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Compliance Officer
1 month ago
Compliance Officer - Risk Management Specialist
Reporting Supervisor:
Director of Compliance
Position Summary:
The Compliance Officer - Risk Management Specialist is responsible for implementing proactive systems and methods to minimize risk and ensure compliance with regulations. This includes quality, risk, and incident management, as well as investigations and plans of correction. The overarching responsibility of this position is to eliminate any perils, exposure, and liability that could negatively impact or harm APluscare, employees, or the individuals in their care.
Job Duties:
- Ensures the quality of life of the clients served and protected by minimizing risk to the entire Agency and surrounding community.
- Conducts spontaneous and scheduled visits and inspections to ensure compliance with regulations.
- Creates and revises systems and procedures by analyzing compliance policies and practices.
- Identifies potential weaknesses and risks in operations, documenting needs for improvement, creating corrective plans, and ensuring correction.
- Reviews practices on an ongoing basis to ensure prevention of incidents or violations.
- Audits and corrects employee documentation at the residential or individual/client level.
- Reviews and updates internal policies; recommends and formulates policies, procedures, and guidelines.
- Responds to internal and external inquiries related to licensing and compliance issues.
- Creates and maintains compliance and audit documents.
- Resolves compliance and risk problems by analyzing regulations and identifying solutions.
- Facilitates Agency governance filings, licensing, registrations, and corporate records for oversight entities.
- Assists in the development and implementation of corporate governance policies, guidelines, and templates.
- Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies, as applicable.
- Responsible for compliance activities to include reporting, risk assessments, training, and follow-up reviews of compliance investigations and notifications.
- Responsible for ensuring that all employees receive all required trainings upon hire and annually thereafter.
- Responsible for ensuring that additional employee development opportunities are available on an ongoing basis to all staff.
- Attends Agency and departmental meetings, trainings, and activities.
- Operates Agency vehicles in accordance with agency standards and policies.
- Is available for after-hours on-call duties for urgent facility matters.
- All other duties as requested or assigned by APluscare.
Skills/Qualifications:
- Bachelor's Degree is required.
- 3 to 5 years progressive and comprehensive experience or training in internal auditing and regulatory compliance in healthcare.
- Certified in Healthcare Compliance (CHC) by the Health Care Compliance Association preferred.
- Must possess thorough knowledge of laws, rules, and regulations pertaining to DDD and provider operations (including Stark, antikickback, and other fraud and abuse laws), and principles, practices, and techniques of compliance management, including program planning and implementation, fiscal/financial analysis, and basic accounting.
- 1-3 years of experience working in the field with individuals with developmental disabilities.
- 2+ years of experience in health care administration.
- Valid Driver's License.
- Excellent verbal and written communications.
- Employee must cooperate with the licensee and DHS department staff in any inspection or investigation.
- Employee must successfully complete and demonstrate proficiency in all areas of required training.
- All other duties as required or assigned by APluscare.
Physical Demands/Working Conditions:
- Handles detailed work and highly complex problems, balancing multiple tasks simultaneously.
Physical requirements include:
sitting, standing, lifting up to 50lbs, and computer work for long periods of time
- The ability to effectively communicate (orally and written) and interact with others, including diverse, inter-disciplinary, cross-functional teams.
- The ability to read, concentrate, and learn.