office of General Counsel.

Organizational Licenses, Certificates & Accreditation Documents

Track organizational licenses and certificates, notifying departments of upcoming expirations.

Maintain current and archived regulatory documents for reference and audits.

Ensure accreditation‑related documents are available to leadership.

Education & Training

Partner with Human Resources to support compliance and privacy training for new hires.

Ensure ongoing staff compliance education, including annual refreshers.

Support department managers in delivering area‑specific compliance training.

Compliance Investigation & Issue Resolution

Conduct or coordinate investigations of compliance concerns.

Document findings and support implementation of corrective action plans.

Identify potential areas of risk and collaborate with leadership to develop mitigation strategies.

Collaboration & Integration

Work closely with Quality, HR, IT, Finance, Operations, Pharmacy and other departments on compliance matters.

Collaborate with key stakeholders to ensure adherence to 340B program requirements, including eligibility, diversion prevention, audit readiness, corrective actions and safeguarding compliance with HRSA and organizational standards.

Ensure compliance considerations are integrated into organizational initiatives.

Maintain strict confidentiality regarding all compliance matters.

Serve as a member of the Quality Council to integrate and ensure compliance in system‑wide initiatives.

Serve as a member of the Safety and Sentinel Event Committee.

Risk Manager & Claims Point of Contact for HRSA

Serve as GLFHC’s Risk Manager and Claims Point of Contact for HRSA.

Coordinate Risk Management Functions daily, ensuring identification and mitigation of risk exposure.

Manage and process all claims‑related activities on a daily basis, including coordination of claims management and addressing potential or actual health‑related claims eligible for FTCA coverage.

Work with Finance and People departments on other commercial liability and/or employment claims.

Ensure preservation of all GLFHC documentation related to any actual or potential claim (e.g., Litigation Holds).

Forward FTCA‑related notification of intent to sue or other service of process/summons to the HHS Office of General Counsel General Law Division.

Cooperate with HHS Office of General Counsel Law Division or DOJ attorneys assigned to defend.

Qualifications

7+ years of experience in healthcare compliance or regulatory roles; FQHC experience strongly preferred.

Experience in policy management, HIPAA privacy, and incident/complaint investigation.

Strong communication, facilitation, and interpersonal skills.

Excellent attention to detail, organization, and ability to manage competing deadlines.

Proficiency with Microsoft Office and web‑based compliance tools.

Education

Bachelor’s degree required; equivalent experience considered.

Compliance certification (CHC, CHPC, or similar) preferred.

Benefits GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.

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