Job Location: Los Angeles & Orange County
Reports to (title): VP Operations
Department: Dental
Supervises: N/A
Working title: Compliance Manager
Classification: Exempt
Salary Range: $65,000 – $70,000 annually
Status: Regular
Hours/Week: 40 hours/week
Effective Date: July 2022
Type of Position: Full-time
Revised Date: July 2022
POSITION SUMMARY
Under the direct supervision of the Vice President of Operations, the Quality Improvement Compliance Manager will lead and direct all quality and risk management activities and ensure that a framework for quality and compliance is in place at United American Indian Involvement, Inc.
ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIES
Maintain, develop, and revise policies and procedures for the overall operation of the Compliance Program, which includes Quality Improvement and Risk Management
Manage day-to-day operations of the Compliance Program
Oversee process to prepare for and lead Indian Health Service (IHS) annual reviews and AAAHC accreditation
Facilitate and lead the Quality Improvement (QI) Committee
Develop, implement, and maintain monitoring systems for all Quality Improvement opportunities for departments on agency-wide improvement initiatives
Train staff as needed on policies and procedures to meet all standards of the Compliance Program
Provide reports on a regular basis and as directed or requested to keep the QI Committee, the executive leadership, and senior leadership informed of the operation and progress of compliance efforts and on the overall Compliance Program
Coordinate audit processes that include reviewing, analyzing, and reporting findings across multiple departments
Responsible for reporting progress on the Compliance Program to executive leadership and CEO to report to the Board of Directors
Monitor all Incident Reports and Risk Management issues for the organization including tracking data and analyzing each incident
Work with management to resolve incidents and provide a monthly report to the CEO, Executive team and Safety committee
Coordinate and assist with the state licensure process; follows up on any reported deficiencies
Establish a mechanism to report compliance concerns confidentially with the appropriate Leadership Team member(s)
Collaborate with other departments to direct compliance issues/concerns to appropriate channels for evaluation, investigation, and resolution
Respond to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures
Work with clinical staff to ensure accurate GPRA and UDS reporting
Assist departments on annual studies
Keep supervisor informed of any issues or concerns
Perform other duties as assigned
MINIMUM QUALIFICATIONS
Experience & Qualifications:
Familiarity with health care operations, financial, quality assurance, and human resources procedures and regulations
Able to demonstrate professionalism, courtesy, efficiency, excellent problem resolution, and customer service skills as well as high ethical standards and behavior
Able and willingness to work with culturally diverse populations
Knowledge of and genuine respect for American Indian/Alaska Native values, customs, and practices
Must be fully vaccinated against COVID-19
Knowledge of Federally Qualified Health Center (FQHC) Requirements
Knowledge of OHSA requirements in health care
Knowledge of licensing regulations
Knowledge of Indian Health Services
Required Education:
• Bachelor’s Degree in Healthcare Management, Public Health, Nursing, or a closely related field, with 3 years of experience in a healthcare organization, with demonstrated leadership skills
Certifications:
• Valid CA Driver’s License
Confidentiality:
• Maintain strict confidentiality of client and personnel information adhering to HIPAA, professional codes of conduct, State of CA regulations, Privacy Act, and UAII policies and procedures
• This position has access to sensitive information, and a breach in confidentiality will be grounds for disciplinary action up to and including immediate termination
Communication/ Interpersonal Skills:
• Possess the ability to communicate with others both verbally and in writing in a courteous and professional manner
• Excellent customer service skills
• Ability to provide training and mentoring of staff
• Must possess active listening and social perceptiveness skills
• Proficient in English
• Must be a team player and contribute to the goals of any team assigned to
Technology Skills:
• Demonstrate the ability to operate a multi-line phone system
• Possess working knowledge of Microsoft Office and Google Suite
Other Skills:
• Willingness to learn new skills and participate in training sessions relevant to the position
• Available and willing to travel as needed
• Available to work evening and Saturdays or Sundays.
POSITION PREFERENCES
• Experience working with the American Indian/Alaskan Native community
• Experience working with nonprofit organizations, community groups, and performance-based government contracts.
• Knowledge of Indian Self-Determination and Education Assistance Act (Public Law 93-638)
• Knowledge of, experience and/or sensitivity to the needs of the American Indian community/culture.
• Master’s Degree preferred, with 2 years of experience in a healthcare organization, with demonstrated leadership skills
WORK ENVIRONMENT
Work environment: The work environment characteristics described here represent those employee encounters while performing the primary functions of this job. Normal office conditions exist, and the noise level in the work environment can vary from low to moderate.
Physical demands: The physical demands described here represent those that an employee must meet to perform the primary functions of this job successfully. While performing the duties of a Compliance Manager, the employee is required to sit, twist, talk, and hear. Talking and hearing are essential for communicating with staff and visitors. The employee must be comfortable kneeling, bending, walking, and standing for extended periods. The employee must occasionally lift and move up to 15 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision.
UAII will make any practical, feasible, and reasonable arrangements to accommodate qualified applicants and employees with disabilities if it can do so without undue hardship.
Mental demands: There are several deadlines associated with this position. The employee must also multi-task and interact with various people on various and, at times, complex issues.
PERFORMANCE EXPECTATIONS
In the performance of their respective tasks and duties, all employees of United American Involvement, Inc. (UAII) are expected to conform to the following:
• Uphold all principles of confidentiality and patient care to the fullest extent
• Meet or exceed the performance standards as set by your supervisor
• Interact in an honest, trustworthy, and dependable manner with clients, employees, and vendors
• Possess cultural awareness and sensitivity
• Adhere to all professional and ethical behavior standards as outlined in UAII’s Employee Handbook
EQUAL EMPLOYMENT OPPORTUNITY
United American Indian Involvement, Inc. (UAII) provides equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
UAII abides by the mandates of the ADEA and the Fair Employment Housing and Housing Act (FEHA)-protecting individuals 40 years and older-and considers age a non-merit factor in all employment decisions and considerations.
UAII abides by the mandates of the ADA and FEHA and considers disability a non-merit factor in all employment decisions and considerations. Furthermore, UAII will make any practical, feasible, and reasonable arrangements to accommodate qualified applicants and employees with disabilities if it can do so without undue hardship. Applicants and employees may request accommodations for a disability at any time in the application process or during employment.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
OTHER REQUIREMENTS
• Eligibility to work in the US
• Fingerprint clearance
• Annual negative TB test result on file
• Pass a post-offer drug test
• Maintain a valid CA driver’s license
• Maintain auto insurance coverage
• Fully vaccinated against COVID-19
BENEFITS
UAII offers a comprehensive and robust benefits package that includes:
• Medical, Dental, Vision
• Voluntary Accident, Critical Illness, and Hospital Indemnity Insurance Plans
• Company-paid Short-Term & Long-Term Disability
• Company-paid Basic Life Insurance and AD&D
• FSA Medical and Dependent Care
• 403(b) Retirement Plan with Employer Match
• LegalShield
• TotalCare Employee Assistance Program
• 12 Vacation Days (first year)
• 13 Paid Holidays
• 3 Personal Days
• 7 Sick Days
• Bereavement and Jury Duty paid leave
• Wellness Program
Disclaimer: This position description has been designed to indicate the general nature and work performance of employees in this position. It is not intended to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this position. Employees will be asked to perform other duties as needed.
Employment Type: Full Time
Years Experience: 3 – 5 years
Salary: $65,000 – $70,000 Annual
Bonus/Commission: No