Whitney M. Young, Jr. Health Center · 1 month ago
Risk and Compliance Officer (Req 101027)
Albany, NY
Full-time
Onsite
Senior Level, Lead/Staff
$120K/yr - $130K/yr
10+ years expWhitney M. Young, Jr. Health Center is dedicated to providing high quality healthcare that is affordable and accessible to the community. The Risk and Compliance Officer oversees the Risk Management and Corporate Compliance program, ensuring compliance with regulations and minimizing organizational risk.
DentalHealth CareMedicalNon Profit
Responsibilities
Remains current on the healthcare market and working closely with other management team members, is able to provide proactive analysis of organizational areas that may have a positive or negative impact on the enterprise’s operations
Responsible to stay current on best practices regarding the enterprise’s management, current and future healthcare needs and trends
Reviews current policies and procedures and proposes changes to Executive Leadership as appropriate
Implements and sustains an education process that assures a common knowledge base for providers and staff on regulatory mandates, Risk Management, HIPAA, Corporate Compliance and other relevant areas throughout the organization
Coordinates the process of terminating patients eligible to receive care across the enterprise
Reviews and maintains organization-wide contracts and agreements with third party vendors, affiliates, and community-based organizations
Plans and coordinates Environment of Care (EOC) rounds across all locations
Oversees organization wide Risk Management program, to include electronic database and incident reporting
Provides a planned organization wide process for reporting and managing claims and lawsuits in compliance with the FTCA. Completes the required annual Redeeming application for FTCA coverage
Serves as the lead WYH representative to the FTCA coverage and application process
Responsible for receiving, reviewing, trending and analyzing incident reports and taking appropriate action
Present substance of incidents to Governance and Corporate Compliance Committee (GCCC), Facilities Management and Emergency Operations Committee, Infection Control Committee, Pharmacy and Therapeutic Committee, Quality Improvement Committee, any other pertinent internal committees and external regulatory agencies as appropriate
Responsible to conduct investigations and root cause analyses as appropriate
Assist clinical leadership in peer review activities
Develops risk policies and procedures as necessary/required
Ensures corrective actions are implemented by appropriate managers and appropriate reports are provided to regulatory agencies as necessary
Leads the patient grievance process for follow up and investigations and works within the executive management team to make improvements
Assists the enterprise in ensuring compliance with all State and Federal regulations, to include routine OMIG, OIG and SAMS exclusion monitoring and annual certifications of a compliance program
Participates in network-wide preparation for regulatory surveys, audits, and site visits, including HRSA, DOH, OMH, OASAS, OCFS, OTDA, and others, in order to ensure successful reviews
Works closely with the CEO to ensure departments are complying with various rules and regulations ensuring equal disciplinary treatment
Ensures knowledge of corporate compliance programs, policies and legal opinions are current and uses knowledge to implement changes to existing program, as appropriate
Develops corporate compliance policies and procedures as necessary/requested
Collects and investigates all potential corporate compliance submissions from programs, and enforces the non-intimidation/non-retaliation policy
Integrally involved in the auditing of billing practices, both within clinical operations and grant-funded actions
Prepares and reports compliance issues to the CEO, Boards of Directors, and Board Committees and to the regulatory authorities as required
Accessible to all staff and the public and retains anonymity as appropriate
Leads incident review committee for Justice Center related programs
Conducts/designates corporate compliance audits
Creates and executes training for boundaries in healthcare and ethics expectations of all staff
Works with our Credentialing Vendor for new appointments as well as reappointments
Works with the CEO and clinical leadership on provider privileging
Serves as the organization administrator for NYS Health Commerce System (HCS) and the New York State Immunization Information System (NYSIIS)
Reviews all Certificates of Need (CON) submitted to NYS DOH, NYS OMH, and/or NYS OASAS
Develops and manages compliance and risk management content for WYH’s Learning Management System (LMS) to keep staff educated and competent in these areas
Demonstrates excellence in both internal and external customer service
Understands and is able to effectively communicate HIPAA compliance, corporate compliance and client confidentiality
Ensures and/or remains in compliance with local, state, and federal regulation, especially relating to HRSA, DOH, OMH, OASAS, OCFS, and OTDA
Adheres to the National Patient Safety Goals as defined by the Joint Commission and Whitney M. Young Jr. Health Center
Completes other duties as assigned
Qualification
Required
Bachelor's Degree in Health or Human Services
Minimum of 10 years' experience in a healthcare setting to include leadership experience
Demonstrated knowledge of operational, financial, quality improvement, risk management and human resource procedures and regulations
Preferred
Master's Degree in a health care/management discipline
Certification in Healthcare Compliance (CHC)
Benefits
Generous time off
Affordable health, dental and vision insurance
401k with safe harbor employer match
Tuition reimbursement
Term life insurance
More!
Company
Whitney M. Young, Jr. Health Center
Established in 1971, Whitney M. Young, Jr. Health Center, Inc.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Robert S. Coyle, MBA-H, FACHE
Chief Operating Officer
Christina Buff Rajotte
Chief Development Officer
Company data provided by crunchbase