Risk & Compliance Coordinator

As a change agent and part of Grace Health, s/he will play a pivotal role in supporting the development, and directing a high-performance healthcare risk and compliance program. This position will work closely with Directors, Officers, and other leaders to advance the internal risk and compliance reporting process for Grace Health. This individual will leverage his/her skills as a highly collaborative professional to help maintain and monitor all grant, Federal Tort Claims Act (FTCA), Patient Centered Medical Home (PCMH), Operational Site Visit (OSV), Controlled Substance (HB1), and any other key regulatory requirements that help improve health outcomes for patients and make a program impact.

This includes working with stakeholders in multiple departments and collaborating with external organizations that impact the communities within our service areas. This position has day to day responsibility to the internal healthcare risk and compliance reporting process in support of the Grace Health strategic goals. This position reports regularly to the Senior Director of Healthcare Risk & Compliance.

• Supports and monitors Grace Health’s risk and compliance program.
• Assists with maintaining relevant policies, procedures, audit tools, and training related to the risk and compliance program.
• Helps to implement, and maintain a compliance plan with Key Performance Indicators, (KPIs) based on requirements and risk.
• Researches to ensure Grace Health’s policies and practices comply with federal and state laws/regulations and follow industry guidelines to prevent illegal, unethical, or improper conduct.
• Assists with Development and management of an annual risk and compliance calendar identifying all requirements to be completed by Grace Health, including timetables and accountability measures. Tracks training completion and prepares reports.
• Assists with investigations and monitoring of compliance with entity privacy policies.
• Assists with gathering data and resources for Grace Health’s clinical policy management workflows.
• Works with Grace Health directors to ensure day-to-day operations of the program are established and are executed according to compliance plan. Partners with teams and staff to identify areas where risk and compliance input and guidance are required.
• As directed, in accordance with the risk and compliance program and plan, monitors clinical activities and conducts systematic audits for both risk and compliance with applicable rules and regulations to include HIPAA, Accreditation, CMS, and HRSA Compliance Manual.
• Assists with gathering data/documentation necessary when (applying/redeeming/re-certifications) for FTCA and PCMH.
• Communicates updates and changes on regulatory and legal changes including HRSA Compliance manual, FTCA, PINs, and Pals as directed.
• Responsible to participate in team-based preparation for HRSA OSV reviews, review preparation, coordination and follow-up.
• Develops and maintains an understanding of Federal, State, and local laws and regulations that impact Grace Health’s ability to provide patient care.
• Helps to continually identify company and event-based risk.
• As part of the risk and compliance program, provides department, organization, and board dashboards.
• Assists with Incident Reporting process and staff training for Grace Health. Ensures incident reports are accurate and responded to in a timely fashion. Through regular reports and dashboards, keeps Grace Health’s directors and officers updated on trends, concerns, and areas of improvements.
• Assists with ensuring the Grace Health Safety and Emergency Preparedness Team are educated on applicable compliance standards for FQHCs, HRSA, State Medicaid, and Medicare.
• Assists with…