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Clinica Sierra Vista · 1 day ago

Associate Director- Compliance & Risk Management - Kern Admin

Bakersfield, CA

Full-time

Onsite

Lead/Staff

Clinica Sierra Vista is one of the largest Federally Qualified Health Centers in the Nation, dedicated to serving diverse patient populations. The Associate Director of Compliance & Risk Management provides strategic leadership and oversight for the organization's risk management and compliance programs, ensuring adherence to regulatory standards and promoting patient safety.

Health CareHealth InsuranceMedical

Responsibilities

Provides strategic leadership for the development, implementation, and continuous improvement of the organization’s Compliance Program

Oversees day‑to‑day operations of the Compliance Program to ensure prevention of illegal, unethical, or improper conduct

Ensures adherence to BPHC and FTCA requirements, including Clinical Standards and Clinical Guidelines

Oversees implementation, training, and monitoring of the Red Flag Rule

Directs credentialing and privileging processes for licensed providers; ensures compliance with FTCA deeming regulations

Ensures required checks of OIG and GSA exclusion lists for all employees, medical staff, and contractors

Leads independent investigations of alleged unethical or improper conduct; ensures corrective actions are implemented and monitored

Oversees periodic review and revision of Standards of Conduct in collaboration with the CHRCO

Coordinates with other departments to ensure compliance issues are appropriately investigated and resolved; consults with legal counsel on complex matters

Directs uniform handling of compliance violations and ensures appropriate investigative procedures are followed

Serves as an independent review body for compliance concerns in the absence of the CHRCO

Provides strategic oversight of risk identification, trend analysis, and prioritization of improvement initiatives; guides staff in implementing corrective actions and preventive strategies

Ensures organizational compliance with all state and federal regulations related to patient safety, quality improvement, and risk mitigation

Oversees investigations of incident reports, patient complaints, and patient care issues; ensures timely follow‑up and directs staff in developing safety improvements based on identified risks

Leads the development, implementation, and annual review of the organization’s Risk Management Plan

Serves as a senior liaison between practitioners, malpractice carriers, and insurance risk managers; supports the CHRCO in risk‑related negotiations and educational initiatives

Provides executive oversight of the incident reporting system, ensuring effective policies, training, and reporting mechanisms are in place

Directs the flow of incident information to medical staff and nursing peer review processes; utilizes benchmarking data to inform decision‑making

Oversees development of loss control measures related to patient care complaints, access to care, and treatment concerns

Prepares litigation risk summaries for outside legal counsel, the CEO, and the CHRCO; manages claim documentation and ensures adherence to Claims Management Procedures

Leads the design and implementation of preventive risk management programs; ensures staff receive ongoing training in documentation, reporting, and risk‑related procedures

Serves as the organization’s expert resource on risk reduction, maintaining current knowledge of industry trends and best practices

Qualification

Risk ManagementCompliance ManagementHealthcare RegulationsIncident ReportingSupervisory SkillsTeaching SkillsMultitaskingOrganizational SkillsTime Management