Compliance Officer

Southwest Virginia Higher Education Center; Virginia; On-site; USD 60,000 - 82,000; Full time

Job summary

Dept Behavioral Health/Develop seeks a Compliance Officer to oversee the hospital and long‑term care compliance program at Hiram Davis Medical Center. You will coordinate audits, trainings, and investigations to ensure adherence to regulatory standards and internal policies, guiding corrective actions as needed.

The role emphasizes collaboration with leadership to identify risks, develop a yearly work plan, and maintain thorough documentation for accreditation and regulatory reviews.

Qualifications

• Demonstrates excellent facilitation, relationship skills, and communication abilities.
• Excellent interpersonal, tact and diplomacy required.
• Strong analytical, problem-solving and data management skills.
• Knowledge of basic computer technology, web-based programs, and medical terminology.
• Prior knowledge of accreditation and regulatory standards and clinical process improvement concepts.

Responsibilities

• Support Internal Audit Programs and Tracer Methodology to identify gaps and improvements.
• Conduct internal audits including medical record reviews and other compliance assessments.
• Coordinate audit program needs, trainings, and other duties to maintain audit effectiveness.
• Plan, organize, and manage audits, submit reports within deadlines with documentation.
• Oversee the Corporate Compliance Program including policies and reporting mechanisms.
• Develop and maintain a risk-based annual compliance work plan and report progress to leadership.
• Maintain evidence of compliance activities and investigation files for reviews.
• Coordinate investigations of patient and family grievances with appropriate confidentiality.

Skills

Facilitation

Relationship skills

Verbal and written communication

Analytical thinking

Problem solving

Data management

Computer literacy

Job description

Title: Compliance Officer

State Role Title: Health Care Compliance Spec I

Hiring Range: $59,508 - $82,121

Pay Band: 4

Agency: Dept Behavioral Health/Develop

Location: Hiram Davis Medical Center

Agency Website: https://dbhds.virginia.gov/facilities/hwdmc/

Recruitment Type: General Public - G

Job Duties

• Performance Management (for employees who supervise others)
• Expectations are clear, well communicated and relate to the goals and objectives of the department or unit.
• Ensures that staff receive frequent, constructive feedback and coaching, including interim evaluations as appropriate.
• Ensures that staff have the necessary knowledge, skills, and abilities to accomplish goals and are evaluated for competency throughout the evaluation cycle.
• The requirements of the performance planning and evaluation system are met and evaluations are completed by established deadlines with proper documentation.
• Performance issues are addressed and documented as they occur in accordance with the Standards of Conduct.
• Assists with organizing, conducting and participating in Internal Audit Programs and Tracer Methodology to identify gaps and opportunities for improvement.
• Conducts internal audits including medical record reviews and other compliance assessments.
• Coordinates the needs of the audit program (i.e., participating in audits as assigned, training auditors, other duties as required to maintain and evaluate the effectiveness of the audit program).
• Plans, organizes and effectively manages audits. Conducts audits and submits audit reports within the agreed upon timelines and as scheduled.
• Oversees the Corporate Compliance Program, including maintaining policies, procedures and mechanisms for reporting and addressing potential noncompliance.
• Develops and maintains a risk-based annual compliance work plan, tracks completion of planned activities and reports progress to leadership.
• Maintains credible, organized evidence of compliance activities, including audit records, training documentation, investigation files and corrective-action follow-up, for regulatory and accreditation reviews.
• Coordinates timely, impartial investigations of patient and family grievances involving compliance concerns, documents findings and tracks appropriate follow-up and responses.
• Works with department leaders to identify compliance risks, clarify requirements and implement corrective actions, monitoring completion and effectiveness.
• Represents the agency in employee grievances as a compliance resource, coordinating with Human Resources and leadership while maintaining appropriate confidentiality and neutrality.
• Monitors relevant regulatory and accreditation requirements affecting hospital and long-term care operations and communicates significant changes to responsible leaders.
• Provides compliance education to employees, supervisors and medical staff, including guidance on reporting concerns, confidentiality and non-retaliation expectations.
• Oversees the intake, triage and follow-up of compliance reports and concerns, ensuring they are documented, appropriately escalated and resolved.

Minimum Qualifications

• Demonstrates experience with excellent facilitation, relationship skills, and verbal and written communication skills.
• Must possess the ability to exhibit excellent interpersonal skills, tact & diplomacy.
• Requires critical thinking, conceptual thinking and decision-making skills. Must have strong analytical, problem-solving, and data management skills.
• Must demonstrate knowledge of basic computer technology and web-based programs and medical terminology.
• Prior knowledge of accreditation and regulatory standards and clinical process improvement concepts is required.

Additional Considerations

N/A

Contact Information

Name: HWDMC HR

Phone: [phone]

Email: [e-mail]

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.