Insurance and Risk Management Director jobs in Madison, AL

The Director of Compliance and Risk Management is responsible for the compliance of all agency activities through the development, implementation, oversight, and evaluation of all aspects of the Compliance and Risk Management Program. This position is responsible for identification of risk exposure, assessment, appraisal, and corrective action.

Duties and Responsibilities

1. Develops, initiates, maintains, and revises policies and procedures and standards of conduct for the general operation of the Compliance and Risk Management Program and Corporate Compliance Plan to detect and prevent illegal, unethical, or improper conduct.

2. Develops and implements the ongoing evaluation of the compliance program and related documentation considering changes in law, regulatory or agency policy, and the ongoing quality improvements of the program.

3. Acts as the point of contact when responding to investigations and queries regarding compliance activities.

4. Works with the Human Resources Department and others as appropriate to develop an effective compliance and risk training program for staff members, board members, volunteers, and applicable business associates as part of orientation and ongoing training and education.

5. Participate in and report on all internal and external audits of the agency’s systems and programs, including grant-related audits, entity audits and the annual financial audit. Identifies areas of risk for compliance deficiency and works with appropriate staff to develop corrective action plans.

6. Collaborates with management team to develop a remediation plan to address any non-compliance areas and works with the appropriate departments to remediate issues.

7. Implements and chairs compliance committee, in addition to presenting compliance reports to various stakeholders.

8. Maintains updated policies for the organization, including coordination of policy updates and communication to staff regarding new or changed policies.

9. Responsible for creation, implementation and evaluation of annual risk assessment and compliance work plan, in coordination with other departments.

10. Interfaces with legal counsel efficiently and effectively to obtain legal advice and guidance.

11. In conjunction with Procurement Specialist, ensure contract compliance.

12. Ensure compliance of the 340B program in coordination with 340B Program Coordinator.

13. Oversee the implementation and maintenance of the agency’s HIPAA compliance program in accordance with the Health Insurance Portability and Accountability Act of 1996.

14. Collaborates with the Director of HIMS to establish and maintain a mechanism to track access to protected health information as required by law to allow qualified individuals to review or receive a report on such activity.

15. Ensures the agency maintains appropriate privacy and confidentiality consent and authorization forms, information notices and materials reflecting current agency and legal practices and requirements.

16. Ensures compliance with privacy practices and consistent disciplinary actions for failure to comply with privacy policies.

17. Monitors compliance with all applicable laws and regulations and completes mandatory event reporting.

18. Completes documentation, tracking, investigation, and corrective action, if necessary, of all grievances.

19. Collaborates with Human Resources to conduct or coordinate investigations relating to employee incidents, discrimination, or harassment complaints according to policy, and works to mitigate risk, seek legal advice, or manage reporting, if necessary.

20. Collaborate on risk financing, including insurance purchasing and management.

21. Completes application for the Federal Tort Claims Act deeming process and oversees compliance program requirements.

22. Oversees emergency preparedness and safety program, to include routine drills and compliance rounds.

23. Represents agency at applicable state and local meetings (ie. EMA, Health center association)

24. Ensures completion of annual OIG and SAM exclusion list checks of staff and contractors.

25. All other duties as assigned.

Knowledge, Skills, and Abilities

· Knowledge of HIPAA-related rules and regulations.

· Knowledge of principles and practices of project planning, monitoring, and evaluation.

· Knowledge of applicable federal, state and county compliance laws and accreditation standards, and monitors advancements in information privacy technologies to ensure agency adaptation and compliance.

· Ability to assess programs, evaluate organizational needs and implement required change

· Ability to work effectively with staff and external entities to establish and maintain effective and healthy working relationships.

Job Type: Full-time

Pay: $59,200.00 - $87,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental pay types:

• Bonus opportunities

Education:

• Bachelor's (Required)

Experience:

• healthcare (FQHC): 3 years (Required)

License/Certification:

• Certified Healthcare Compliance (Preferred)

Work Location: In person