Director of Compliance & Risk Management

Description

The Director of Compliance & Risk Management reports to the Chief Legal and Administrative Officer (CLAO) and serves as the operational leader of Salud Para La Gente’s compliance and risk management function. This role is responsible for the day‑to‑day management of compliance and risk operations across all clinic sites, directly supervising a compliance team including the Quality & Compliance Analyst, the Compliance Analyst, and two Compliance Coordinators.

The Director leads implementation of Salud’s compliance program - including HRSA, FTCA, HIPAA, CDPH, CCAH, 340B, and other federal and state regulatory requirements - with a core focus on proactive risk identification and mitigation, potentially compensable event management, sentinel event response, incident reporting, credentialing and privileging, and organizational policies and protocols. This role requires regulatory expertise, practical operational judgment, and the ability to build a culture of safety, accountability, and nonpunitive error reporting across a dynamic, multi‑site FQHC.

• Lead day‑to‑day administration of Salud’s compliance program in accordance with HRSA guidance and all applicable federal, state, and local laws, regulations, and payer requirements; monitor regulatory developments and proactively assess organizational impact, providing timely guidance to the CLAO and operational leadership.
• Develop and maintain compliance work plans, monitoring calendars, and internal audit schedules; coordinate responses to government audits, health plan audits, subpoenas, and regulatory inquiries; prepare or oversee audit response materials and corrective action plans under the direction of the CLAO.
• Facilitate Salud’s HRSA FQHC operational site visit preparation; oversee the FTCA deeming application process and ongoing FTCA program compliance, including risk management plan maintenance, quarterly risk assessments, and annual reporting.
• Ensure compliance with Salud’s 340B program requirements in coordination with financial and clinical operations leadership.

• Proactively evaluate areas of organizational risk based on internal assessment and external benchmarking; implement strategies and policies that promote patient, staff, and organizational safety across all sites.
• Direct the investigation of all potentially compensable events, evaluating each for severity, frequency, and probability of financial loss; promptly elevate potential FTCA or other claims and adverse events to the CLAO appropriate committees, and leadership as required.
• Lead root cause analysis (RCA) or failure mode and effects analysis (FMEA) reviews of serious occurrences; respond to sentinel events and provide guidance to leadership on management, reporting, and regulatory notification obligations; disseminate lessons learned and ensure follow‑through on process improvement plans.
• Maintain and update the organizational risk dashboard; conduct periodic risk assessments and present findings with recommended action plans to the CLAO and Risk Management Committee.
• Ensure maximum protection from discovery of all claims materials; coordinate claims investigation and legal defense processes with the CLAO and outside legal counsel; promote a culture of nonpunitive error reporting throughout the organization.

• Serve as Safety Officer; co‑lead the Safety and Security Committee; oversee safety walkthroughs across all clinic sites, documenting findings and ensuring timely resolution of identified risks.
• Coordinate Salud’s emergency management program; ensure the Emergency Operations Plan is current, site‑specific, and supported by regular staff training on response and recovery procedures at all sites.

• Oversee Salud’s incident and grievance system, ensuring timely intake, triage, investigation, documentation, and resolution of all reported incidents and patient grievances across all sites.
• Direct the compliance team in incident and grievance trend tracking, root‑cause analysis coordination, and corrective action documentation;…