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Compliance Officer

4 months ago

Brockton, United States Brockton Neighborhood Health Center Full time

**Compliance Officer**

**$75,863.00 - $87,250.00**

**Reports to: Director of Quality & Compliance**

***:
**RESPONSIBILITIES**:

- Develops, implements, and maintains policies, procedures, and protocols to ensure compliance with all federal, state and local regulations, as well as accreditation standards (ex. HRSA, FTCA, The Joint Commission) and ensuring written practice standards and procedures to reduce BNHC’s vulnerability to liability, fraud, and abuse.
- Oversees tracking of policies and procedures required by HRSA, Joint Commission, Massachusetts Department of Public Health, and all other regulatory entities.
- Prepares all documentation and audits internal policies and procedures to promote compliance with those internal policies and external regulations regarding areas of risk management responsibility, including but not limited to sentinel events and root-cause analyses.
- In collaboration with the Quality Assurance Manager and QA Coordinator, conducts regular audits, tracers, risk assessments and mock surveys to identify compliance risks and implements corrective actions as needed.
- Stays informed about changes in healthcare regulations, guidelines and best practices and ensures that policies are procedures are updated accordingly.
- Serves as one of the primary points of contact for regulatory agencies, auditors and accrediting bodies, ensuring timely responses to inquiries and requests for information.
- Prepares and (as needed) presents reports on compliance activities, trends and outcomes to senior leadership and governing bodies.
- Prepare and supports Director of Quality and Compliance in reporting to the Board of Trustees as specified in the Corporate Compliance and Risk Management Plans regarding implementation of the plans.
- Supports the Director of Quality and Compliance in ensuring that the Board of Trustees and management have the necessary information and guidance to approve controls to measure and manage risk across the health center (ex. Risk in financial operations, risk of adverse outcome for patients, and risk in data).
- Works closely and collaboratively with IT/systems to ensure that data and technology are supporting the risk reporting process.
- Coordinates risk management functions daily to maximally ensure that identification of risk exposure, assessment, appraisal, and loss prevention are carried out, so that the institution remains safe for its patients, families, and employees.
- Identifies and limits legal exposures.
- Along with the Director of Quality and Compliance, is responsible for the handling and defense of legal claims.
- Responsible for the coordination, management and processing of all claims-related activities (health related claim, including medical malpractice that may be eligible for FTCA coverage, as well as commercial liability and/or employment claims) daily and serves as the claims point of contact. and/or employment claims.
- Responsible for ensuring the preservation of all BNHC documentation related to any actual or potential claim or complaint (including issuing, reissuing and all education related to Litigation Holds)
- Responsible for ensuring that all notifications of intent to sue or other service-of process/summons that BNHC or its providers receives related to any alleged claim or complaint are promptly sent to the HHS Office of General Counsel General Law Division.
- Responsible for working in full cooperation with the HHS Office of General Counsel General Law Division or if deemed covered, the Department of Justice attorneys, who are assigned the case to defend. This includes serving as primary point of contact for all document production required throughout litigation.
- Serves as primary point of contact with brokers and gap carriers to ensure timely filing of potential or actual claims.
- Develops statistical and qualitative reports on risk management trends and patterns and communicates this information effectively.
- Participates in Patient Review Committee, which reviews all patient behavioral incidents/situations that may trigger a health center intervention, warning letter or discharge.
- Provides or arranges for training and education to all BNHC staff to ensure that the health center is compliant with laws, standards, and regulations of the state, federal, FTCA, Joint Commission and all other regulatory agencies.
- Serves at BNHC’s HIPAA Privacy and Security Officer, overseeing and managing the development and implementation of BNHC’s Privacy Rule Compliance program.
- Serves alongside the Controller, the CFO and the Director of Pharmacy to audit compliance with BNHC’s 340b program.
- Ensures that Policies and Procedures associated with 340b compliance are up to date.
- Performs other duties as required.

**QUALIFICATIONS**:

- Requires a master’s degree (preferably in health administration or business) plus extensive knowledge of management and community health center compliance.
- Commitment to the Mission and Val