Director of Compliance

1 month ago

Los Angeles, United States Los Angeles Center for Ear Nose Throat and Allergy Full time
Job DescriptionJob DescriptionDescription:

Job Summary:

The Director of Compliance is responsible for developing, implementing, and overseeing compliance programs related to medical standards including HIPAA and Occupational Safety and Health Administration (OSHA) regulations. This role ensures that the organization adheres to all relevant federal, state, and local laws and regulations, while fostering a culture of safety and compliance.

Requirements:

Job Duties and Responsibilities

  • Compliance Management:
    • Develop and implement comprehensive compliance programs to ensure adherence to medical (including HIPAA) and OSHA regulations.
    • Monitor changes in relevant laws and regulations, and update policies and procedures accordingly.
    • Performs regular company-wide risk assessment and develops an audit work plan for compliance and operational audits to ensure proper control systems are in place for key and identified risk areas.
    • Maintains strict compliance with State, Federal and other regulations (e.g., OSHA, WC, HIPAA, ADA, FEHA, DOL, HR policies and practices).
  • Policy Development:
    • Create, update, and enforce policies and procedures related to medical and OSHA compliance.
    • Develop and maintain an OSHA compliance manual and ensure it is distributed and understood by all employees.
    • Advises on relevant federal and state laws, HIPAA, CMS regulations, anti-kickback laws, the False Claims Act, and other healthcare fraud and abuse laws.
    • Develops, implements and maintains a privacy program that enable effective privacy practices which minimizes risk and ensures the confidentiality of protected health information (PHI), paper and/or electronic, across all media types.
  • Training and Education:
    • Develop and conduct training programs for staff on compliance, safety protocols, and regulatory changes.
    • Ensure all employees are informed about their roles and responsibilities regarding compliance and safety.
    • Manages the learning and development systems including monitoring and providing updates based on new clinic protocol.
  • Incident Management:
    • Investigate incidents related to non-compliance or safety issues, and develop corrective action plans.
    • Maintain records of incidents and ensure timely reporting to regulatory bodies as required.
    • Responds to potential and/or alleged violations of Code of Conduct, policies, procedures, and state or federal laws or regulations by conducting and/or guiding investigations when appropriate, ensuring the implementation of corrective actions.
  • Risk Assessment:
    • Conduct risk assessments and hazard evaluations to identify potential safety and compliance issues.
    • Develop and implement risk mitigation strategies and monitor their effectiveness.
  • Collaboration:
    • Work closely with department managers, medical staff, and other stakeholders to ensure compliance across all areas of the organization.
    • Serve as the point of contact for regulatory agencies and manage all communications regarding compliance issues.
  • Reporting:
    • Prepare and present compliance reports to senior management C-suite.
    • Maintain documentation of compliance activities, including audits, inspections, and training sessions.

Qualifications and Experience

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are reflective of the knowledge, skill, and/or ability required.

  • Bachelor’s degree in Healthcare Administration, Occupational Health and Safety, or a related field.
  • Minimum of 2-4 years of experience in a compliance role within the healthcare industry.
  • Proven experience with OSHA regulations and healthcare compliance standards.
  • HIPAA and OSHA training and certification is a plus.
  • In-depth knowledge of federal, state, and local healthcare and OSHA regulations.
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.
  • Ability to develop and deliver effective training programs.
  • Proficient in Microsoft Office Suite and compliance management software.
  • Attention to Detail: Ensures accuracy in compliance documentation and reports.
  • Ethical Judgement: Maintains high ethical standards and integrity in all compliance activities.
  • Leadership: Demonstrates strong leadership abilities to guide and motivate staff in compliance efforts.
  • Problem-Solving: Effectively identifies issues and develops solutions to maintain compliance.
  • Communication: Clearly communicates compliance requirements and policies to all levels of the organization.
  • Primarily office-based with some travel required to different clinic locations.

Physical Demands

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. Individual will be required to:

  • Sit for long periods at a time.
  • Use hands and fingers in repetitive motions, daily.
  • Ability to lift, push, pull up to 20 lbs. periodically.
  • Travel to clinic locations or sites as needed.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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