- Oversee and manage the day-to-day operation of the TrueCare Corporate Compliance Plan.
- Develop and manage the annual Internal Audit and Monitoring Work Plan.
- Periodically revise the Compliance Plan in light of changes in the organization's needs and in the law and policies and procedures of Government and health plans.
- Develop, initiate, maintain and revise policies and procedures for the general operation of the Compliance Plan and its related activities to prevent illegal, unethical, or improper conduct.
- Collaborate with other departments (e.g., Human Resources) to direct compliance issues to appropriate existing channels for investigation and resolution.
- Ensure alleged violations of rules, regulations, policies, procedures, and Code of Conduct by initiation of communication to appropriate stakeholders.
- Monitor, and as necessary, coordinate compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
- Identify potential areas of enterprise risk; develop/implement corrective action plans for resolution of problematic issues, and provide general guidance on how to avoid or deal with similar situations in the future.
- Bachelors degree in Business, Healthcare Administration, or Public Health.
- At least three (3) years of Healthcare Compliance work experience, preferably in a Community Clinic or non profit healthcare environment.
- Demonstrated knowledge of business ethics and legal and compliance risks.
- Experience with and understanding of federal, state, and regulatory policies as related to healthcare.
- Comprehensive knowledge of the principles and practices of healthcare delivery.
- FQHC work experience
Corporate Compliance Manager - San Marcos, United States - TrueCare™
Description
TrueCare is looking for a Corporate Compliance Manager with FQHC experience
We are an FQHC- Federally Qualified Health Center with 53 years serving the underserved population of North San Diego County and Riverside County.
Under the direction of the CEO, the Corporate Compliance Manager is designated to develop, coordinate and monitor the key elements of the Corporate Compliance Plan. This plan is based upon the TrueCare corporate mission statement, strategic enterprise management areas, and guidelines set forth by the United States Department of Health and Human Services, HRSA, the Office of Inspector General (OIG,) and in accordance with the Office of Pharmacy Affairs and the HIPAA Privacy and Security Rule.
Some of the essential functions include:
Required Qualifications -