Peak Vista Community Health Centers is a non-profit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental and behavioral health through our 22 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 81,500 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Compensation (Pay): $71,201.34 to $103,241.65 annually, based on experience.

Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD
• 403(b) Retirement with Company Match
• Paid Time Off
• Tuition Assistance
• Perks Rewards
• Employee Assistance Program

https://www.peakvista.org/resources/benefits-summary

Job Summary:  Under the direction of the Director of Compliance & Risk Management, the Manager of Compliance & Risk oversees the daily management and operations of Peak Vista Community Health Centers (PVCHC) compliance and risk management staff and programs to ensure that operations are in compliance with internal policies and procedures, state and federal laws, and Health Resources and Services Administration (HRSA) and accreditation standards and requirements, and other duties as assigned.

Essential Duties and Responsibilities include the following.

• Provides oversight and direction to department staff.
• Assists the Director with the implementation, oversight, and evaluation of Peak Vista’s corporate compliance program to include the 7 elements of an effective compliance program as defined by the Office of General Counsel (OIG)
  • Implementing written policies, procedures, and standards of conduct
  • Supports the Compliance Officer.
  • Develops effective lines of communication.
  • Enforces standards through well publicized disciplinary guidelines.
  • Conducts appropriate training and education.
  • Conducts internal monitoring and auditing.
  • Responds promptly to detected offenses, develops corrective action, and reports findings to the government via established channels.
• Provides oversight and direction to the Compliance & Risk staff on implementing the risk management program and activities to include management of the incident reporting system, response to incidents, evaluation/analysis of incidents to mitigate potential risks and liabilities for the organization, completion of risk assessments, development of annual Risk Management Plan and Risk Training Plan, and response to patient grievances.
• Completion of monthly, quarterly, and annual Compliance reports and insurance claims updates for the Board of Directors and provides oversight and direction to the Compliance and Risk staff on the quarterly and annual risk management reports for the Board of Directors.
• Conducts periodic review and revisions of corporate compliance and operational documents to include Board Policies, Plans, Policies and Procedures (P&Ps).
• Acts as a resource to PVCHC staff on Compliance and Risk matters.
• Develops and performs auditing and monitoring activities to include an annual compliance work plan.

• Conducts compliance and risk investigations, reporting and follow-up as assigned.
• Coordinates with the Compliance Officer and the Director on legal responses as assigned.
• Assists with the review and administration of subpoenas, Colorado’s Department of Regulatory Agencies (DORA) Board responses, law enforcement request for information and reporting to law enforcement as required.
• Prepares the annual Federal Tort Claims Act (FTCA) application for deeming and coordinates with applicable departments to ensure compliance with standards.
• Assists with the processing of FTCA malpractice claims related activities and serves as liaison to outside litigation counsel in the management and investigation of filed lawsuits and related litigation processes.
• Advises, assists, and collaborates on HRSA Compliance Manual requirements and Operation Site Visits coordination as assigned.
• Prepares AAAHC accreditation program application, ensures compliance with standards and coordinates the AAAHC on-site survey.
• Coordinates Office of Civil Rights and ADA compliance requirements and responds to claims.
• Responsible for administration of the policy and incident reporting platform
• Coordination of annual employee/Board of Directors disclosure of interest program and monthly excluded entity program management (sanctions checks).

• Develops and provides training on the Compliance & Risk Management Programs, HIPAA, Fraud and Abuse, FTCA, False Claims, and other compliance and risk areas in New Employee Orientation (NEO), annually and periodically, as needed.
• Conduct regulatory research as needed.

• Promotes and demonstrates the mission, vision, and Core Values of Peak Vista.
• Develops and maintains good working relationships with all departments, the management team, medical staff, and leadership.
• Embraces cultural diversity amongst ourselves and our community.
• Responsible for the human, financial, and material resources as well as data and information entrusted to us.
• Strives to deliver the best outcomes and highest quality service.
• Performs other tasks as assigned by the Compliance Officer demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements.
• Enhances the effectiveness; efficiency and productivity of the department by contributing to, and participating in, departmental performance improvement goals.

Supervision Received: Director of Compliance & Risk Management

Supervision Exercised: Compliance & Risk Specialist

Suggested Competencies: Strong interpersonal skills, high level of integrity, ability to guide staff in an ethical manner.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Education: Bachelor’s degree in business or health care related field preferred but equivalent professional experience accepted in lieu of a bachelor’s degree.

Work Experience: 5-7 years of experience in one of more of the following fields: compliance management, risk management, healthcare administration, business administration, or legal support; to include 3 years of leadership experience required.

Language Ability: Excellent written/verbal skills

Math Ability: Average math skills.

Reasoning Ability: Requires high critical thinking skills with significant emphasis on attention to detail and the ability to understand and interpret complex laws and regulations.

Computer Skills: Knowledge of Microsoft Office, Microsoft Excel, Microsoft Outlook and internet required.

Certificates and Licenses: Certified in Health Care Compliance preferred.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Three. See Exposure Control Plan for details.The noise level in the work environment is usually quiet.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must occasionally lift and/or move up to 20 pounds and experience moderate bending, moderate energy requirements and frequent fine motor skills. While performing the duties of this job, the employee is frequently required to stand, walk, and sit. The employee will experience looking at computer screen continuously for long periods of time, hearing within formal range.

 

 

*Successful candidates will complete pre-employment screening; which includes, but is not limited to a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol free workplace and an Equal Opportunity Employer.

**PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com