Quality AssuranceCompliance officer
Quality AssuranceCompliance officer
Posted on :
15-03-2025
Employer Active
1 Vacancy
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Yearly Salary
$ 78003 - 78888
Vacancy
1 Vacancy
Posted on :
15-03-2025
Job Description
JOB TITLE: Quality Assurance & Compliance Officer
Supervisor: Health and Human Services Director
Status: Exempt
Salary: Grade 8$78003 $78888 annualized)
Location: Unassigned
Posting Closes: 03/19/2025 9:00am
*Travel to NHBPs facilities located in Grand Rapids MI and Fulton MI will be required.
Excellent Benefit Package
- Eligible for Public Student Loan Forgiveness (PSLF) program
- Excellent medical coverage plan supplemented by Employers HRA for minimal cost sharing by its Team Members
- 100 Employer Paid premiums for dental and vision coverage
- 100 Employer Paid premiums on short term disability life insurance and accidental death and dismemberment
- Flexible Spending Account for Medical Reimbursement and Dependent Care
- 401K Plan with eligible match with 100 invested in employer contributions
- A generous paid time off program where all employees begin earning accrued paid time off immediately upon hire
- Generous Tuition Reimbursement Program with Educational Release Time
- Thirteen Paid Holidays
- Employee wellness and fitness programs
- Opportunities to participate in NHBP Sponsored activities
POSITION SUMMARY
Under the general supervision of the Health and Human Services Director and in collaboration with the Health and Human Services Management Team this position is responsible for planning designing implementing and maintaining the Quality Assurance and Compliance Program. This position will lead the accreditation efforts quality improvement and compliance activities for the Health and Human Services Department. The Quality Assurance and Compliance Officer is a member of the Health and Human Services Management Team and in his/her compliance role directly reports to the Compliance Board.
ESSENTIAL FUNCTIONS
The Nottawaseppi Huron Band of the Potawatomi reserves the right to change amend add delete and otherwise assign any and all duties responsibilities and position titles as it deems necessary to meet the needs of the government. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties responsibilities and skills required of personnel so classified.
- Lead planning and provide oversight of activities to achieve and maintain accreditation.
- Facilitate the development guide the implementation of and oversee the Quality Assurance Plan.
- Develop and implement the privacy program for consistent effective privacy practices that minimize risk and ensure the confidentiality of protected health information (PHI) paper and/or electronic across all media types.
- Develop implement or coordinate the compliance program in accordance with the requirements of the OIG.
- Ensure compliance and privacy forms policies standards and procedures are uptodate to ensure compliance with legal accreditation professional and internal standards.
- Collaborate with the information technology (IT) personnel to ensure alignment between the security and privacy compliance program including policies practices investigations and acts as a liaison to the information technology department related to security and privacy compliance.
- Conduct related ongoing compliance monitoring activities in coordination with the other unit Managers. These activities include but not limited to risk assessment/analysis mitigation and remediation functions.
- Participate in the development implementation and ongoing compliance monitoring of all business associates business associate agreements and contracts to ensure all privacy concerns requirements and responsibilities are addressed.
- Conduct or coordinate complaint investigations. Develop recommendations for corrective action based on review and findings. Follow up to verify corrective action is completed.
- Present quality assurance compliance and privacy reports such as: audits patient and employee satisfaction surveys complaint and other compliance or privacy reports to the Health Management Team Compliance Board and summaries to the Journey to Wellness Committee.
- Facilitate Compliance Board meetings.
- Maintain current accurate and complete records as required.
- Actively participate in all ongoing professional development including but not limited to participating in mentorships online trainings and educational development.
MINIMUM REQUIREMENTS
An applicants education training and experience must be sufficient to demonstrate that the applicant possesses the ability to successfully perform each of the essential functions. The requirements listed below are generally representative of the education experience and skills and/or ability required to enable one to successfully perform the essential functions associated with his position:
- Bachelors Degree in Health Social Work Business or Public Administration with an emphasis on Ethics.
- Demonstrated knowledge of Office of Inspector General compliance program.
- Certified or able to become certified in Healthcare Compliance within one year of hire.
- Must maintain a valid drivers license with good driving record; GSA certifiable and able to travel.
- Must be able to successfully pass a background check: must not have been found guilty of or pled guilty or no contest to any felony or misdemeanor offense under federal state or tribal law involving crimes of violence sexual molestation prostitution or other crimes against persons or offenses committed against children; must be able to successfully pass a drug screening.
- Ability to understand gain knowledge and appreciate the differences with the Native American culture and customs.
OTHER SKILLS AND ABILITIES
- Demonstrated experience in policies and procedures development and monitoring.
- CPR/First Aid certified or ability to gain certification as training becomes available.
- Must maintain strict confidentiality including HIPAA requirements and 42CFR.
- Knowledge of state and federal regulations and requirements.
- Excellent interpersonal/ human relation skills.
- Must possess strong administration and organizational skills.
- Excellent communication skills with the ability to speak and write clearly in positive and negative situations.
- Demonstrated proficiency in computer skills including word processing and spreadsheets and knowledgeable of electronic health records systems.
- Ability to be selfdirected and be an excellent problem solver.
- Ability to work well with in team centered environment with or without immediate supervision.
- Ability to facilitate departmental meetings to ensure inclusion and productivity.
- Professional demeanor and appearance.
PREFERRED QUALIFICATIONS
- BSN Possess and maintain Registered Nurse license in good standing with the State of Michigan.
- Knowledge of behavioral health and dental compliance requirements.
- Two years of compliance experience in a federally qualified health center or tribal health center.
- Three years experience in healthcare performance improvement and compliance management.
- Experience with preparing for achieving and maintaining accreditation through accrediting organizations recognized by CMS.
SECURITY SENSITIVE
This position contains information that is security sensitive and thereby subject to additional provisions. All information obtained will be protected under IHS/HIPAA policy rules and regulations.
INDIAN PREFERENCE
Tribal preference will be applied in accordance with the NHBP Indian Preference in Employment Code which requires that preference in employment be afforded to NHBP members spouse/parents of NHBP members and Native Americans who meet the minimum qualifications and can successfully perform the essential functions for the position.
Fair Employment Practices Code (FEPC)
All applicants are subject to a comprehensive background check and must pass a drug screen.
NHBP doesnotrecognize the use of recreational or medical .
Required Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
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