Compliance Manager

Central Administration; Toppenish (WA); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Employer-paid health insurance

Profit sharing

403(b) retirement plan

Generous PTO and holidays

Job summary

Toppenish Central Administration in Toppenish, WA seeks a Compliance Manager to lead a culture of compliance and privacy, ensuring adherence to healthcare laws and policies. You will guide audits, investigations, staff training, and privacy practices across the organization.

The role requires a healthcare-focused degree and experience in compliance program development, with CHC/CHPC within two years preferred.

Qualifications

• Bachelor’s degree in healthcare related field required.
• Certified Healthcare Compliance (CHC) or Certified in Healthcare Privacy Compliance (CHPC) within two years of hire encouraged.
• Experience in developing compliance programs and educational materials.
• Knowledge of healthcare compliance policies, standards and systems.
• Regulatory requirements experience preferred.
• Strong interpersonal and communication skills; excellent presentation and written communication.

Responsibilities

• Build and foster a culture of compliance.
• Interpret laws, rules, regulations and standards; train associates to comply.
• Collaborate with multidisciplinary teams on staff training, quality and audits.
• Develop and conduct ongoing training and education programs for all employees.
• Plan and conduct investigations or audits to detect fraud and abuse.
• Identify and correct compliance issues; coordinate corrective actions.
• Communicate audit findings and educational needs; document actions.
• Analyze internal systems to ensure healthcare regulatory compliance.
• Work with leadership to manage local, state, and federal requirements.
• Develop, implement, maintain policies and procedures for the Compliance Program.
• Maintain effective compliance communications across the organization.
• Handle HIPAA privacy responsibilities; ensure PHI/PI protections.
• Develop privacy-related training and orientation; ensure ongoing education.
• Investigate privacy complaints and report to authorities as needed.
• Perform other duties as assigned.

Skills

Healthcare compliance knowledge

Interpersonal skills

Communication skills

Organizational skills

Time-management

Troubleshooting

Problem-solving

Presentation skills

Oral and written communication

Education

Bachelor’s degree in healthcare related field

Healthcare compliance/quality/risk management certification (preferred)

Job description

Position Title: Compliance Manager

City: Toppenish

State/Territory: US-WA

Employment Duration: Full time

Offer Relocation: No

Excempt Status: Exempt

ID: 17365

Join our team as a Healthcare Compliance Manager at Toppenish Central Administration in Toppenish, WA!

Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.

We invite you to explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew," for a glimpse into our dedication to our communities, health, and families!

Position Highlights:

• $80,168.40-$99,944.24/hour DOE with the ability to go higher for highly experienced candidates
• 100% employer-paid health insurance, including medical, dental, vision, Rx, 24/7 telemedicine
• Profit sharing & 403(b) retirement plan available
• Generous PTO, 8 paid holidays, and much more!

What You’ll Do:

• The Compliance Manager will build and foster a culture of compliance
• Maintain knowledge and understanding of laws, rules, regulations and/or standards to assist departments with interpretation of the regulations and properly train associates how to comply with laws, rules, regulations, policy and/or standards.
• Collaborates with multidisciplinary teams focused on staff training, quality and process audits related to compliance
• Supports the role that is accountable for developing and conducting ongoing training and education programs for all YVFWC employees
• Plan, organize and execute investigations or audits to measure potential fraud and abuse
• Coordinates the identification, prevention, and prompt correction of identified compliance issues
• Communicates audit findings and identifies areas of educational needs or corrective actions based on the results
• Documents completed corrective actions based on audit findings
• Analyze internal systems and processes to ensure compliance with healthcare regulations, revenue cycle
• Collaborates with leadership to develop strategies to manage local, state, and federal regulatory and legal requirements
• Assist in the development, initiation, maintenance, and revisions of policies and procedures for the Compliance Program and its related activities to prevent illegal, unethical, or improper conduct.
• Supports and maintain effective lines of compliance communication across the organization.
• Fulfills all compliance responsibilities related to the position, handles all protected health information in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) regulations.
• Develops, implements, maintains, and oversees privacy-related policies and procedures.
• Conducts investigations of privacy-related complaints and responds to privacy-related inquiries from workforce members, patients and/or family members, the compliance hotline, or other sources.
• Based on outcomes of privacy-related investigations, reports to state and federal authorities, as appropriate, and communicates with patients or individuals when their Personal Health Information (PHI) or Personal Information (PI) has been used or disclosed in violation of our standards.
• Develops, implements, maintains, and oversees training and education programs for privacy issues, including new employee orientation, annual online training, and department– specific training.
• Perform other duties as assigned

Qualifications:

• Bachelor’s degree in healthcare related field
• Specific degree or post degree education/certification in healthcare related field, including healthcare compliance, quality, risk management preferred
• Three years in healthcare operations experience
• Experience in developing compliance program and educational materials
• Experience in regulatory requirements preferred
• Must obtain the Certified Healthcare Compliance (CHC) or a Certified in Healthcare Privacy Compliance (CHPC) in within two years of hire
• Knowledge and understanding of healthcare compliance policies, standards and systems
• Strong interpersonal and communication skills
• Good organizational and time-management skills
• Excellent troubleshooting and problem-solving skills
• Excellent presentation, oral and written communication skills

Our Mission Statement

“Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.”

Our mission celebrates inclusivity. We are committed to equal-opportunity employment.

Visit our website at www.yvfwc.com to learn more about our organization!

Equal employment opportunity, including veterans and individuals with disabilities.

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