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Valley Community Healthcare

Director of Compliance and Risk Management

Valley Community Healthcare, Los Angeles, California, United States, 90079

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Director of Compliance and Risk Management

Director of Compliance and Risk Management

Get AI-powered advice on this job and more exclusive features. The Director of Compliance and Risk Management at Valley Community Healthcare (VCH) will provide leadership and support in the development, implementation and maintenance of compliance and risk management activities at VCH. Reporting to the Chief Operating Officer, the Director implements, oversees, monitors, enforces and, when necessary, modifies the Compliance and Risk Management Program at VCH. The Director works with key management and executive staff to develop written standards and procedures, conduct internal auditing and monitoring, provide staff training and education, investigate possible violations, develop corrective action plans and when appropriate, enforce disciplinary standards. The Director supervises staff who support compliance activities, including compliance and risk management staff and credentialing specialists. Program Management Oversees and manages the day to day of operations of the compliance and risk management program and activities, including supervision of staff. Develops and maintains a compliance plan and program that addresses a range of compliance issues, including risk management, privacy, patient safety, credentialing, and emergency preparedness. Responsible for ensuring compliance and timely submission with local, state and federal rules, regulations, applications and contracts that impact clinic operations, (such as HIPAA, 42CFR Part 2, HRSA -including FTCA and Operational Site Visits, credentialing). Responsible for the coordination of audits and the development and implementation of Corrective Action Plans. Develops and maintains policies and procedures related to the compliance, and collaborates with other departments to ensure policies and procedures are maintained across the organization. Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution. Serves as liaison with legal counsel, privacy, and risk management resources as needed to resolve difficult legal compliance issues, such as legal issues affecting patient custody, consent, and/or guardianship. In collaboration with the Chief Operating Officer and leadership, responds to alleged violations of rules, regulations, policies, procedures, and standards of conduct by evaluating or recommending the initiation of investigative procedures. Submits mandatory notification of known or suspected compliance violations to the appropriate regulatory agencies and/or VCH staff, such as privacy violations. Collaborates with appropriate clinical leadership in the investigation of clinical events including sentinel events, sentinel event near misses, and significant adverse events; leads and/or participates in the development of root cause analyses as needed. Oversees, and develops as needed, processes for internal incident reporting. Devises systems and tools to measure, analyze and present data related to compliance and prepare reports for management, board, and other stakeholders. Represents VCH at various community associations and meetings related to compliance and risk management, including local, state and national associations and others as appropriate. Training and Support Works closely with staff and managers on compliance activities including trainings, workflow and development of policies and procedures. Leads independently and collaboratively compliance and risk management focused work groups and tasks forces, such as risk management, safety and emergency preparedness. The Director works with key management and executive staff to develop written standards and procedures, conduct internal auditing and monitoring, provide staff training and education, investigate possible violations, develop corrective action plans and when appropriate, enforce disciplinary standards. Develops training materials and conduct training related to compliance. Organizes leads and facilitates ongoing trainings to promote and implement elements of compliance and provide expertise and "coaching" for staff. Ensures that all employees participate in trainings that meet compliance requirements, including the development and deployment of those trainings. Develops and maintains ongoing competence and serve as a resource on issues relating to compliance, including regulations that apply to FQHCs, such as HIPAA, 42CFR Part 2, managed care, and HRSA regulations. Communicates project updates on compliance to management, board and other stakeholders verbally and in written materials, including solicitation of feedback. Other duties as assigned. SUPPORTING JOB RESPONSIBILITIES: Attend and lead meetings, team huddles, and assigned trainings. Other duties as assigned. POSITION REQUIREMENTS: These specifications are general guidelines based on the minimum experience normally considered essential to the satisfactory performance of this job. Individual abilities may result in some deviation from these guidelines. Bachelors degree in Public Health, Healthcare Administration, Public Policy or related field; masters degree OR the equivalent in a combination of education/experience preferred. 3 to 5 years of experience with compliance management and risk management, previous experience in a community clinic or health care setting is preferred. Understanding of local, state, and federal regulations and laws that impact clinic/FQHC operations including HIPAA. Previous supervisory experience is highly preferred Advanced skills with Microsoft Office (Word, Excel, PowerPoint, and Visio). Ability to proficiently utilize practice management system, electronic health record, population management software, and other reporting systems. Ability to communicate effectively with a wide variety of people of various educational and socio-economic backgrounds and with clear and concise oral and written communication skills. Ability to establish and maintain cooperative working relationships with clinicians, clinic staff, patients and volunteers. Ability to function efficiently and independently, and to plan and prioritize daily work activities to meet organization goals and objectives. Job Type: Full-time Pay:$145,000.00 - $175,000.00 per year 401(k) matching Employee assistance program Health insurance Health savings account Life insurance Paid time off Vision insurance Schedule: 8 hour shift Education: Bachelor's (Required) Experience: Risk management: 3 years (Required) Supervising: 3 years (Preferred) EHR systems: 3 years (Preferred) Ability to Commute: North Hollywood, CA 91605 (Required) Ability to Relocate: North Hollywood, CA 91605: Relocate before starting work (Required) Seniority level

Seniority level

Director Employment type

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Full-time Job function

Job function

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