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Chief Compliance & Grants Officer (COO, Deputy Director)

Hackley Community Care (HCC) is a Federally Qualified Health Center located along the beautiful Lake Michigan shoreline in Muskegon, Michigan. Our staff of 300 brings comprehensive medical, dental, behavioral health and support services to families in greatest need in Muskegon County and surrounding areas.

The Chief Compliance & Grants Officer (CCGO) is an executive leadership position reporting directly to the Chief Executive Officer, responsible for ensuring compliance related to HCC’s regulatory programs. Responsibilities include compliance with Health Resources and Services Administration (HRSA)-approved scope of project federal requirements, Federal Torts Claims Act (FTCA) application requirements, HIPPA Privacy Program, accreditation guidelines, as well as local, state, and federal regulations and laws governing business operations.  The CCGO is responsible for the policies, procedures, and execution of training to mitigate risk and ensure compliance and for investigating and managing risk violations. In addition, this individual will be responsible for developing the annual community needs assessment; the evaluation and execution of organizational grant funding opportunities; and compliance and monitoring of existing organizational collaborations, contracts, and grants.

COMPLIANCE MANAGEMENT:   

This individual is responsible for oversight of all departmental compliance as it pertains to the HRSA scope of project for HCC, FTCA, policy management and special projects related to high-risk areas. The individual is responsible for implementing policies, procedures, and training to mitigate organizational risk. The CCGO oversees the HIPPA committee and serves as the HIPPA Privacy Official.  This individual is responsible for direct supervision of individuals reporting in this category of work. In addition, they work collaboratively with other executive, clinical and departmental leaders in their respective areas of compliance responsibility and in the areas of safety and EOC (Environment of Care).

Responsibilities include, but not limited to:

1.       Compliance:

a.       Establishing a reporting system of suspected or known high risk violations. Responding to and investigating all reports of alleged violations of rules, regulations, policies, and procedures. Ensuring corrective steps are followed for identified problems or violations.

a.       Identifying areas needed for staff compliance training and education.

b.       Informing Executive Leadership, Risk Management Committee, and Board of Directors of monitoring activities, alleged violations, investigation process, outcomes, and corrective actions taken.

c.       Ensuring all departments maintain compliance as it pertains to our Scope of Project, federal, local and community business operations

2.       Priority Oversight / Risk Mitigation / Compliance Program Areas Include:

a.       HIPAA Privacy

b.       Legal Claims

c.       High Risk Occurrence Events

d.       HRSA Changes in Scope of Project and Sites

e.       HRSA Form 5

f.        Grant and Contract Management

g.       HRSA Grant, Compliance & Audits

h.       FTCA Application

i.         Administrative Compliance – By-Laws, Board of Directors

j.         Special Projects

3.       Management of medical malpractice claims process and serves as the point of contact individual.  Responsibilities include notification of claim procedures, staff responses to subpoenas, coordination with legal representation, (HRSA and others), tracking and follow up on claim activities.

4.       Oversight and management of HIPAA violations and/or breaches, serving as point of contact.

5.       Oversight of Federal Tort Claims Act (FTCA) re-certification process, ensuring accurate data and timely submission.

6.       Ensures policies and procedures are developed, implemented, and monitored for departmental programs.

ADMINISTRATIVE & GRANT COMPLIANCE:   

In collaboration with the CEO, this individual ensures that the organization is compliant with local, state, and federal regulations and laws governing business operations.

1.       Oversight of and adherence to organizational by-laws; HRSA guidelines relative to organizational structure and operations; Board of Director training and annual reporting requirements; and coordination of annual board calendar and meeting agendas.

2.       Responsible for developing the annual community needs assessment through researching and evaluating community service and needs data through various sources.

3.       Evaluation and execution of organizational grant funding opportunities that align with the strategic goals and mission of HCC. This individual will monitor existing organizational contracts, collaborations, and grants to ensure compliance.

4.       Development of organizational policies and procedures to ensure administrative and grant compliance obligations are fulfilled.

LEADERSHIP:

1.       Responsible for developing the leadership skills of direct reports through coaching, mentoring, feedback, and accountability.

2.       Leads others by fostering teamwork; empowering and developing team members; engaging and recognizing contributions; leveraging diversity, equity, and inclusion; resolving conflicts and managing performance.

3.       Exhibits leadership, professionalism, and the core values of HCC: Quality, Integrity, Respect and Compassion; builds collaborative relationships with others inside and outside the organization.

4.       Monitors and evaluates to CCGO and ensures adherence to policies and procedures.

5.       Seeks out educational opportunities, stays current with trends, and implements appropriate changes within area of responsibility.

6.       Develop and implement communication protocols to ensure adequate information flow within the organization.

7.       Promotes good working relationships and cooperation with staff and patients.

QUALIFICATIONS & ATTRIBUTES:

1.       A cultivated leader with the ability to highly demonstrate the values of HCC, support and engage staff at all levels and embrace a diverse and inclusive culture that represents transparency, integrity, and respect.

2.       Possess a bachelor’s or master’s degree in health administration, marketing, finance, accounting or related field or comparable experience.

3.       At least three years in a leadership, business or healthcare role, preferably executive leadership with experience in a federally qualified health center.

4.       Extensive experience in healthcare organizational compliance activities with proven success with direct experience with HRSA and FTCA regulations preferred.

5.       Familiarity with HIPPA, healthcare policies and procedures and EOC/Safety regulations preferred.

6.       Experienced in administrative compliance, policy development, by-laws, board of directors and successful grant writing preferred.

7.       Demonstrated professional with excellence in leadership skills, organizational skills, communication skills, analytical skills and building collaborative relationships.

8.       Proven ability in both organizational leadership and people leadership.

9.       Professional verbal and written communication skills.

10.   Technology expertise in various software programs including Word and Excel preferred.

BENEFITS: 

HCC offers a competitive salary and benefits package which includes:

·       Competitive Salary

·       Medical, Dental and Vision Insurance

·       Group Life & AD&D Insurance

·       Short- and Long-Term Disability Benefits

·       Paid Time Off and Paid Holidays

·       403B Retirement Plan

·       Reward & Recognition Bonus Program

How to Apply/Contact:

Candidates who are qualified and wish to be considered for this position must submit a cover letter, resume and online application at Join Our Team | Hackley Community Care. For more information about this job, you can contact Karen Hayslip, Chief Human Resource Officer, at 231-733-6603 or Tracy Heistand, Lead Human Resource Specialist, at 231-733-6796.

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