Compliance Officer, Healthcare

Pay or shift range: $152,776 USD to $178,235 USD.

Description

Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.

GLFHC is currently seeking a Compliance Officer to join our team. The Compliance Officer is responsible for overseeing the development, implementation, and daily operations of the Health Center’s Corporate Compliance Program. This position promotes compliance with applicable federal, state, and local regulations; ensures adherence to internal policies and Standards of Conduct; manages the incident reporting process; and serves as the organization’s HIPAA Privacy Official.

The Compliance Officer works collaboratively across departments to monitor compliance risks, support staff education, and maintain regulatory readiness.

Compliance Program Leadership

• Oversees implementation and maintenance of the Corporate Compliance Program and annual Compliance Work Plan.
• Ensures organizational adherence to compliance policies, procedures, and Standards of Conduct.
• Promotes awareness of compliance obligations through communication and education initiatives, including education on the Compliance Hotline.
• Serves as primary liaison for Compliance for staff and leadership.
• Provides regular reports to the CEO and quarterly reports to the Board/Board Committee.

Policy & Procedure Governance

• Coordinates development, annual review, revision, approval, and retirement of policies and procedures.
• Ensures policies are regulatory compliant, consistent, and properly formatted.
• Maintains a centralized, accessible Policy & Procedure repository and MOU/MOA/contract repository.
• Tracks policy lifecycle timelines and maintains historical and archived versions.

Incident Reporting & Internal Monitoring

• Administers the electronic incident reporting system, ensuring it is functional and accessible.
• Provides user training and support.
• Assigns incidents to appropriate managers and ensures timely follow-up.
• Monitors incident trends, prepares reports, and supports corrective action planning.
• Serves as the HIPAA Privacy Official for the Health Center.
• Investigates privacy complaints, potential breaches, and unauthorized disclosures.
• Ensures documentation of investigations and compliance with breach notification requirements.
• Oversees Business Associate Agreement (BAA) process in collaboration with contracting staff.

Regulatory Readiness & Audit Support

• Coordinates regulatory audit readiness (e.g., HRSA OSV, DPH, CMS, OCR).
• Prepares required documentation and ensures departments are aware of compliance responsibilities.
• Assists in maintaining HRSA-required documents (e.g., Form 5A/B/C updates).
• Serves as a resource to departments during audits and regulatory reviews.
• Maintains ongoing official communication with the Board of Registration in Medicine – specifically through mandatory reporting of PCA Annual and Semi-Annual reports for the GLFHC Board of Directors.
• Responsible for FTCA and annual FTCA deeming process as well as any FTCA claims from DOJ and requests from Office of General Counsel.

Organizational Licenses, Certificates & Accreditation Documents

• Tracks organizational licenses and certificates, notifying departments of upcoming expirations.
• Maintains current and archived regulatory documents for reference and audits.
• Ensures accreditation-related documents are available to leadership.

Education & Training

• Partners with Human Resources to support compliance and privacy training for new hires.
• Ensures ongoing staff compliance education, including annual refreshers.
• Supports department managers in delivering area-specific compliance training.

Compliance Investigation & Issue Resolution

• Conducts or coordinates investigations of compliance concerns.
• Documents findings and supports…