Compliance Officer, Business

Position Summary

The Compliance Officer leads and administers Waterfall Community Health Center's organization-wide Corporate Compliance Program. The position functions as an independent and objective resource that promotes ethical conduct, evaluates compliance concerns, and supports adherence to applicable federal and state laws, regulations, grant and contract requirements, HRSA Health Center Program requirements, Federal Tort Claims Act (FTCA) requirements, and organizational policies and standards of conduct.

Reporting to the Chief Executive Officer and maintaining direct and independent access to the Board of Directors, the Compliance Officer advises leadership and the Board on compliance risks, program effectiveness, investigations, clinical risk management, corrective actions, and emerging regulatory requirements. The position coordinates closely with operational and clinical leadership, Human Resources, Finance, Revenue Cycle, Quality, Risk Management, Information Technology, legal counsel, and other departments to integrate compliance into organizational operations and decision-making.

• Lead the development, implementation, maintenance, and periodic evaluation of the Corporate Compliance Program and annual compliance work plan in alignment with applicable regulatory guidance and recognized elements of an effective compliance program.
• Develop, maintain, and oversee compliance policies, procedures, internal controls, and reporting processes in collaboration with responsible leaders.
• Advise the CEO, executive leadership, managers, and Board of Directors on compliance obligations, identified risks, investigations, corrective actions, program priorities, and recommended actions.
• Maintain direct and independent access to the Board of Directors, promptly escape significant compliance matters, and provide regular written and verbal reports regarding program activities and effectiveness.
• Monitor changes in healthcare laws, regulations, enforcement priorities, grant conditions, payer requirements, an organizational obligation; communicate relevant changes and coordinate implementation.
• Coordinate with legal counsel on complex legal or regulatory matters and maintain organized, accurate, secure, and complete records of compliance activities, findings, decisions, investigations, training, and corrective actions.

• Monitor organizational compliance with HRSA Health Center Program requirements, FTCA requirements, federal grants, Medicare, Medicaid, fraud, waste and abuse requirements, applicable state requirements, payer obligations, and other regulatory or contractual commitments.
• Serve as a primary compliance resource for HRSA Operational Site Visits, grant reviews, audits, and other regulatory examinations, including preparation, document collection, response development, corrective action, and follow-up.
• Coordinate compliance activities associated with FTCA deeming and redeeming applications, risk management requirements, claims reporting, and related documentation.

• Establish, administer, and promote confidential reporting mechanisms, and reinforce the organization's non-retaliation expectations.
• Receive, triage, document, investigate, and resolve reports of suspected violations of laws, regulations, policies, procedures, contractual obligations, or Standards of Conduct and conduct fair, timely investigations and root cause analyses.
• Identify compliance vulnerabilities and root causes; mitigate risk across the organization; and develop or recommend corrective and preventive action plans and monitor their completion and effectiveness.
• Escalate unresolved, recurring, or material issues to appropriate leadership and the Board and coordinate external reporting when required or appropriate, in consultation with leadership and legal counsel.

• Serve as the organization's designated Risk Manager, unless otherwise assigned, and oversee implementation and ongoing evaluation of the risk management plan.
• Coordinate organization-wide risk identification, assessment, mitigation, and monitoring in collaboration with clinical, quality, and operational leaders.
• Oversee or support incident reporting, event review, root cause analysis, patient complaint and grievance oversight, trend analysis, and development of risk-reduction strategies.
• Coordinate liability claims, potentially compensable events, and required reporting with FTCA, insurers, legal counsel, and organizational leadership, as appropriate.
• Provide regular risk management reports to executive leadership and the Board and participate in committees related to compliance, risk, quality, patient safety, or other organizational priorities.

• Develop and oversee an effective compliance education and communication program for employees, contractors, volunteers, leadership, and the Board, as appropriate.
• Coordinate…