Compliance Manager

Arizona Department of Health Services; Phoenix (AZ); On-site; USD 63,570 - 77,697; Full time

Benefits offered by this job

Affordable medical and dental insurance plans

Paid vacation and sick time

Paid parental leave

10 paid holidays per year

Wellness program

Life insurance

Short-term and long-term disability insurance

Defined retirement plan

Credit union membership

Job summary

Arizona Department of Health Services is seeking a Compliance Manager to coordinate regulatory compliance at the Arizona State Hospital in Phoenix. This role involves conducting performance audits, developing audit tools, and providing technical support to ensure compliance with health care regulations. A Bachelor's degree in a health-related field and 4 years of experience are required. The position also offers various benefits including medical insurance, paid leave, and retirement plans.

Qualifications

• 4 years of experience with regulatory agency rules; a Master’s degree may substitute for 1 year of experience.
• Knowledge of health care policy, Joint Commission standards, audit practices.
• Ability to draft plans of correction and represent ASH during surveys.

Responsibilities

• Conduct performance audits and mock surveys to evaluate compliance.
• Develop audit tools and compile survey findings.
• Research state licensing rules, Joint Commission standards, and CMS regulations.
• Support departments with research findings and technical assistance.
• Facilitate contract evaluations and conduct focused audits.

Skills

Developing audit tools

Researching and interpreting health care regulations

Communicating effectively

Presenting findings

Education

Bachelor’s degree in a health-related field

Job description

Job Location

Arizona State Hospital, 501 N. 24th Street, Phoenix, AZ 85008

Posting Details

Salary: $70,634.30

Grade: 22

Closing Date: Open Until Filled

Job Summary

The Compliance Manager coordinates with the Chief Compliance Officer (CCO) and other Compliance Managers to track the regulatory requirements for each licensed facility operated by the Arizona State Hospital. The role conducts performance audits and mock surveys, develops audit tools, researches regulations, provides technical assistance, participates in committees, and serves as backup to the CCO for regulatory entities. The Compliance Manager also facilitates contract evaluations and supports departmental compliance.

Job Duties

• Conduct performance audits and mock surveys to evaluate ASH’s compliance with regulatory requirements.
• Develop audit tools and collaborate with subject matter experts to guide mock surveys.
• Compile survey findings and deficiencies, and report results to the ASH Compliance Committee.
• Research state licensing rules, Joint Commission accreditation standards, and CMS regulations.
• Support departments by providing research findings, feedback from mock surveys, and technical assistance to sustain compliance.
• Participate in hospital committees and meetings such as the Environment of Care Committee and the Complaints, Grievances, and Appeals Committee.
• Conduct periodic rounds throughout the campus and patient units to assess compliance and address staff questions.
• Serve as a point of contact for CMS, The Joint Commission, and state licensing surveyors when the CCO is unavailable.
• Coordinate with the CCO in the development of plans of correction in response to survey findings.
• Conduct focused audits as requested by executive management and other hospital departments.
• Facilitate contract evaluations and performance evaluations of ASH contractors and vendors at least annually.
• Participate in meetings with ADHS Procurement to provide feedback on contract monitoring and enforcement.
• Perform other duties as assigned related to the position (typically 5% – 10%).

Knowledge, Skills & Abilities (KSAs)

Knowledge Of

• Health care policy review and development.
• Joint Commission standards, Medicare regulations, and state licensing rules.
• Audit practices.
• Health records, including electronic health records.
• Contract development, oversight, and enforcement.
• Performance Management, Continuous Quality Improvement, and Lean methodologies.

Skill In

• Developing audit tools.
• Researching and interpreting health care regulations.
• Communicating effectively with departments about deficient practices and non‑compliance.
• Presenting findings in oral and written formats.

Ability To

• Apply hospital rules, regulations, and standards to ASH policies and procedures.
• Draft plans of correction.
• Collaborate with other departments to implement plans of correction.
• Represent ASH during surveys with regulatory entities.
• Objectively evaluate contract performance.
• Support a diverse, multi‑cultural workforce and promote equal opportunity.

Selective Preference(s)

Bachelor’s degree in a health‑related field and 4 years of experience with regulatory agency rules; a Master’s degree may substitute for 1 year of experience.

Pre-Employment Requirements

• A State Hospital employee must obtain a valid Level One Fingerprint Clearance Card pursuant to A.R.S. 41‑1758.07.

Driving Is Required For State Business

• Employees who drive on state business must possess a current, valid state‑issued driver’s license and maintain acceptable driving records. Driver training is required as per Arizona Administrative Code R2‑10‑207.11.

Benefits

• Affordable medical and dental insurance plans.
• Paid vacation and sick time.
• Paid parental leave up to 12 weeks per year for newborn or adopted child.
• 10 paid holidays per year.
• Wellness program and plans.
• Life insurance.
• Short‑term and long‑term disability insurance.
• Defined retirement plan.
• Infant at Work program.
• Credit union membership.
• Transit subsidy.
• ADHS Student Assistance Pilot Program.

Retirement

State contributions match employee contributions to the Arizona State Retirement System (ASRS). New employees have a 27‑week wait period before contributions begin.

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request reasonable accommodation by calling (602) 220‑6462. All newly hired employees will be subject to E‑Verify Employment Eligibility Verification.