Compliance Officer

Compliance Officer The Compliance Officer provides strategic direction and oversight of the organization's compliance, risk management, and safety programs to ensure adherence to federal, state, and local regulations, as well as internal policies and procedures. This position is responsible for implementing and maintaining an effective compliance program consistent with FQHC requirements and ensuring organizational readiness for audits, investigations, and accreditations. The Compliance Officer also oversees contract review processes and facilitates organization-wide training to promote a culture of compliance, privacy, and safety. CommuniCare+OLE provides an inclusive workplace that promotes and values diversity and life experience. CommuniCare+OLE encourages people of all backgrounds to apply including, but not limited to, Black, Indigenous Peoples, people of color, immigrants, refugees, women, LGBTQIA+, people with disabilities, veterans, individuals of all ages and religions, and individuals who have been affected by the legal system. YOU ARE WELCOME HERE. The following reflects requirements and essential functions of this position but does not restrict tasks that may be assigned. Essential functions include basic job duties, core elements, or fundamental responsibilities that an employee must perform to hold the position. Employees must be able to perform these essential functions with or without reasonable accommodation (accommodation may be requested). Duties and responsibilities are not all-inclusive, and they may be assigned or reassigned to this job at any time, due to reasonable accommodation or any other reason.MINIMUM POSITION REQUIREMENTS: EDUCATION, EXPERIENCE, SKILLS/TRAINING Education: Bachelor's degree in Healthcare Administration, Law, Business, or related field required. Experience/Lived Experience: Minimum 57 years of progressively responsible compliance and/or risk management experience, preferably in an FQHC or healthcare setting. Demonstrated knowledge of federal and state healthcare regulations, including HRSA, FTCA, HIPAA, OSHA, CLIA, and CMS requirements. Experience reviewing contracts and managing legal correspondence (subpoenas, depositions). Special Skills/Training: Strong leadership, analytical, and communication skills with proven ability to collaborate across departments. Certified in Healthcare Compliance (CHC), Certified Professional in Healthcare Risk Management (CPHRM), or similar certification preferred. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Leadership & Oversight 1. Lead and mentor the compliance, risk management, safety, and facilities teams to ensure cohesive and proactive compliance operations. 2. Develop, implement, and maintain an effective corporate compliance and ethics program in accordance with federal (HRSA), state requirements, 340b program requirements. 3. Lead the HRSA OSV process and ensure compliance with all HRSA program requirements for FQHC 4. Track changes in legislation and compliance requirements and advise executive leadership team on any new policies, workflows or operational changes that are needed. 5. Develop compliance dashboard and report on key performance metrics. Implement automated system for efficient data capture and reporting. 6. Chair the Risk Management Committee meetings and other compliance-related workgroups. Regulatory Compliance & Risk Management 1. Manage and oversee the organization's annual FTCA application process and ensure continued coverage under the Federal Tort Claims Act program. 2. Conduct and oversee organizational risk assessments to identify areas of potential vulnerability and implement corrective action plans. 3. Oversee the creation, implementation, and management of the organization's CLIA program. 4. Manage incident reporting and review processes, ensuring timely documentation, investigation, and follow-up. 5. Create a centralized oversight of all audits across all sites, with standard processes and procedures. Supervise and support ongoing compliance audits, inspections, and regulatory reviews. 6. Direct and support internal audits by department and partner closely with the Quality Improvement team on areas that impact safety and quality. Contract & Legal Review 1. Review and interpret contracts to ensure compliance with legal, regulatory, and organizational standards. 2. Coordinate subpoena reviews, provider deposition preparation, and related legal response management. Policy & Training 1. Oversee the creation, revision, and implementation of organization-wide policies and procedures. 2. Develop and maintain systems for policy management and distribution. 3. Lead and manage organization-wide compliance and risk training programs, including high-risk training initiatives that are role-specific as well as general staff compliance education. 4. Review standard forms used for compliance, incident reporting, and operational processes and ensure that they are standardized across the organization. Privacy & HIPAA 1. Conduct and oversee HIPAA investigations and ensure compliance with privacy and security regulations. 2. Serve as the organization's HIPAA Privacy Officer, collaborating closely with the HIPAA Security Officer to ensure compliance with all privacy and security regulations. 3. Provide guidance to workforce members on privacy-related incidents and implement appropriate corrective actions. Licensing 1. Manage organizational license renewals to ensure continuous compliance with regulatory and payer requirements. 2. Performs other duties as assigned.

Created: 2026-03-10