Compliance/Risk Specialist

Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 22 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 81,500 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).
Compensation (Pay): $22.11 to $32.06 /hourly, based on experience.
Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD
• 403(b) Retirement with Company Match
• Paid Time Off
• Tuition Assistance
• Perks Rewards
• Employee Assistance Program

https://www.peakvista.org/careers/employee-benefits-guide
Job Summary: Under the direction of the Manager of Compliance and Risk Management, the Compliance/Risk Specialist provides support to the Compliance & Risk department, and others as assigned, with the implementation, oversight, and evaluation of Peak Vista Community Health Centers' ("PVCHC") Corporate Compliance and Risk Management Programs. The Compliance/Risk Specialist is responsible for assisting in monitoring compliance with all regulatory and PVCHC requirements to include policies, procedures, and controls to ensure that all operations conform to established standards, laws, regulations, guidelines, and PVCHC policies. This position works in collaboration with PVCHC departments, team members and outside regulatory agencies to ensure seamless execution and customer satisfaction.
Essential Duties and Responsibilities include the following:

• Demonstrates understanding of the 7 elements of a Compliance program.
• Provide support and assistance with administration of the policy and incident reporting platform to include the routing and review of company policies, plans, policies and procedures ("P&Ps"), incident reports, and forms, notifications to staff on new and revised policies, reporting, and completion of staff surveys and assessments.
• Assist with planning compliance and risk monitoring and auditing activities as assigned to ensure compliance with established policies, plans, procedures, and applicable regulations.
• Provides support to the Risk Manager/Compliance Analyst with initial review and routing of incident reports.
• Schedule monitoring, auditing, and site visits with departments and review of findings to ensure corrections are completed in a timely manner.
• Provide administrative support for the department as requested.
• Helps coordinate compliance with AAAHC accreditation program application to include coordination of site visits, preparation of written reports of findings including recommendations for correction of deficiencies and follow-up with departments to ensure correction of findings.
• Act as a resource to support the Compliance department with subpoenas, depositions, Federal Tort Claims Act ("FTCA") claims, Department of Regulatory Agencies ("DORA") complaints, and other legal requests.
• Participates in periodic review and update of corporate compliance and operational documents.
• Coordination of annual employee/Board of Directors disclosure of interest program.
• Perform monthly sanctions checks on all workforce members, vendors, and Board Members.
• Coordinate compliance and risk management activities with other departments including training, focus groups, and investigation interviews.
• Assist in delivering individual and classroom-oriented trainings for Health Insurance Portability and Accountability Act ("HIPAA"), and other required or internally requested topics.
• Monitors and responds to the Compliance Helpline and Patient Grievance phone line to include documentation into incident reports and routing to appropriate leadership as indicated.
• Assists with preparation of patient discharge letters and other documentation needed.
• Conduct regulatory research as requested.
• Prepare breach notification letters to patients.
• Gather data needed to assist in the completion of monthly, quarterly, and annual compliance and risk management reports and insurance claims updates for the Board of Directors.
• Develop and maintain good working relationships with all departments, the management team, medical staff, and leadership.
• Embrace cultural diversity amongst ourselves and our community.
• Promote and demonstrate the mission, vision, and Core Values of PVCHC.
• Responsible for the human, financial, and material resources as well as data and information entrusted to us.
• Strive to deliver the best outcomes and highest quality service.
• Demonstrate knowledge of and adherence to the Compliance Plan, Code of Conduct, and other PVCHC policies
• Enhance the effectiveness, efficiency, and productivity of the compliance and risk departments by contributing to, and participating in, departmental performance improvement goals.
• Other duties as assigned.

Supervision Received: Manager of Compliance & Risk Management
Supervision Exercised: N/A
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience:
Bachelor's degree in business or health care related field preferred.
Two (2) years of experience required in one or more of the following fields: compliance management, risk management, healthcare administration, business administration, or legal support.
Computer Skills: Intermediate level of experience and skills with Microsoft Office (Word, Excel, Outlook, Power Point) and internet search skills is required. Experience with SmartSheet is preferred.
Other Skills: Ability to read, write, and interpret general business documents, government regulations, reports, business correspondence, and Standard Operating Procedures ("SOPs") and to effectively present information and respond to questions from employees, patients, and the general public. Excellent organizational, listening, tracking and documentation skills required.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Three. See Exposure Control Plan for details. The noise level in the work environment is usually quiet.
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The employee must occasionally lift and/or move up to 20 pounds and experience moderate bending, moderate energy requirements and frequent fine motor skills. While performing the duties of this job, the employee is frequently required to stand, walk, sit, and look at a computer screen continuously for long periods of time.
*Successful candidates will complete pre-employment screening; which includes, but is not limited to a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol free workplace and an Equal Opportunity Employer.
**PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee's I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com
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