COMPLIANCE MANAGER

Company Description: 

Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri-Valley area. The mission of Axis Community Health is to provide quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community.

Our mission is rooted in delivering high-quality patient care, encompassing primary healthcare, mental health support, and dental services. We are committed to ensuring access to essential healthcare services for every member of our community, irrespective of financial status, living situation, or insurance coverage.

Job Summary:

Under the general supervision of the Corporate Compliance Officer, the Compliance Manager ensures that our organization's operations align with our goals, policies, and regulatory requirements. This role involves overseeing training, licensing, health plan payer enrollment, HRSA Health Center Program standards, audit tracking, and conducting internal audits to assess compliance with federal and state regulations, as well as internal policies. The Compliance Manager implements operational policies to align with company goals and regulatory compliance. Must stay informed about legislative changes, industry trends, and best practices, allowing the individual to identify opportunities for improvement and implement necessary process changes. Provides project management leadership, evaluates project effectiveness, and enhance organizational strategies. 

Qualifications:

• Bachelor’s Degree in a related field, with appropriate combination of education and experience. 

• Desirable - 2 years’ experience in a healthcare or health plan compliance position. 

• Strong analytical, employee relations, and interpersonal skills.

• Excellent writing, business communication, editing, and proofreading skills. 

• Strong project management and problem solving skills.  

• Ability to interact effectively and in a supportive manner with persons of all backgrounds. 

• Proactive, self-motivated and able to work independently as well as on a team with the ability to exercise sound independent judgment. 

• Ability to maintain a high level of confidentiality, a professional demeanor and must represent the organization in a positive manner at all times.  

• Ability to establish and maintain positive and professional working relationships. 

• Must be able to adjust priorities quickly as circumstances dictate.  

• Must be able to be at work regularly and on time. 

• Must be a dynamic self-starter with demonstrated ability to work independently or in a group setting. 

• A can-do attitude, attention to detail, ability to organize and set priorities and excellent interpersonal skills. 

• Ability to type a minimum of 45 WPM with minimal errors. 

• Must have good computer skills using Microsoft Office and the ability to use Axis departmental systems.  

• Must be able to use office equipment (i.e. copier, fax etc.). 

Essential Duties/Responsibilities:

• Safeguard company operations by upholding confidentiality of company and compliance information, aligning actions with company policies and regulatory statutes.   

• Maintain current knowledge of governmental regulations pertinent to community health centers and FQHCs, promptly notify relevant senior management of impending changes. 

• Conduct effective interdepartmental communication to ensure timely completion of task related to corporate compliance and policies. 

• Collaborate with Human Resources and relevant stakeholders to design, implement, administer and monitor a comprehensive training program, catering to both new hires and existing staff. 

• Manage internal audit program to ensure continuous readiness for HRSA Operational Visits (OSVs) and other as needed federal and state audits. 

• Manage organizational licensing renewals, initiation of new licensing, and tracking all related follow-up actions to ensure our sites are adequately licensed without lapse. 

• Conduct organizational health plan enrollment, and monitoring for all payers and entities requiring enrollment and credentialing. 

• Oversee compliance related incidents including intake, tracking, documentation, and response procedures.

• Oversee tracking external audits, audit report collection, and ensure all corrective actions have been addressed. 

• Conduct routine internal compliance audits, identifying vulnerabilities and implementing corrective measures.  

• Conduct internal audits to verify posting of all state and federal compliance documents at each site. 

• Research and analyze complex issues, ensuring accurate interpretation of internal and external guidelines.

• Provide consultative support to management and staff regarding compliance and training requirements. 

• Provide administrative support, including drafting correspondence, organizing meetings, processing confidential documents, and monitoring deadlines.

• Participate as an active member of the Corporate Compliance Committee and other committees as needed. 

• Participate in staff meetings, attend other meeting and training events as assigned. 

• May be required to perform other related duties, responsibilities and special projects as assigned. 

Benefits:

• Employer paid health, dental, and vision benefits to the employee.

• Option to participate in a 403(B) retirement plan with employer matching contribution.

• Partial educational reimbursement.

• 12 paid holidays.

• Accrued paid time off with each pay period. 

• Employee discount programs.

• Colleague Referral Bonus Program.

Connect with Axis:

Company Page: https://www.axishealth.org

Facebook: https://www.facebook.com/axiscommunityhealth 

LinkedIn: https://www.linkedin.com/company/axis-community-health

Annual Gratitude Report: https://issuu.com/axiscommunityhealth/docs/gratitudereport2024

Physical, Cognitive, and Environmental Working Conditions:

Work is normally performed in a typical clinic office work environment (and, in some cases, telecommuting sites). The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions of this position if the accommodation request does not cause an undue hardship.

Physical: Occasionally required to carry/lift/push/pull/move up to 20lbs. Frequently required to perform moderately difficult manipulative tasks such as typing, writing, reaching over the shoulder, reaching over the head, reaching outward, sitting, walking on various surfaces, standing, and bending. Occasional travel to other Axis health centers and other occasional travel will be required. 

Equipment: Frequently required to use repetitive motion of hands and feet to operate a computer keyboard, telephone, copier, and other office equipment for extended periods. 

Sensory: Frequently required to read documents, written reports, and signage. Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with staff etc. Must be able to speak clearly, understand normal communication, and be understood. Must be able to see clearly and have the ability to judge distances and spatial relationships to see objects where and as they actually are.

Cognitive: Must be able to analyze the information being received, count accurately, concentrate and focus on the given task, summarize the information being received, accurately interpret written data, synthesize information from multiple sources, write summaries as needed, interpret written or verbal instructions, and recognize social or professional behavioral cues.

Environmental Conditions: Frequent exposure to varied office (medical clinic/office) environments. Rare exposure to dust and loud noises. 

Disclaimer: This job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, Axis Community Health reserves the right to modify or change the requirements of the job based on business necessity. 

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