Director of Compliance and Risk Management

WHO WE ARE:

Aviva Health is a dynamic and mission-driven federally qualified health center (FQHC). Committed to providing comprehensive and compassionate healthcare services, Aviva Health offers a holistic approach to care, addressing patients' medical, behavioral health, dental, and social service needs. As a vital healthcare resource in the community, Aviva Health fosters a collaborative and supportive work environment where dedicated healthcare professionals have the opportunity to make a meaningful impact on the lives of individuals and families. Join us at Aviva Health and be part of a team that is dedicated to making a difference in the lives of our patients and the community we serve.

BENFITS FOR THIS POSITION INCLUDE:

• Comprehensive Medical, Dental, and Vision Coverage for employee and qualifying dependents
• Paid Holidays and Paid Time Off (PTO)
• 403(b) Retirement with Employer Match
• Tuition Reimbursement (for qualifying education)
• Cell Phone Allowance

POSITION PURPOSE:

Under the supervision of the Chief of Staff and reporting to the Chief Executive Officer (CEO) and the Board of Directors (BOD), the Director of Compliance and Risk Management (DCRM) develops, implements, evaluates, and maintains effective organization-wide Compliance and Risk Management Programs. The DCRM is responsible for maintaining compliance with the rules and regulations of regulatory and funding agencies.  The DCRM manages the organization policies and procedures program to ensure all documents are maintained, relevant, and understood by staff. The DCRM evaluates agency performance across Aviva Health compliance and risk management objectives while coordinating with management staff.  The DCRM provides reports to the Board of Directors and to senior leadership on Compliance and Risk Management activities.  This position supervises Safety and Risk Management staff. 

ESSENTIAL FUNCTIONS:

• Develop, maintain, educate, train, and communicate details, policies, procedures, and programs that fall under Compliance, Safety, and Risk Management. Ensure that employees, board members, and other applicable individuals understand policies, procedures, and programs that they must adhere to.
• Collaborate with applicable organizational leaders and team members to develop, maintain, report, and evaluate communication and tracking methods for applicable policies, procedures, and programs.
• Manage and oversee the development, revision, approvals, and implementation of policies and procedures from all departments within the organization.
• Identify, initiate, revise, and facilitate implementation of any new policies that are necessary for legal, corporate or contractual compliance; appropriate standards of practice; and consistency with general operations of the Compliance and Risk Management program.
• Collaborate with and guide department leaders as appropriate.
• Maintain effective document management and storage of policies and procedures.
• Monitor compliance with federal, state, and local regulatory requirements. Maintain up-to-date knowledge of related requirements within the grants, contracts, and agreements adopted by the organization. Stay abreast of laws and regulations that might affect the organization’s policies and procedures.
• Conduct audits to ensure operational compliance with established policies and procedures.
• Serve as a resource and guide to staff regarding compliance and risk management matters.
• Supervise Safety, Compliance, and Risk Management staff and related programs, including processes or programs associated with employee health and safety.
• Conduct operations and monitoring of clinical patient safety and risk management activities and Corporate Compliance program.
• Conduct effective and timely investigations and report potential safety, risk, legal, or other related reported incidents or violations. Partner with Human Resources to implement appropriate corrective actions for staff based on investigation outcomes.
• Perform quarterly risk management assessments and produce related action plans to address areas identified with high-risk exposure.
• Function as a health center point of contact for claims management to include investigating, filing and managing all insurance claims for FTCA Deeming, Medical Malpractice, liability, and Business Owner Insurance claims.
• Function as a liaison for all insurance related correspondence; periodically review insurance policy coverage limits to assure adequate protection for the organization.
• Function as the Aviva Health HIPAA/Privacy Officer and perform related job functions.
• Participate in the Risk Management Committee.
• Facilitate the Policies and Procedures work group.
• Provide reports on a regular basis, and as directed or requested, keeping the BOD and senior management informed of the operation and progress of compliance and risk management activity.
• Identify potential areas of vulnerability and risk to the organization; develop and implement risk management plans and provide general guidance on avoiding or dealing with similar future situations.
• In consultation with the CEO, ensure proper communications are fulfilled to duly authorized government, regulatory, and enforcement agencies as appropriate and/or required.
• Collaborate with Human Resources to develop an effective Corporate Compliance Training Program.
• Function as a liaison for respective external audit agencies and internal functional departments.
• Periodic travel; use of company or personal vehicle.
• Provide an example of accountability by adhering to all Aviva Health policies and procedures.
• Other relevant duties as assigned.

QUALIFICATIONS:

• Bachelor’s degree in Compliance or Health Care related field of study; master’s degree preferred.
• Experience: A minimum of 5 years’ experience in a healthcare organization leadership role is required. Experience with health care related financial, quality assurance, safety, risk management, compliance, and/or human resource procedures and regulations is a must.
• Professional certification in Healthcare Compliance is required within one (1) year from date of hire.
• OSHA Certification is required within one (1) year from date of hire.
• Experience with federal programs, such as FQHC, HRSA, 340B, FTCA, HIPAA, is preferred.
• Patient-centered clinical operations experience is preferred.
• Thorough understanding of a variety of healthcare, financial, and business processes, concepts, best practices, and procedures.
• Demonstrated ability to build and sustain trust-based relationships with employees, leadership, and key stakeholders.
• Proven leadership effectiveness, including the ability to influence, guide, and support teams in achieving organizational goals.
• Excellent verbal and written communication skills, with the ability to present information clearly and confidently to large and diverse audiences.
• Strong organizational and project management skills, with the ability to manage multiple priorities simultaneously.
• Advanced computer proficiency, including experience with standard business software and systems relevant to the role.
• Demonstrated ability to maintain strict confidentiality and exercise sound professional judgment.
• Ability to consistently maintain a friendly, courteous, and respectful demeanor in all interactions with patients, staff, and leadership.
• Ability to prioritize competing demands and perform effectively under deadlines and pressure.