ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Compliance and Risk Manager is responsible for performing the following duties:

• Manages day-to-day operation of the Compliance and Risk Program activities.
• Collaborate with internal departments and external agencies. 
• Develop, review and implement necessary programs, policies and procedures. Including promoting uniformity along all service lines (Urgent Care, Dental, Optical, etc.) 
• Educate and develop training material that promotes commitment to compliance with standards, risk management functions, policies and procedures. 
• Establish appropriate structures and processes in relation to risk reporting, incident management, safety, escalation of serious incidents and reporting (internally and to external agencies as applicable).
• Conduct confidential internal investigations for compliance complaints and or grievances, including those received via the Anonymous Helpline. 
• Assist in identification of potential risk through a risk assessment, analysis of accidents/incidents and near miss incidents, periodic safety inspections and/or audits.
• Support appropriate departments to ensure compliance with subpoenas and timely response to release of medical records to ensure full compliance with required HIPAA and other regulations. 
• Manage liability insurance accounts for the organization. 
• Keep up to date with health & safety legislation and guidelines and healthcare compliance regulations. 
• Work with legal counsel in situations of filed claims and protects the attorney-client privilege as appropriate.
• Collect and analyze data to identify vulnerabilities and make recommendations to reduce, prevent or eliminate risks identified.
• Perform other duties as assigned including participation in all safety programs which may include assignment to internal or external agency committees.
• Appoints, coordinates, and directs the work of the staff members in the Compliance Department.
• Collaborate on the FTCA Application for malpractice and annual risk report. 
• Prepare presentations and reports that address risk, capture trends and recommendations.