Compliance Officer, Healthcare
Job in
Saginaw, Saginaw County, Michigan, 48607, USA
Listing for:
Saginaw County Community Mental Health Authority
Full Time
position
Listed on 2026-01-17
Job specializations:
-
Healthcare
Healthcare Compliance, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 75690 - 98034 USD Yearly
USD
75690.00
98034.00
YEAR
Job Description & How to Apply Below
SCCMHA JOB VACANCY ANNOUNCEMENT
SCCMHA JOB VACANCY ANNOUNCEMENT
CLASSIFICATION:
Compliance Officer PAY GRADE: $75,690.46 - $98,034.60 Annually Position SummaryUnder the supervision of the Chief Quality and Compliance Officer, once successful training and certifications are completed, will serve as the Compliance Officer. In this capacity, will administer the Saginaw County Community Mental Health Authority (SCCMHA) Regulatory Compliance Program. Functions in a staff support capacity to the management team, providing research and project management. This position directs and is responsible for all subject matter related to Federal and State regulatory and contract compliance, and privacy.
This person will be knowledgeable in all areas of law and statutory regulation pertaining to state and federal health care compliance. These regulations include, but are not limited to, the Michigan Mental Health Code, HIPAA, and 42 CFR Part 2.
This position will be knowledgeable about and actively support culturally competent recovery-based practices; person-centered planning as a shared decision-making process with the individual, who defines his/her life goals and is assisted in developing a unique path toward those goals; and a trauma-informed culture of safety to aid the persons served in the recovery process.
ESSENTIAL DUTIES AND RESPONSIBLITIES:Maintains information links with primary and secondary sources of federal and state regulatory publications, analysis, and review in all areas of SCCMHA regulatory risk exposure. Establishes a routine of scanning and reading the Federal Register, the website of the Office of the Inspector General (OIG), and key regulatory agencies, industry journals, electronic news services, association newsletters, and conferences.Acts as Compliance Officer to support regulatory compliance management. Maintains compliance system expertise and general knowledge of specific regulatory topic areas, including managed care, healthcare finance, privacy, security, accreditation, quality, information systems, and contracts. Maintains a consultation network for topic-specific information and provides referrals for division directors.Serves as HIPAA Privacy Officer, responsible for maintaining corporate compliance with regard to HIPAA and HITEC regulations. Works closely with the CIO/CQCO, who serves as HIPAA Security Officer. Ensures the posting of SCCMHA HIPAA privacy notice throughout the network and coordinates procedures for responding to persons served and provider access to Protected Health Information.Serves as Hearing Officer for Medicaid Fair Hearings, coordinates document submission to MDHHS and MSHN, and facilitates hearing proceedings. Participates in periodic MDHHS technical assistance sessions for Hearing Officers.Reviews Notices of Proposed Rule Making (NPRM).Performs intake and facilitates the assessment of new regulations as published.Initiates application project planning and implementation monitoring.Maintains primary source reference library for all existing regulations and monitors sources for updates, revisions, and amendments. Notifies all directors of such matters as they are published and initiates the intake, assessment, and planning of modifications as applicable.Performs regulatory risk assessment and facilitates prioritization of activities in an annual compliance plan, which is comprehensive of all regulatory scopes of compliance.Provides project planning support to compliance work groups. Receives and files workgroup documentation. Monitors workgroup documentation and provides guidance in necessary elements for documentation quality.Administers the Compliance Hotline and reporting capacity. Receives and responds to hotline concerns, documents, tracks, and trends hotline reports.Implements and facilitates periodic testing in all regulatory topic areas according to the Annual Compliance Plan, including privacy, security, claims payment timeliness, claim coding integrity, etc.Works with SCCMHA Training Department to assess staff and network training needs and incorporates training plan in annual compliance plan. Implements continuous training in compliance topics throughout the agency and provider network. Collaborates with SCCMHS Training Dept to maintain documentation of training provided.Prepares reports of testing results and forwards these to the quality improvement program team for process improvement initiatives.Monitors compliance outcome indicators and prepares reports for the quality improvement program team.Works with the Management Team to formulate response and prevention when adverse findings are identified by internal or external audit, SCCMHA Fraud and Abuse Hotline report, or other authorized governmental inquiry or their sanctioned agent.Implement and is responsible for the agency’s compliance plan under the direction of the CIO/CQCO.Mitigates all risks identified in the compliance risk assessment.Develops agency-wide role-based compliance training.Makes…
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